How Does Childhood Chronic Renal Disease Impact Upon Family Life? A Systematic Review.

Connole, Kate (2013) How Does Childhood Chronic Renal Disease Impact Upon Family Life? A Systematic Review. [Dissertation (University of Nottingham only)] (Unpublished)

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Introduction and Background

The number of children living with chronic illnesses is on the increase due to

improved medical advances, medications and treatment. One of these illnesses is

chronic renal disease, which is caused by the kidneys deteriorating over time and is

permanent. Chronic renal failure can only be treated by renal replacement therapy,

which includes peritoneal dialysis, haemodialysis and transplantation.

Review Question and Methodology

The current systematic review aimed to answer the following research question;

‘How does childhood chronic renal disease impact upon family life?’

An electronic search of CINAHL and MEDLINE (OVID) databases were conducted

using the University of Nottingham eLibrary Gateway. The electronic search lasted

four months. A structured search strategy was devised, and incorporated key

words. Once studies had been retrieved, they were filtered using clear

inclusion/exclusion criteria. 7 studies were indentified as being appropriate to use in

the review, following this, their data was extracted, critically analysed and

synthesised in narrative summaries.


From the included studies, the following themes were extracted; the effect

childhood chronic renal failure has on healthy siblings, support systems used by

parents, coping strategies of parents, changing roles amongst family members and

mothers as the main caregivers.



In conclusion, childhood chronic renal disease impacts significantly upon family life

in that the lived experience of parents and healthy siblings is affected. The role of

parent is intensified and altered when caring for a child with chronic renal failure as

parents and mainly mothers, become the child’s main caregiver. Siblings are

affected by childhood chronic renal failure in that their lives become disrupted due

to the family routine evolving to fit around the care of their ill sibling.

Item Type: Dissertation (University of Nottingham only)
Depositing User: EP, Services
Date Deposited: 21 Nov 2013 15:02
Last Modified: 12 Oct 2017 18:17

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