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维持性血液透析患者社会隔离的应对轨迹:一项描述性定性研究。

Coping trajectory of social isolation in individuals with maintenance haemodialysis: A descriptive qualitative study.

作者信息

Zou Jie, Xie Jiao, Zhang Jinyong, Zhao Hangdi, Lu Pingjing

机构信息

Jilin University,Jilin University School of Nursing, NO. 965 Xinjiang Street, Changchun, Jilin 130021, PR China.

the Third Clinical Hospital of Jilin University, Hemodialysis center, NO. 126 Xiantai Street, Changchun, Jilin 130031, PR China.

出版信息

Int J Nurs Stud Adv. 2024 Mar 25;6:100193. doi: 10.1016/j.ijnsa.2024.100193. eCollection 2024 Jun.

Abstract

BACKGROUND

: The number of individuals undergoing maintenance haemodialysis has continued to increase in recent years. This treatment method can lead to social isolation, which has a significant impact on an individual's health. Unfortunately, research on this issue is insufficient, and no effective interventions have been developed. Moreover, existing research lacks attention to and understanding of patient aspirations-a critical area that warrants further exploration.

OBJECTIVES

: We aimed to reveal the natural coping trajectory of individuals undergoing maintenance haemodialysis in the context of social isolation to provide a useful reference for further research and the development of effective interventions.

DESIGN

: This was a descriptive qualitative study.

SETTING S

This study was conducted at a haemodialysis centre in a provincial capital city of northern China.

PARTICIPANTS

Using maximum variant and purposive sampling, we recruited 15 patients undergoing maintenance haemodialysis.

METHODS

: The interviews were transcribed verbatim, and data were analysed using deductive content analysis.

RESULTS

Three themes were identified: (a) prerequisites for coping with social isolation; (b) maintaining the bond between coping and social isolation; and (c) the results of coping with social isolation. These themes revealed the natural trajectory of individuals undergoing maintenance haemodialysis in dealing with social isolation.

CONCLUSION

: We interpreted the findings to mean that it was necessary to establish a three-way linkage among family, hospitals, and society to develop multicomponent and multilevel intervention measures.

TWEETABLE ABSTRACT

: A study of the response of individuals undergoing maintenance haemodialysis to social isolation revealed their coping trajectory and conveyed their aspirations.

摘要

背景

近年来,接受维持性血液透析的人数持续增加。这种治疗方法可能导致社会隔离,对个人健康产生重大影响。不幸的是,关于这个问题的研究不足,尚未开发出有效的干预措施。此外,现有研究缺乏对患者愿望的关注和理解,这一关键领域值得进一步探索。

目的

我们旨在揭示维持性血液透析患者在社会隔离背景下的自然应对轨迹,为进一步研究和开发有效干预措施提供有用参考。

设计

这是一项描述性定性研究。

地点

本研究在华北某省会城市的一家血液透析中心进行。

参与者

采用最大变异抽样和目的抽样方法,我们招募了15名接受维持性血液透析的患者。

方法

访谈内容逐字转录,数据采用演绎性内容分析法进行分析。

结果

确定了三个主题:(a)应对社会隔离的前提条件;(b)维持应对与社会隔离之间的联系;(c)应对社会隔离的结果。这些主题揭示了维持性血液透析患者应对社会隔离的自然轨迹。

结论

我们将研究结果解释为,有必要在家庭、医院和社会之间建立三方联系,以制定多组分、多层次的干预措施。

可发推文摘要

一项关于维持性血液透析患者对社会隔离反应的研究揭示了他们的应对轨迹并传达了他们的愿望。

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