In this qualitative study, researcher used a hermeneutic phenomenological design to discover the lived experiences of Thai patients with ESRD receiving CAPD in Sakhon Nakhon Province, Northeastern region of Thailand. Receiving CAPD allows patients with ESRD immense autonomy and independence in living. Nevertheless, the symptoms associated with ESRD and CAPD modality can negatively impact a patient’s life on physical, emotional, social, and financial dimension. Despite Thai health care providers’ efforts to apply knowledge gained from the Western nations such as the United States. Complications related to PD is higher in Thailand. The concept of taking care of their patients from western knowledge that might not be ideal for Thai patients. Moreover, accounts of experiences and knowledge about living with CAPD treatment for individuals remain minimal in terms of the perceptions and feelings held by the This patients receiving CAPD. Thus, phenomenological studies are a method for discovering the perspectives of Thai patients and helping health care professionals gain insight into the CAPD self-care perspectives of patients.
In-depth semi structure interviews were conducted with a purposive sample of twenty-eight patients with ESRD who receiving CAPD at less six months, were outpatients at CAPD clinics of Sakon Nakhon Hospital, Sawang Dandin Crown Prince Hospital and Wanon Niwat Hospital and age between 39-69 years old from 1 November 2019 to 30 April 2020. The research process and thematic analysis was guided by six research activities of Van Manen’s (1990, 2014). The researcher then interpreted and organized groups of similar meanings in the same group before using the data for reflection under the five lived worlds in Van Manen’s method (2014).
The findings from this study provide a basic knowledge of the experiences of Thai patients with ESRD who are undergoing CAPD. The understanding of what it is like for a patient with ESRD receiving CAPD demonstrated in this study has ramifications for the practice of nursing. Nurses who interact with the patients in the hospital setting and in-home care can have greater insight into the issues that the patients being faced with. Enhanced insight can lead to improved practice through more sensitive interaction with the caring and a more focused assessment of patient’s needs. Moreover, several participants described being fear prior to starting CAPD. A study exploring the feelings of fear could provide health care providers with insight into this phenomenon. For future research, the interview questions could be tailored to identify what specific fears and could include the families’ perceptions of being a caregiver to a chronically ill family member

Research conclusion