Exploring the Journey of Young Adult Patients with Kidney Replacement Therapy

This qualitative study explored the lived experiences of young adults aged 18–26 years undergoing hemodialysis in Tacurong City, Philippines, guided by Roy’s Adaptation Model. Using a descriptive qualitative design, data were collected through semi-structured interviews with fifteen participants and analyzed using Colaizzi’s phenomenological method. Findings revealed six interconnected themes: onset of illness, physical burden, psychological distress, social disruption, adaptive coping, and identity and quality of life shifts. Participants attributed disease onset to both lifestyle and genetic factors. Hemodialysis imposed significant physical strain, including fatigue, pain, and dietary restrictions, alongside profound psychological distress marked by fear, helplessness, and dependency. Social roles were disrupted through limited participation, employment challenges, and family role reversal. Despite these difficulties, participants demonstrated adaptive coping through acceptance, spirituality, social support, and positive reframing. Over time, many experienced identity reconstruction and varying perceptions of quality of life, often marked by resilience and personal growth. The study underscores the need for holistic, developmentally appropriate, and patient-centered interventions to enhance well-being and treatment adherence among young adults undergoing hemodialysis.