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血液透析的生物-心理-社会维度与精神应对策略:土耳其患者体验的现象学研究

Bio-Psychosocial Dimension of Hemodialysis and Spiritual Coping Strategies: A Phenomenological Study on Patient Experiences in Türkiye.

作者信息

Demir Çam Sevgi, Uzun Sevda

机构信息

Department of Internal Medicine Nursing, Faculty of Health Sciences, Artvin Coruh University, Artvin, Turkey.

Department of Psychiatric Nursing, Gümüşhane University Faculty of Health Sciences, Gümüşhane, Turkey.

出版信息

J Relig Health. 2024 Dec 18. doi: 10.1007/s10943-024-02219-w.

DOI:10.1007/s10943-024-02219-w
PMID:39692976
Abstract

This study aimed to examine the bio-psychosocial experiences of patients living in Türkiye receiving hemodialysis treatment and to examine their spiritual coping strategies. A descriptive phenomenological research methodology was used in this study. This study was conducted with 23 hemodialysis patients, and interviews were conducted individually and face to face. The data were analyzed using Colaizzi's phenomenological analysis method. The data analysis revealed four categories and thirteen main themes. It was concluded that the prolonged hemodialysis process negatively affected patients with chronic kidney disease bio-psychosocially, yet some patients used spiritual coping strategies to cope with the disease effectively. Spirituality is believed to be influential in dealing with the disease.

摘要

本研究旨在调查在土耳其接受血液透析治疗的患者的生物心理社会体验,并考察他们的精神应对策略。本研究采用描述性现象学研究方法。该研究对23名血液透析患者进行,采用一对一、面对面访谈。数据分析采用科莱齐的现象学分析方法。数据分析揭示了四个类别和十三个主要主题。研究得出结论,长期血液透析过程对慢性肾病患者的生物心理社会产生负面影响,但一些患者采用精神应对策略有效应对疾病。人们认为精神性在应对疾病方面具有影响力。

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本文引用的文献

1
Dialysis for Chronic Kidney Failure: A Review.慢性肾衰竭的透析治疗:综述。
JAMA. 2024 Nov 12;332(18):1559-1573. doi: 10.1001/jama.2024.16338.
2
Dialysis Decision Making, Dialysis Experiences, and Illness Perceptions: A Qualitative Study of Pakistani Patients Receiving Maintenance Hemodialysis.透析决策、透析经历与疾病认知:对接受维持性血液透析的巴基斯坦患者的定性研究
Kidney Med. 2022 Sep 30;4(11):100550. doi: 10.1016/j.xkme.2022.100550. eCollection 2022 Nov.
3
The Relationship of Death Anxiety With Quality of Life and Social Support in Hemodialysis Patients.
血液透析患者的死亡焦虑与生活质量及社会支持的关系
Omega (Westport). 2025 Mar;90(4):1894-1908. doi: 10.1177/00302228221129672. Epub 2022 Sep 24.
4
A phenomenological study to explore patient experience of fluid and dietary restrictions imposed by hemodialysis.一项探索血液透析患者对液体和饮食限制体验的现象学研究。
J Vasc Nurs. 2022 Jun;40(2):105-111. doi: 10.1016/j.jvn.2022.05.003. Epub 2022 May 31.
5
Factors Affecting Greek Nurses' Caring Behaviors: The Role of Nurses' Spirituality and the Spiritual Climate of Hospitals.影响希腊护士关怀行为的因素:护士灵性和医院精神氛围的作用。
J Relig Health. 2022 Jun;61(3):1816-1830. doi: 10.1007/s10943-022-01503-x. Epub 2022 Jan 19.
6
Uremic toxins levels from the gut microbiota seem not to be altered by physical exercise in hemodialysis patients.肠道微生物群产生的尿毒症毒素水平似乎不会因血液透析患者的体育锻炼而改变。
Int Urol Nephrol. 2022 Mar;54(3):687-693. doi: 10.1007/s11255-021-02945-0. Epub 2021 Jul 12.
7
Barriers to and Facilitators of Sustained Employment: A Qualitative Study of Experiences in Dutch Patients With CKD.维持就业的障碍和促进因素:荷兰慢性肾脏病患者经验的定性研究。
Am J Kidney Dis. 2021 Dec;78(6):780-792. doi: 10.1053/j.ajkd.2021.04.008. Epub 2021 Jun 9.
8
Impact of Physical Activity on Dialysis and Nondialysis Days and Clinical Outcomes Among Patients on Hemodialysis.体力活动对血液透析患者透析日和非透析日及临床结局的影响。
J Ren Nutr. 2021 Jul;31(4):380-388. doi: 10.1053/j.jrn.2020.07.007. Epub 2020 Nov 27.
9
Patient-Related Barriers to Timely Dialysis Access Preparation: A Qualitative Study of the Perspectives of Patients, Family Members, and Health Care Providers.及时进行透析通路准备的患者相关障碍:对患者、家庭成员和医疗服务提供者观点的定性研究
Kidney Med. 2019 Dec 27;2(1):29-41. doi: 10.1016/j.xkme.2019.10.011. eCollection 2020 Jan-Feb.
10
Depression and quality of life in older adults on hemodialysis.老年血液透析患者的抑郁与生活质量。
Braz J Psychiatry. 2020 Apr;42(2):195-200. doi: 10.1590/1516-4446-2018-0345. Epub 2019 Aug 5.