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一项关于护士对接受血液透析的肾衰竭患者护理体验的定性研究。

A Qualitative Study on Nurses' Caring Experiences With Individuals With Kidney Failure Receiving Haemodialysis.

作者信息

Boateng Edward Appiah, Bodua-Mango Bernice, Kyei-Dompim Joana, Amooba Philemon Adoliwine

机构信息

Department of Nursing, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.

Community Health Nursing Training College, Tamale, Ghana.

出版信息

J Ren Care. 2025 Mar;51(1):e70006. doi: 10.1111/jorc.70006.

DOI:10.1111/jorc.70006
PMID:39873373
Abstract

BACKGROUND

Kidney failure is a major health issue globally, particularly in Ghana and other low- and middle-income countries. Nurses are centrally involved in the direct care and technical operations of managing individuals with kidney failure, and they have first-hand exposure to the complexities of kidney failure management, including haemodialysis within resource-constrained settings.

OBJECTIVE

This study explored the experiences of nurses who provide care to individuals with kidney failure receiving haemodialysis in Ghana.

METHODS

A qualitative exploratory descriptive approach was used. Sixteen participants were selected using purposive sampling. Data was collected through in-depth interviews and analysed using reflexive thematic analysis.

RESULTS

Four main themes that reflect the experiences of nurses caring for individuals with kidney failure receiving haemodialysis in Ghana were identified, showing that nurses caring for these individuals consider their care as expensive, demanding, suboptimal and emotionally distressing for nurses.

CONCLUSION

This study provides valuable insights that could enhance the understanding of the meaning and significance of caring for individuals receiving haemodialysis. Improving the haemodialysis caring experiences of nurses in Ghana requires addressing issues related to cost, emotional stress and workload of nurses, and resource availability. Changes to the healthcare system are needed to enhance the experience of patients and medical professionals involved in haemodialysis.

摘要

背景

肾衰竭是全球主要的健康问题,在加纳及其他低收入和中等收入国家尤为突出。护士在肾衰竭患者的直接护理和技术操作管理中发挥着核心作用,他们直接接触到肾衰竭管理的复杂性,包括在资源有限的环境中进行血液透析。

目的

本研究探讨了加纳为接受血液透析的肾衰竭患者提供护理的护士的经历。

方法

采用定性探索性描述性方法。通过目的抽样选取了16名参与者。通过深入访谈收集数据,并使用反思性主题分析法进行分析。

结果

确定了四个主要主题,反映了加纳为接受血液透析的肾衰竭患者提供护理的护士的经历,表明照顾这些患者的护士认为他们的护理成本高昂、要求苛刻、不够理想,且给护士带来情感困扰。

结论

本研究提供了宝贵的见解,有助于加深对照顾接受血液透析患者的意义和重要性的理解。改善加纳护士的血液透析护理体验需要解决与护士成本、情感压力和工作量以及资源可用性相关的问题。需要对医疗保健系统进行变革,以提升参与血液透析的患者和医疗专业人员的体验。

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