Refusal Haemodialysis in Ends State Renal Disease Patient A Phenomenology Study

Objective: exploring experience patient ESRD with refusal hemodialysis. Methods: A
qualitative design with a phenomenological study approach. The sample consisted of 7
respondents with inclusion criteria: ESRD patients who rejected the recommendation of
initiation of hemodialysis and good awareness, data collection using in-depth interviews and
data analysis with Colaizzi analysis. Result: There are 4 themes, namely: (1) unpreparedness
response to deal (2) hemodialysis is danger (3) Taking Dialysis Not Only Deal With
Intervention, (4) Coping of patients facing a situation of refusing hemodialysis coping patient
get the situation refusing hemodialysis. Conclusion: refusal to follow the recommended
initiation of hemodialysis in ESRD patients arises due to inadequate self-acceptance processes,
confusion and fear of the procedure as well as the patient's own perception of hemodialysis,
causing excessive anxiety that he will die soon if hemodialysis is carried out.