Hassani Parkhideh, Otaghi Masoumeh, Zagheri-Tafreshi Mansoureh, Nikbakht-Nasrabadi Alireza
Faculty of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Faculty of Nursing and Midwifery, Ilam University of Medical Sciences, Ilam, Iran.
Iran J Nurs Midwifery Res. 2017 Jul-Aug;22(4):319-326. doi: 10.4103/ijnmr.IJNMR_229_15.
Transition is a passage or movement from one state, condition, or place to another. Patients with chronic disorders such as end-stage renal disease experience transitions. This study aims to explore the process of transition to hemodialysis.
This is a qualitative grounded theory of a doctoral dissertation. Twenty-four participants (19 patients on hemodialysis, 2 family members, 2 nurses, and a physician) were selected through purposive and theoretical sampling until data saturation. Data collection was conducted through semi-structured interviews, as well as field notes and memos. Data analysis was done concurrently with data collection in three levels of open, axial, and selective coding according to the Strauss and Corbin (1998) method. Core variable was appeared at the end of selecting coding stage.
Confronting unexpected situation of hemodialysis, challenge of accepting hemodialysis, comprehensive and pervasive changes, efforts made to self-management, and integration of hemodialysis with everyday life were considered to be the main themes of the process of transition to hemodialysis.
The results would increase evidence-based knowledge regarding the process of transition to hemodialysis. Through identification of this process, effective factors such as determining strategies for management would lead to facilitate more specialized care of people undergoing hemodialysis, appropriate nursing interventions and more effective training programs to prepare patients and their families during the process of transition to hemodialysis. These results can be used for conducting and preparing other qualitative and quantitative studies.
过渡是指从一种状态、状况或地点到另一种状态、状况或地点的转变。患有慢性疾病（如终末期肾病）的患者会经历这种转变。本研究旨在探索向血液透析过渡的过程。
这是一篇博士论文的定性扎根理论研究。通过目的抽样和理论抽样选取了24名参与者（19名接受血液透析的患者、2名家庭成员、2名护士和1名医生），直至数据饱和。通过半结构化访谈、实地笔记和备忘录进行数据收集。根据施特劳斯和科尔宾（1998年）的方法，在数据收集的同时，分开放编码、轴心编码和选择编码三个层次进行数据分析。核心变量在选择编码阶段结束时出现。
面对血液透析的意外情况、接受血液透析的挑战、全面而普遍的变化、自我管理所做的努力以及血液透析与日常生活的融合被认为是向血液透析过渡过程的主要主题。
这些结果将增加关于向血液透析过渡过程的循证知识。通过识别这一过程，诸如确定管理策略等有效因素将有助于为接受血液透析的患者提供更专业的护理、采取适当的护理干预措施以及制定更有效的培训计划，以便在向血液透析过渡的过程中帮助患者及其家属做好准备。这些结果可用于开展和准备其他定性和定量研究。
