School of Nursing and Midwifery, Medical Biology Centre, Queen's University, Belfast, UK.
School of Medicine, Dentistry and Biomedical Sciences, Queen's University Belfast, Belfast UK.
Arts Health. 2021 Jun;13(2):107-133. doi: 10.1080/17533015.2020.1744173. Epub 2020 Apr 1.
Many patients with end-stage kidney disease require haemodialysis, a treatment that requires attending hospital three times a week for four hours each visit. This treatment impacts profoundly on mental health. Arts-based interventions for patients receiving haemodialysis could address the impact of this treatment; however, there is no consensus on methods of implementation and mechanisms underlying these interventions in specific clinical contexts. Using a realist approach, relevant articles were synthesised to inform theory relating to the mechanism and implementation of complex arts-based interventions for haemodialysis patients. The theoretical framework includes two implementation phases, firstly delivery of person-centred art activities during haemodialysis and secondly, display of completed artwork. This intervention triggers mechanisms including flow and social capital. Implementation is hindered by constraints of the haemodialysis unit and patients' lack of confidence in their artistic skills. These issues can be addressed through aflexible approach to implementation and support from healthcare professionals.
许多终末期肾病患者需要接受血液透析治疗，每周三次，每次治疗持续四个小时。这种治疗对心理健康有很大的影响。针对接受血液透析治疗的患者的基于艺术的干预措施可以解决这种治疗的影响，但是，在特定临床环境中，对于这些干预措施的实施方法和机制尚未达成共识。本研究采用现实主义方法，综合相关文献，为与血液透析患者复杂的基于艺术的干预措施的机制和实施相关的理论提供信息。理论框架包括两个实施阶段，首先是在血液透析过程中提供以患者为中心的艺术活动，其次是展示完成的艺术作品。这种干预措施引发了包括心流和社会资本在内的机制。实施受到血液透析单位的限制和患者对自身艺术技能缺乏信心的阻碍。这些问题可以通过灵活的实施方法和医疗保健专业人员的支持来解决。
