OTRNQualitativeJournal of renal care2020

Persons' Experiences of Suffering from Nephrotic Syndrome.

Anneli Jönsson, Thomas Hellmark, Anna Forsberg

PMID 31746128

WHAT IT FOUND

Adults with nephrotic syndrome felt ill and well at once, followed treatment without questioning, and stayed uncertain because they lacked guidance on causes, prognosis, and self-management.

Key findings

01Adults described feeling physically changed by nephrotic syndrome but not recognising the symptoms as kidney disease.

02Participants followed treatment and advice without questioning, partly because they felt powerless to influence the disease.

03Lack of information about the disease and how to live with it left them uncertain, while family support helped them cope.

STILL TO COME

How it was doneWhat they foundWhat it means for OTsWhat it means for RNs

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What it does not show

Ten patients from one Swedish hospital, all Swedish-speaking, so the findings may not apply to other settings or languages. The study did not test an intervention or measure clinical outcomes, so it cannot show what improves care. Participants were interviewed during or soon after acute hospital or outpatient care, so their accounts may reflect a particular point in illness. One researcher had extensive renal department experience, and the analysis relied on interpretation, so pre-understanding may shape themes. All eligible patients agreed to take part, so the sample may not include people who declined.

The easy way to misread this

Do not read these themes as evidence that a specific education programme works. The study only describes what ten patients said about their experience; it did not test an intervention or measure outcomes.

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