The quadri-dimensional experiences of Filipino patients undergoing hemodialysis: The Puzzle Reform modelM

The study centers on identifying the impact of hemodialysis treatment on a patient undergoing hemodialysis, using a qualitative design, descriptive and exploratory survey. It was conducted at three (3) areas in Metro Manila, specifically Parañaque City, Quezon City, and Taguig City. It utilized phenomenological method where human experience. Three (3) Filipino individuals undergoing hemodialysis served as key informants for qualitative component. Ethical clearance and permission were secured prior to the conduct of the study. Gathered data through semi-structured interview were prepared, transcribed and analyzed using Van Kaam's Method where researchers have and inter-subjective agreement with other expert judges to verify the transcribed data. In addition, bracketing was also utilized. The findings extracted from the experiences of the three (3) participants produced interesting themes. There were four (4) major themes emerged explicitly and namely: 'Physiologic Reform', 'Mental Reform', 'Sociological Reform' and 'Monetary Reform'. Coincidentally, all the major themes have produced two (2) minor themes that have a mnemonic of 'H. D.' which implies and denotes 'Hemodialysis'. First, the major theme 'Physiologic Reform' deals with the physical changes experienced by the key informants have minor themes included: (1) 'Hazard Control' and (2) 'Difficulty'. Second, the major theme, 'Mental Reform' deals with behavioral changes, has minor themes include: (1) 'Hope' and (2) 'Discomfort'. Then, the third major theme, 'Sociological Reform' deals with changes in social life, includes: (1) 'Harness Unchained' and (2) 'Distinction'. And lastly, the fourth major theme, 'Monetary Reform' deals with the financial changes, includes: (1) 'Hooked-On (Dependence)' and (2) 'Destitution'. Through the findings of the researchers, it was clarified that patients undergoing hemodialysis treatment were experiencing several changes in the four (4) aspects of human life.