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肾活检候选者的应对策略:一项质性内容分析研究。

Coping strategies in candidates of kidney biopsy: A qualitative content analysis study.

作者信息

Bazrafshan Mohammad-Rafi, Mansouri Amir, Seifi Zahra, Shahkarami Negar, Kavi Esmaeil, Niknam Noureddin, Rousta Sara

机构信息

Department of Nursing, School of Nursing, Larestan University of Medical Sciences, Larestan, Iran.

Department of Paramedical School, Gerash University of Medical Sciences, Gerash, Iran.

出版信息

J Educ Health Promot. 2025 Jul 4;14:232. doi: 10.4103/jehp.jehp_1867_23. eCollection 2025.

Abstract

BACKGROUND

Kidney biopsy is the gold standard in the diagnosis and management of many kidney diseases. Due to the physical and mental burden of disease diagnosis on a person's life and the impact of adaptation strategies on the physical and mental well-being of people, it is important to evaluate adaptation strategies in these patients. This qualitative study aimed to investigate the coping strategies of candidates for kidney biopsy in Iran.

MATERIALS AND METHODS

A qualitative study was conducted to investigate the experiences of kidney biopsy candidates as to their kidney disease and methods of dealing with anxiety. Twenty-two semistructured interviews were conducted with men and women in the internal kidney department in Namazi Hospital in Shiraz. The participants were selected using a purposive sampling technique. All interviews were recorded and transcribed verbatim in Persian and analyzed using content analysis. MAXQDA software version 10 was used to facilitate data analysis.

RESULTS

The codes were classified into 3 categories and 21 subcategories. The categories included coping methods, coping methods with a focus on emotional release, and less effective or ineffective coping methods.

CONCLUSION

Results showed that biopsy was a more traumatic experience for patients and the use of coping strategies during the kidney biopsy was beneficial for them; therefore, it is very important to create and implement appropriate interventions for kidney biopsy candidates patients. Because patients with good mental health use more problem-oriented coping methods, the authors suggest teaching efficient coping methods to ensure the mental health of patients waiting for kidney biopsy.

摘要

背景

肾活检是许多肾脏疾病诊断和管理的金标准。由于疾病诊断对人的生活造成身心负担,以及应对策略对人们身心健康的影响,评估这些患者的应对策略很重要。这项定性研究旨在调查伊朗肾活检候选者的应对策略。

材料与方法

进行了一项定性研究,以调查肾活检候选者对其肾脏疾病的经历以及应对焦虑的方法。在设拉子纳马齐医院内科对男性和女性进行了22次半结构化访谈。采用目的抽样技术选择参与者。所有访谈均进行录音,并逐字转录为波斯语,然后使用内容分析法进行分析。使用MAXQDA 10版软件辅助数据分析。

结果

编码分为3个类别和21个子类别。类别包括应对方法、侧重于情绪释放的应对方法以及效果较差或无效的应对方法。

结论

结果表明,活检对患者来说是一种更具创伤性的经历,在肾活检期间使用应对策略对他们有益;因此,为肾活检候选患者创建和实施适当的干预措施非常重要。由于心理健康良好的患者更多地使用以问题为导向的应对方法,作者建议教授有效的应对方法,以确保等待肾活检患者的心理健康。

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