CHALLENGES EXPERIENCED OF PATIENTS WITH CHRONIC KIDNEY DISEASE UNDERGOING HEMODIALYIS: A QUALITATIVE STUDY

This qualitative descriptive study explored the lived experiences of hemodialysis patients in Puerto Princesa City, Palawan, focusing on the social, psychological, and financial challenges, as well as coping mechanisms and perceived support. Fifteen participants who had been undergoing hemodialysis for at least one year were purposively selected from both hospital-based and private dialysis centers. Data were collected through semi-structured interviews, audio-recorded, transcribed in Tagalog, and translated into English. Thematic analysis using NVivo 12 Pro was employed to identify recurring patterns and meaningful themes. Findings revealed that patients experienced significant disruption of work, productivity, and social roles due to treatment schedules and physical limitations. Mental health challenges included emotional shock, shame, anxiety, depression, irritability, overthinking, and fear of medical crises, which were closely linked to physical symptoms such as fatigue, pain, high blood pressure, and sleep disturbances. Family and community support were identified as critical sources of emotional, practical, and financial assistance, although gaps or inconsistencies in support exacerbated dependency and stress. Financial burdens were multidimensional, encompassing medications, laboratory tests, hospital bills, transportation, and dietary requirements, and persisted despite government programs such as PhilHealth, CSWD, DSWD, and LGU assistance.

The study concludes that clinical care alone is insufficient; comprehensive interventions must integrate emotional, logistical, and financial support to enhance patient well-being and treatment adherence. Practical coping strategies were observed, yet professional guidance is necessary to foster sustainable mental health management. Recommendations include integrating family-centered care, financial navigation, and psychosocial interventions into routine hemodialysis practice, as well as further research on structured support programs and longitudinal outcomes.