2025/11/01 by Effat Afaghi, Eesa Mohammadi, Fazlollah Ahmadi +1 · 1 voice
Medicine · Health Professions · Social Sciences · #Dialysis and Renal Disease Management #Nursing care and research #Health Education and Validation
paper · doi:10.1177/16094069251404331
openalex publication_date 2025/11/01 · openalex created_date 2025/11/28 · openalex updated_date 2026/05/21
Chronic kidney disease and its maintenance therapy (hemodialysis) lead to numerous physical, psychological, and social challenges for patients undergoing hemodialysis. Consequently, individuals receiving hemodialysis must adapt and cope with various aspects of their illness to effectively manage stressors related to the treatment. Identifying the level of patients’ adaptation to hemodialysis using an appropriate instrument provides valuable information for developing specific treatment plans, delivering effective medical and nursing care, and enhancing the performance of the healthcare team. Such measures ultimately contribute to achieving the highest possible level of functioning with minimal complications, reducing the risk of mortality, and improving patients’ quality of life. Existing instruments assessing adaptation among hemodialysis patients are generally non-specific, primarily based on psychological theories, and often influenced by the cultural and social contexts of Western societies. Moreover, these tools have not been developed from the direct experiences and perceptions of the patients themselves. Therefore, there is a need to develop a culturally appropriate, specific instrument for assessing adaptation in hemodialysis patients, grounded in their own experiences and perceptions. Accordingly, this study aims to design a protocol for the development and psychometric evaluation of a tool for measuring patients’ adaptation to hemodialysis.