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接受血液透析患者的护理观念体验:一项现象学研究。

The lived experiences of patients undergoing hemodialysis with the concept of care: a phenomenological study.

机构信息

Critical Care Nursing Department, Faculty of Nursing and Midwifery, Isfahan University of Medical Science, Isfahan, Iran.

Nursing and Midwifery Care Research Center, Adult Nursing Department, School of Nursing and Midwifery, Isfahan University of Medical Science, Isfahan, Iran.

出版信息

BMC Nephrol. 2018 Nov 26;19(1):338. doi: 10.1186/s12882-018-1138-4.

Abstract

BACKGROUND

Providing patient-centered care needs in patients with chronic renal failure undergoing hemodialysis is important in inspiring their confidence to continue their treatment and promote their mental and social health. Therefore, recognizing the concept of care from the viewpoint of these patients can be helpful in designing the care programs of this vulnerable group. Accordingly, the aim of this study was to reveal the meaning and concept of care based on the experience of patients with chronic renal failure undergoing hemodialysis.

METHODS

Using a descriptive phenomenological method, this study was conducted on 17 patients who were undergoing hemodialysis. Purposive sampling was performed and data was collected through 30 to 60 min, face-to-face and in-depth semi-structured interviews. Data analysis was performed using Colaizzi's method.

RESULTS

Seventeen patients (9 women 8 men) aged between 24 and 83, and a minimum of 10 and maximum of 168 months history of hemodialysis participated in the study. After data analysis, 4 themes and 9 sub-themes were extracted, and the concept of care emerged for the participants as empathy, companionship in everyday needs, social support and concern, and good-quality dialysis.

CONCLUSIONS

Based on the results of this study, the concept of care from the viewpoint of patients emerged in the form of empathy, companionship in everyday needs, social support and concern, and good-quality dialysis. It is recommended that caregivers of patients consider these concepts in the design of patient-centered care programs.

摘要

背景

为慢性肾衰竭接受血液透析的患者提供以患者为中心的护理需要,对于激发他们继续治疗的信心和促进他们的心理和社会健康非常重要。因此,从这些患者的角度认识护理的概念有助于设计这个弱势群体的护理计划。因此,本研究旨在揭示慢性肾衰竭接受血液透析患者的护理意义和概念。

方法

本研究采用描述性现象学方法,对 17 名正在接受血液透析的患者进行研究。采用目的抽样法,通过 30 至 60 分钟的面对面深入半结构式访谈收集数据。采用科莱兹的方法进行数据分析。

结果

17 名患者(9 名女性,8 名男性)年龄在 24 至 83 岁之间,接受血液透析的时间至少为 10 个月,最长为 168 个月。经过数据分析,提取了 4 个主题和 9 个次主题,参与者对护理的概念是同理心、日常生活需求的陪伴、社会支持和关注以及高质量的透析。

结论

根据本研究的结果,从患者的角度来看,护理的概念以同理心、日常生活需求的陪伴、社会支持和关注以及高质量的透析的形式出现。建议护理人员在设计以患者为中心的护理计划时考虑这些概念。

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