Patients’ transition experience and care from predialysis to dialysis: a theory-guided integrative review
Abstract Background A smooth transition to dialysis is essential for survival and quality of life in patients with advanced chronic kidney disease (CKD). Objective To develop a transition framework for patients with advanced CKD based on the existing research and transition theory, which aims to ill...
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| Format: | Article |
| Language: | English |
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BMC
2025-04-01
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| Series: | BMC Nephrology |
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| Online Access: | https://doi.org/10.1186/s12882-025-04104-4 |
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| _version_ | 1849726711628824576 |
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| author | Xuefei Wang Ke Tian Jin Hu Shengqin Kang Shunzhi Deng Xueyan Gao Yongzhen Mo |
| author_facet | Xuefei Wang Ke Tian Jin Hu Shengqin Kang Shunzhi Deng Xueyan Gao Yongzhen Mo |
| author_sort | Xuefei Wang |
| collection | DOAJ |
| description | Abstract Background A smooth transition to dialysis is essential for survival and quality of life in patients with advanced chronic kidney disease (CKD). Objective To develop a transition framework for patients with advanced CKD based on the existing research and transition theory, which aims to illuminate patients’ transition experience and provide potential intervention strategies. Methods An integrative review methodology was employed, with searches conducted in ten Chinese and English databases (PubMed, Web of Science, CINAHL, Embase, etc.). Articles were screened and selected based on predefined criteria independently by two authors, with reference lists of included studies reviewed for further studies. Data analysis followed the approach proposed by Whittemore and Knafl. Results 13 qualitative, 7 quantitative and 1 mixed methods articles were extracted and evaluated. This review develops the transition framework for patients with advanced CKD, including the concepts of transition nature, conditions, intervention strategies, and response patterns. It provides a comprehensive understanding of how personal, dialysis-related, interpersonal, community, and societal factors shape patients’ transition experiences and identifies actionable strategies to enhance transitional care. Conclusion The transition of patients with advanced CKD from predialysis to dialysis is multiple and dynamic. Healthcare professionals should take into account diverse factors influencing this process and formulate tailored strategies to support patients in achieving a smooth and healthy transition. Clinical trial number Not applicable. |
| format | Article |
| id | doaj-art-c17f8ab0317a49dc8549931f37cf549f |
| institution | DOAJ |
| issn | 1471-2369 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Nephrology |
| spelling | doaj-art-c17f8ab0317a49dc8549931f37cf549f2025-08-20T03:10:06ZengBMCBMC Nephrology1471-23692025-04-0126111110.1186/s12882-025-04104-4Patients’ transition experience and care from predialysis to dialysis: a theory-guided integrative reviewXuefei Wang0Ke Tian1Jin Hu2Shengqin Kang3Shunzhi Deng4Xueyan Gao5Yongzhen Mo6Geriatric Hospital of Nanjing Medical UniversitySchool of Nursing, Nanjing Medical UniversitySchool of Nursing, Department of Medicine, Soochow UniversitySchool of Nursing, Nanjing Medical UniversitySchool of Nursing, Department of Medicine, Soochow UniversityGeriatric Hospital of Nanjing Medical UniversityGeriatric Hospital of Nanjing Medical UniversityAbstract Background A smooth transition to dialysis is essential for survival and quality of life in patients with advanced chronic kidney disease (CKD). Objective To develop a transition framework for patients with advanced CKD based on the existing research and transition theory, which aims to illuminate patients’ transition experience and provide potential intervention strategies. Methods An integrative review methodology was employed, with searches conducted in ten Chinese and English databases (PubMed, Web of Science, CINAHL, Embase, etc.). Articles were screened and selected based on predefined criteria independently by two authors, with reference lists of included studies reviewed for further studies. Data analysis followed the approach proposed by Whittemore and Knafl. Results 13 qualitative, 7 quantitative and 1 mixed methods articles were extracted and evaluated. This review develops the transition framework for patients with advanced CKD, including the concepts of transition nature, conditions, intervention strategies, and response patterns. It provides a comprehensive understanding of how personal, dialysis-related, interpersonal, community, and societal factors shape patients’ transition experiences and identifies actionable strategies to enhance transitional care. Conclusion The transition of patients with advanced CKD from predialysis to dialysis is multiple and dynamic. Healthcare professionals should take into account diverse factors influencing this process and formulate tailored strategies to support patients in achieving a smooth and healthy transition. Clinical trial number Not applicable.https://doi.org/10.1186/s12882-025-04104-4Advanced chronic kidney diseaseTransition theoryPredialysisDialysisIntegrative review |
| spellingShingle | Xuefei Wang Ke Tian Jin Hu Shengqin Kang Shunzhi Deng Xueyan Gao Yongzhen Mo Patients’ transition experience and care from predialysis to dialysis: a theory-guided integrative review BMC Nephrology Advanced chronic kidney disease Transition theory Predialysis Dialysis Integrative review |
| title | Patients’ transition experience and care from predialysis to dialysis: a theory-guided integrative review |
| title_full | Patients’ transition experience and care from predialysis to dialysis: a theory-guided integrative review |
| title_fullStr | Patients’ transition experience and care from predialysis to dialysis: a theory-guided integrative review |
| title_full_unstemmed | Patients’ transition experience and care from predialysis to dialysis: a theory-guided integrative review |
| title_short | Patients’ transition experience and care from predialysis to dialysis: a theory-guided integrative review |
| title_sort | patients transition experience and care from predialysis to dialysis a theory guided integrative review |
| topic | Advanced chronic kidney disease Transition theory Predialysis Dialysis Integrative review |
| url | https://doi.org/10.1186/s12882-025-04104-4 |
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