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从肾移植排斥患者的角度来看,医疗服务提供者的支持作用是什么?一项定性研究。

What is the supporting role of health care providers from the perspective of patients with renal allograft rejection? A qualitative study.

作者信息

Ebadzadeh Mohammad Reza, Nouhi Esmat, Farokhzadian Jamileh, Mangolian Shahrbabaki Parvin

机构信息

Department of Urology, Bahonar Hospital, Kerman University of Medical Sciences, Kerman, Iran.

Nursing Research Center, Department of Medical Surgical Nursing, School of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Iran.

出版信息

Int J Health Plann Manage. 2019 Jan;34(1):338-345. doi: 10.1002/hpm.2639. Epub 2018 Aug 26.

Abstract

Coping with the new conditions for patients with renal allograft rejection is a complex phenomenon influenced by a number of factors. It appears that the supportive role of health care providers in many aspects is 1 of the most important factors in patient satisfaction, increased quality of life, and application of proper coping mechanisms. This study explored the perceptions of patients with renal allograft rejection about the supportive role of health care providers. This study was conducted with a qualitative research approach and content analysis. Participants were 19 patients with renal allograft rejection in teaching hospitals in southeastern Iran who were selected by purposive sampling. Data were collected through semistructured interviews and analyzed by qualitative content analysis. During content analysis, 2 categories emerged: empathy and emotional support and educational counseling. These themes reflect the nature of patient perceptions of the supportive role of health care providers. The findings suggest that the supportive role of health care providers plays an important role in the promoting a feeling of comfort, reliability, and security in patients with renal allograft rejection and improves their coping mechanisms. These findings give health care providers greater motivation to provide comprehensive care from knowledge of their supportive role.

摘要

应对肾移植排斥患者的新情况是一个受多种因素影响的复杂现象。医疗保健提供者在许多方面的支持作用似乎是影响患者满意度、提高生活质量以及应用适当应对机制的最重要因素之一。本研究探讨了肾移植排斥患者对医疗保健提供者支持作用的看法。本研究采用定性研究方法和内容分析法。参与者是伊朗东南部教学医院的19名肾移植排斥患者,通过目的抽样法选取。数据通过半结构化访谈收集,并通过定性内容分析进行分析。在内容分析过程中,出现了两个类别:同理心和情感支持以及教育咨询。这些主题反映了患者对医疗保健提供者支持作用的认知本质。研究结果表明,医疗保健提供者的支持作用在促进肾移植排斥患者的舒适感、可靠性和安全感方面发挥着重要作用,并改善了他们的应对机制。这些发现使医疗保健提供者更有动力从了解其支持作用出发提供全面护理。

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