The body marked by the arteriovenous fistula: a phenomenological point of view

To understand the experience of people with chronic kidney disease using arteriovenous fistula. Qualitative and exploratory study based on Social Phenomenology, conducted on 30 adults undergoing hemodialysis by using the fistula, interviewed in 2017. The interviews were analyzed according to the emp...

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Published inRevista Brasileira de Enfermagem Vol. 71; no. 6; pp. 2869 - 2875
Main Authors Silva, Dejanilton Melo da, Silva, Rose Mary Costa Rosa Andrade, Pereira, Eliane Ramos, Ferreira, Helen Campos, Alcantara, Vanessa Carine Gil de, Oliveira, Fabiana da Silva
Format Journal Article
LanguageEnglish
Published Brazil Associação Brasileira de Enfermagem 01.11.2018
Subjects
Adult
Arteriovenous Fistula - complications
Arteriovenous Fistula - psychology
Body Image
Body Image - psychology
Chronic illnesses
Chronic Kidney Disease
Female
Fistula
Hemodialysis
Humans
Internet
Kidney Dialysis
Kidney diseases
Male
Middle Aged
Nursing
Patient satisfaction
Phenomenology
Qualitative Research
Quality of life
Quality of Life - psychology
Renal Dialysis - adverse effects
Renal Dialysis - methods
Renal Insufficiency, Chronic - blood
Renal Insufficiency, Chronic - complications
Self image
Systematic review
Brazil
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Summary:To understand the experience of people with chronic kidney disease using arteriovenous fistula. Qualitative and exploratory study based on Social Phenomenology, conducted on 30 adults undergoing hemodialysis by using the fistula, interviewed in 2017. The interviews were analyzed according to the empirical-comprehensive model proposed by Amedeo Giorgi. We found the categories "The changed body aesthetics"; "The perception of the other about my body"; and "The fistula as an inseparable condition for life maintenance." The experience of people using fistula showed that this venous access leaves marks that change the body aesthetics, making the body imperfect. Such changes cause low self-esteem and attract the look of the other, causing embarrassment in those who have the body changed. Thus, they react by camouflaging the fistula, without which there is no life. This perception arises from the fear that works as a catalyst for self-care.
ISSN:0034-7167
1984-0446
1984-0446
DOI:10.1590/0034-7167-2017-0898