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Aim: This study aims to explore the experiences of individuals with chronic kidney disease (CKD) undergoing haemodialysis and their caregivers, focusing on the disease's impact and the treatment process. Background: In Sri Lanka, CKD is a growing health concern, particularly affecting farming communities and contributing to the strain on the biomedical healthcare system. Despite increasing awareness of CKD's physical implications, its psychosocial impact remains underexplored. This study seeks to fill this gap, aiming to inform culturally sensitive interventions and improve the healthcare system's responsiveness to the unique needs of Sinhala Buddhist individuals with CKD and their caregivers. Design: An exploratory qualitative study. Method: Semistructured interviews were conducted with 10 individuals undergoing haemodialysis and 5 caregivers at a dialysis unit. The interviews were audio‐recorded, transcribed and analysed using conventional qualitative content analysis. Findings: The analysis revealed three interrelated main themes: (1) impact on standard of living (quality of life), (2) coping strategies and (3) medical experience, with a notable influence of traditional beliefs and practices. Conclusion: The findings highlight the need for a holistic approach to CKD management that integrates physical, emotional, psychological and social aspects, considering the significant role of traditional influences. Further research is essential to develop effective interventions that can enhance the quality of life for CKD. Patient or Public Contribution: The lived experiences of Sinhala Buddhist individuals with CKD and their caregivers served as a cornerstone, providing profound insights into the impact of the condition on their lives. Throughout the study, these participants played an instrumental role in refining the research's cultural sensitivity and relevance. Their engagement extended beyond the data collection phase to encompass feedback sessions, where they actively shared their perspectives. This ongoing collaboration ensured the study's depth and applicability to real‐world experiences. By actively involving those directly affected by CKD, this collaborative approach safeguards that the study remains rooted in their voices and addresses their unique needs. Reporting Method: This study adhered to relevant EQUATOR guidelines (the COREQ checklist). Trial Registration: This study is not a clinical trial, and thus, registration is not applicable. [ABSTRACT FROM AUTHOR]

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Introduction: There are many studies on the influence of psychological factors in the appearance of symptoms and their treatment among gastroenterological patients. It is increasingly indicated that these factors are of great importance also for the quality of life of people struggling with a chronic disease. Aim: To evaluate personality traits and emotional disorders in female patients with gastrointestinal conditions such as functional dyspepsia (FD), irritable bowel syndrome (IBS), or inflammatory bowel disease (IBD). Material and methods: The sample of 28 patients was verified in terms of the disease using the GAST questionnaire and assessed by personality questionnaires and psychological tests: the Spielberger State-Trait Anxiety Inventory (STAI), EAS Temperament Survey, Eysenck Personality Inventory (EPQ-R), Coping Inventory for Stressful Situations (CISS); Beliefs about Pain Control Questionnaire (BPCQ), General Self-efficacy Scale (GSES), and Satisfaction with Life Scale (SWLS). Results: The control group was recruited from female university students declaring full health. The conducted statistical analysis showed that there is a significant relationship between personality traits, psychological predispositions, and both the experience of illness and satisfaction with life among this specific group of patients. Conclusions: This pilot study demonstrated the need for a personalized approach to gastroenterological patients, also based on their personality characteristics. Such an approach may increase the effectiveness of therapy and bring benefits in long-term treatment. [ABSTRACT FROM AUTHOR]

Delivering bad news (DBN) to a patient is an enormous challenge and a great mental burden for a doctor. Medical staff members often do not have sufficient skills in this field, or they develop their own techniques. At the same time, proper delivery of information minimises fear in patients and increases their therapeutic engagement and affects treatment results. Although they include protocols that are considered standard in difficult situations, their applicability is usually limited to the particular cultural model in which they were created. Is there any chance to find a relatively culturally stable method of DBN? It seems to be a particularly significant question if we realise the growing rate of social migrations that take place as a part of the globalisation processes. For this reason, we would like to perform and to emphasise the role of the dialectical model of delivering bad news. This method is based on both narrative psychology and the maieutic method, which gradually directs the patient's awareness of the physical condition he or she is in. For a person who arrives at the truth this way, it is less overwhelming and less hurtful. Through this, our assumptions on the dialectical model of DBN may contribute to improving the quality of medical services and patient satisfaction. [ABSTRACT FROM AUTHOR]