College of Nursing, Institute of Health Science, Inje University, Gimhae, Republic of Korea.
Inje Industry Academic Cooperation Foundation, Inje University, Gimhae, Republic of Korea.
Appl Nurs Res. 2022 Jun;65:151584. doi: 10.1016/j.apnr.2022.151584. Epub 2022 Apr 14.
This study explored to develop a situation-specific theory explaining the healthy life of Korean patients with chronic kidney failure undergoing hemodialysis.
Chronic kidney failure (CKF) patients have to reorganize their lives around their hemodialysis sessions for their survival. Nursing interventions based on specific theories may promote their health-related behaviors and outcomes. However, few theoretical frameworks or theories are available to guide hemodialysis patients on how to construct their lives under various constraints, while considering their experiences and sociocultural contexts.
An integrated approach was used to develop the situation-specific theory based on the network episode model (NEM), a review of related literature, and four of the authors' studies on hemodialysis patients' lives.
The major concepts in the proposed theory include sociocultural context, social networks, individual-level factors, illness experiences, health-related behaviors, and health outcomes. Each major concept includes several relevant subconcepts.
We used this theory to identify factors involved in shaping the illness experiences, health-related behaviors, and outcomes of Korean CKF patients undergoing hemodialysis. By exploring the links between these factors, we explained the healthy life that considers the uniqueness of Korean patients' sociocultural context, social network, and individual-level factors. Nurse and other healthcare professionals could integrate the proposed situation-specific theory into the development of nursing interventions based on this theory to promote health-related behaviors and outcomes of Korean CKF patients undergoing hemodialysis.
本研究旨在发展一种特定情境理论，解释韩国慢性肾衰竭血液透析患者的健康生活。
慢性肾衰竭（CKF）患者为了生存，必须围绕血液透析来重新安排自己的生活。基于特定理论的护理干预措施可能会促进他们的健康相关行为和结果。然而，很少有理论框架或理论可供指导血液透析患者在各种限制下构建自己的生活，同时考虑到他们的经验和社会文化背景。
采用整合方法，基于网络情节模型（NEM）、相关文献回顾以及四位作者对血液透析患者生活的四项研究，制定特定情境理论。
所提出理论的主要概念包括社会文化背景、社会网络、个体因素、疾病体验、健康相关行为和健康结果。每个主要概念都包含几个相关的子概念。
我们使用该理论来确定影响韩国 CKF 血液透析患者疾病体验、健康相关行为和结果的因素。通过探讨这些因素之间的联系，我们解释了健康生活，考虑到了韩国患者社会文化背景、社会网络和个体因素的独特性。护士和其他医疗保健专业人员可以将所提出的特定情境理论纳入基于该理论的护理干预措施的制定中，以促进韩国 CKF 血液透析患者的健康相关行为和结果。
