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本文引用的文献

1
Health-related quality of life after kidney transplantation: who benefits the most?肾移植后的健康相关生活质量:谁获益最大?
Transpl Int. 2014 Nov;27(11):1143-51. doi: 10.1111/tri.12394. Epub 2014 Aug 28.
2
Transcultural adaptation and initial validation of Brazilian-Portuguese version of the Basel assessment of adherence to immunosuppressive medications scale (BAASIS) in kidney transplants.跨文化调适及巴西-葡萄牙版巴塞尔评估免疫抑制药物依从性量表(BAASIS)在肾移植中的初步验证。
BMC Nephrol. 2013 May 21;14:108. doi: 10.1186/1471-2369-14-108.
3
The implications of acute rejection for allograft survival in contemporary U.S. kidney transplantation.急性排斥反应对当代美国肾移植同种异体移植物存活的影响。
Transplantation. 2012 Aug 27;94(4):369-76. doi: 10.1097/TP.0b013e318259407f.
4
Defensive coping and health-related quality of life in chronic kidney disease: a cross-sectional study.防御应对与慢性肾脏病患者的健康相关生活质量:一项横断面研究。
BMC Nephrol. 2011 Jun 20;12:28. doi: 10.1186/1471-2369-12-28.
5
The perspectives of kidney transplant recipients on medicine taking: a systematic review of qualitative studies.肾移植受者的用药观点:定性研究的系统评价。
Nephrol Dial Transplant. 2011 Jan;26(1):344-54. doi: 10.1093/ndt/gfq376. Epub 2010 Jun 27.
6
Stress and stress-related factors of patients after renal transplantation in Taiwan: a cross-sectional study.台湾地区肾移植患者的应激及其相关因素:一项横断面研究。
J Clin Nurs. 2010 Sep;19(17-18):2539-47. doi: 10.1111/j.1365-2702.2009.03175.x. Epub 2010 Jun 23.
7
Effects of clinical factors on psychosocial variables in renal transplant recipients.临床因素对肾移植受者心理社会变量的影响。
J Adv Nurs. 2009 Dec;65(12):2585-96. doi: 10.1111/j.1365-2648.2009.05111.x.
8
Renal transplantation today.今日的肾移植
Langenbecks Arch Surg. 2009 Jan;394(1):1-16. doi: 10.1007/s00423-008-0335-1. Epub 2008 May 14.
9
Prevalence of chronic kidney disease in population-based studies: systematic review.基于人群研究的慢性肾脏病患病率:系统评价
BMC Public Health. 2008 Apr 11;8:117. doi: 10.1186/1471-2458-8-117.
10
Living with a kidney transplant: a qualitative investigation of quality of life.肾移植后的生活:对生活质量的定性调查。
J Health Psychol. 2007 Jul;12(4):653-62. doi: 10.1177/1359105307078172.

肾移植相关变化及困难分析:一项定性研究

Analysis of the changes and difficulties arising from kidney transplantation: a qualitative study.

作者信息

de Brito Daniela Cristina Sampaio, de Paula Alessandra Moregola, Grincenkov Fabiane Rossi dos Santos, Lucchetti Giancarlo, Sanders-Pinheiro Hélady

机构信息

Centro Universitário UNA Belo Horizonte, Belo Horizonte, MG, BR.

Prevent Senior Private Operadora de Saude, São Paulo, SP, BR.

出版信息

Rev Lat Am Enfermagem. 2015 May-Jun;23(3):419-26. doi: 10.1590/0104-1169.0106.2571.

DOI:10.1590/0104-1169.0106.2571
PMID:26312633
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4547064/
Abstract

OBJECTIVE

to identify the main gains and stressors perceived by the patient, one year subsequent to kidney transplantation.

METHOD

a qualitative study, in which the data were obtained and analyzed through the Discourse of the Collective Subject and frequency counting, with the participation of 50 patients who had received kidney transplantation.

RESULTS

the sample presented a mean age of 44±12.8 years old, and a predominance of males (62%). The principal positive changes provided by the transplant were: return to activities; freedom/independence; well-being and health; strengthening of the I; and closening of interpersonal relationships. The most-cited stressors were: fear; medication; excess of care/control; specific characteristics of the treatment; and failure to return to the social roles.

CONCLUSION

kidney transplantation caused various positive changes in the patient's routine, with the return to activities of daily living being the most important gain, in the participants' opinion. In relation to the stressors, fear related to loss of the graft, and questions relating to the immunosuppressive medication were the main challenges to be faced following transplantation.

摘要

目的

确定肾移植术后一年患者所感知到的主要收获和压力源。

方法

一项定性研究,通过集体主体话语和频率计数获取并分析数据,有50名接受肾移植的患者参与。

结果

样本的平均年龄为44±12.8岁,男性占主导(62%)。移植带来的主要积极变化有:恢复活动;自由/独立;幸福与健康;自我强化;以及人际关系的密切。最常被提及的压力源有:恐惧;药物治疗;过度的照料/控制;治疗的特殊特性;以及未能回归社会角色。

结论

肾移植给患者的日常生活带来了各种积极变化,在参与者看来,恢复日常生活活动是最重要的收获。关于压力源,与移植肾丢失相关的恐惧以及免疫抑制药物相关的问题是移植后要面对的主要挑战。