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韩国护士照顾维持性血液透析患者的亲身经历。

Lived experience of Korean nurses caring for patients on maintenance haemodialysis.

作者信息

Kim Sisook, Lee Hyunsook Zin, Hwang Eunhye, Song Juhyun, Kwon Hye-Jin, Choe Kwisoon

机构信息

Department of Nursing, Chung-Ang University, Seoul, Korea.

Kyung Dong University, Wonju, Gangwondo, Seoul, Korea.

出版信息

J Clin Nurs. 2016 May;25(9-10):1455-63. doi: 10.1111/jocn.13160. Epub 2016 Mar 16.

Abstract

AIMS AND OBJECTIVES

To understand the lived experience of nurses who care for people undergoing maintenance haemodialysis.

BACKGROUND

There is a lack of research regarding the lived experience of nurses caring for people undergoing chronic haemodialysis, in spite of an increased number of nurses and patients.

DESIGN

A qualitative descriptive phenomenological study was conducted.

METHODS

Fourteen nurses working at two haemodialysis centres in Korea were selected via purposive sampling and participated in in-depth interviews. Data were collected from October 2013-January 2014 and analysed using the phenomenological research method.

RESULTS

Four themes were extracted for haemodialysis nurses' caring experience: feelings of pity for clients scheduled for haemodialysis treatment; continuous effort to establish good relationships with clients; feeling comfortable with clients, as though they were family or friends; and reflecting on their own lives through the lives of clients.

CONCLUSIONS

Haemodialysis nurses experienced therapeutic relationships while taking care of clients undergoing haemodialysis; they also experienced maturation through reflection on their lives as nurses and human beings. An understanding of nurses' experiences in caring for people undergoing haemodialysis should be the basis of practice, education and nursing research in haemodialysis.

RELEVANCE TO CLINICAL PRACTICE

This study could be helpful in enabling nursing students and/or nurses to understand the experience of caring and its meaning with respect to clients undergoing haemodialysis.

摘要

目的与目标

了解照顾维持性血液透析患者的护士的真实经历。

背景

尽管护士和患者的数量有所增加,但关于照顾慢性血液透析患者的护士的真实经历的研究却很匮乏。

设计

开展了一项定性描述性现象学研究。

方法

通过目的抽样法选取了韩国两家血液透析中心的14名护士,并让她们参与深度访谈。数据收集时间为2013年10月至2014年1月,并采用现象学研究方法进行分析。

结果

提炼出了血液透析护士护理经历的四个主题:对安排血液透析治疗的患者怀有怜悯之情;持续努力与患者建立良好关系;与患者相处融洽,仿佛他们是家人或朋友;通过患者的生活反思自己的生活。

结论

血液透析护士在照顾接受血液透析的患者时体验到了治疗性的关系;她们还通过反思自己作为护士和人的生活实现了成长。了解护士在照顾血液透析患者方面的经历应成为血液透析实践、教育和护理研究的基础。

与临床实践的相关性

本研究有助于护理专业学生和/或护士理解照顾血液透析患者的经历及其意义。

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