Salehi-Tali Shahriar, Ahmadi Fazlollah, Zarea Kourosh, Fereidooni-Moghadam Malek
Nursing Care Research Center in Chronic Diseases, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Nursing Department, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran.
Scand J Caring Sci. 2018 Mar;32(1):82-91. doi: 10.1111/scs.12432. Epub 2017 May 19.
Caregivers of patients undergoing haemodialysis often experience an intensive burden of care; therefore, it is important to understand the type of strategies that are used by caregivers to adapt and to commit themselves to caring for another individual.
The aim of this study was to explore the specific coping strategies used by family caregivers of patients undergoing haemodialysis.
In this qualitative study, 16 family caregivers of patients undergoing haemodialysis were selected through purposive sampling in four dialysis centres in south of Iran. Semi-structured interviews were used to collect data. A content analysis of the interviews was performed to determine relevant themes.
Data analysis resulted in the emergence of four categories including 'cultural and religious constructs', 'sense of responsibility', 'self-restraint' and 'satisfactory caring', as whole of these categories are included in the main theme of 'commitment to care' which is experienced by the family caregivers during the care of patients undergoing haemodialysis.
This study demonstrates that coping strategies stemming from the cultural beliefs of caregivers are very salient in their commitment to care; thus, the health-care team, especially nurses, should encourage family caregivers to use these strategies to maintain their physical and psychological health and to provide quality care for patients.
接受血液透析患者的照料者常常承受着沉重的照料负担；因此，了解照料者用以适应并致力于照顾他人的策略类型很重要。
本研究旨在探究接受血液透析患者的家庭照料者所采用的具体应对策略。
在这项定性研究中，通过目的抽样法从伊朗南部四个透析中心选取了16名接受血液透析患者的家庭照料者。采用半结构式访谈收集数据。对访谈进行内容分析以确定相关主题。
数据分析产生了四个类别，包括“文化和宗教观念”“责任感”“自我约束”和“满意照料”，因为所有这些类别都包含在“照料承诺”这一主题中，这是家庭照料者在照顾接受血液透析患者期间所体验到的。
本研究表明，源自照料者文化信仰的应对策略在其照料承诺中非常显著；因此，医疗团队，尤其是护士，应鼓励家庭照料者使用这些策略来维持自身身心健康，并为患者提供优质护理。
