Koons Brittany, Smeltzer Suzanne C
Postdoctoral Fellow, the University of Pennsylvania School of Nursing, NewCourtland Center for Transitions and Health, and a Robert Wood Johnson Foundation Future of Nursing Scholar Postdoctoral Fellow, Philadelphia, PA.
Member of ANNA's Keystone Chapter.
Nephrol Nurs J. 2018 Jul-Aug;45(4):349-355.
End stage renal disease (ESRD) is a global health problem, and the gold standard treatment is kidney transplantation. However, due to the global shortage of organs, many patients with ESRD rely on dialysis for survival while waiting several years for a kidney transplant. An integrative review of qualitative studies was conducted on the experience of patients with ESRD who require either peritoneal dialysis or hemodialysis while waiting for a deceased donor kidney transplant. Eight international studies were selected for review. Six themes were identified: 1) living in hope, 2) uncertainty, 3) mixed emotions, 4) coping with waiting, 5) restrictions on freedom, and 6) support network. Patients on dialysis and waiting for a kidney transplant have emotional, educational, and informational needs that need to be better understood and addressed by nurses and physicians.
终末期肾病(ESRD)是一个全球性的健康问题,其金标准治疗方法是肾移植。然而,由于全球器官短缺,许多ESRD患者在等待肾移植的数年时间里依靠透析维持生命。我们对等待尸体供肾移植的ESRD患者进行腹膜透析或血液透析的经历进行了定性研究的综合综述。选取了八项国际研究进行综述。确定了六个主题:1)满怀希望地生活,2)不确定性,3)复杂的情绪,4)应对等待,5)自由受限,6)支持网络。等待肾移植的透析患者有情感、教育和信息方面的需求,护士和医生需要更好地理解并满足这些需求。