IJOMAHIP Published Article Details

Abstract Background. Peritoneal dialysis (PD) provides home-based renal replacement therapy but reshapes patients’ daily routines, mobility, relationships, emotional well-being, and financial circumstances. This study explored the lived experiences of adults undergoing PD at Caraga Regional Hospital in Surigao City, Philippines, across physical, emotional, social, spiritual, and economic dimensions. Methods. A qualitative descriptive phenomenological design grounded in Husserlian transcendental phenomenology was used, incorporating epoché (bracketing) and Colaizzi’s seven-step analysis. Eight adult PD patients participated in semi-structured interviews lasting approximately 10–30 minutes. Data were collected from November 2025 to January 2026. The final two interviews were reviewed against the established coding structure as a thematic-stability check, and synthesized findings were returned to participants for validation and clarification through member checking. Analysis included significant statements, formulated meanings, clustered themes, an exhaustive description, and the fundamental structure. Results. Five interrelated themes emerged: living with restricted movements; becoming independent with PD care; holding onto hope and acceptance; surviving through the support of others; and bearing the weight of treatment. Each theme was supported by participant quotations presented in the original languages with literal English translations. The findings reflected physical restrictions, self-care learning, hope and acceptance, relational support, and continuing financial, emotional, and psychosocial burdens. Conclusion. In this single-site study, participants described living with PD as an ongoing process of adapting to treatment while continuing to experience physical, emotional, social, and financial demands. “Treatment-bound adaptation” is presented as a context-specific descriptive synthesis of these accounts rather than a definitive phenomenological essence. Nursing Implications and Recommendations. Nurses should strengthen individualized PD education, refresher training, and family-inclusive demonstrations to promote safe self-management and confidence. Routine assessment should address physical, psychosocial, spiritual, and financial needs. Keywords: Chronic kidney disease; coping; lived experience; patient adaptation; peritoneal dialysis; phenomenology; Philippines