Rezaei Zahra, Jalali Amir, Jalali Rostam, Khaledi-Paveh Behnam
Student Research Committee, School of Nursing and Midwifery, Kermanshah University of medical sciences, Kermanshah, Iran.
Psychiatric Nursing Department, School of Nursing and Midwifery, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Int J Nurs Sci. 2018 Jul 5;5(3):262-267. doi: 10.1016/j.ijnss.2018.07.001. eCollection 2018 Jul 10.
It is obvious that hemodialysis is a stressful process, leading to numerous social and psychological problems, and may cause fatigue and helplessness.
This study aimed to explain the experiences of hemodialysis clients regarding the effect of psychological problems on fatigue.
This article was extracted from a qualitative study conducted on clients undergoing hemodialysis in Khorramabad. To this end, a total of 15 participants were purposefully selected using the snowball sampling method and the required data was collected using individual, face to face, detailed and semi-structured interviews. There were 12 client interviewees and one doctor, one nurse and one hemodialysis client's spouse. Content analysis was used to analyze the data.
Continuous analysis of data and documents obtained from the interviews on the hemodialysis clients' experiences and comments regarding the main causes of fatigue revealed two main categories: 1) Psychological effects with subcategories of psychological stress and exhaustion; 2) Needs and constraints with subcategories of individual and social needs and constraints.
According to the clients' speech and expression analysis, psychological impacts and disease-induced needs and constraints were the most important cause of fatigue and its continuation among these clients.
显而易见，血液透析是一个充满压力的过程，会导致众多社会和心理问题，并可能引起疲劳和无助感。
本研究旨在阐释接受血液透析者关于心理问题对疲劳影响的体验。
本文摘自一项对霍拉马巴德接受血液透析者开展的定性研究。为此，采用滚雪球抽样法共特意选取了15名参与者，并通过个人面对面的详细半结构化访谈收集所需数据。有12名接受透析者受访者，以及一名医生、一名护士和一名血液透析患者的配偶。采用内容分析法对数据进行分析。
对从访谈中获得的关于血液透析者疲劳主要原因的体验和评论的数据及文档进行持续分析，揭示了两个主要类别：1）心理影响，其亚类别为心理压力和疲惫；2）需求与限制，其亚类别为个人和社会需求与限制。
根据对患者言语和表达的分析，心理影响以及疾病引发的需求与限制是这些患者疲劳及其持续存在的最重要原因。
