Kajimoto I, Hino Y, Matsumoto S, Miyatake Y, Nojima S
Ehime Prefectural College of Medicine and Techniques.
Kango Kenkyu. 1997 Mar-Apr;30(2):47-57.
The purpose of this descriptive study was to identify the decision-making style among the dialysis patients. Subjects were a Convenience sample of hemodialysis patients who agreed to participate this study. The data was collected through semi-structured interviews. The interviews were recorded on the tape and transcribed. Decision-making episodes were picked and interpreted by searchers. Data was analyzed based on the Inductive Theory Approach.
Subject were 21 patients from 4 hospitals. The mean age was 51.1 and the mean duration after they started the hemodialysis was 9.1 years. The 16 decision-making styles were identified: accept, unvacillate, resignation, compromise, perseverance, challenge, self-activation, groupie, crisis-avoidance, withdrawal, prudent, reserve, escape, refusal, dogmatic, and entrust. These 16 decision-making styles were characterized by the reality oriented perception, the constructive regimes, the higher quality of social support. On the other hand, the passive decision-making styles were characterized by the distorted perception, the passive regimes, and the poor social support.
The reality orientation, energy, openness, values system were discussed as key factors which determined the decision-making style among hemodialysis patients. The nursing approach supporting the patients to make their decision were discussed.
本描述性研究的目的是确定透析患者的决策风格。研究对象是同意参与本研究的血液透析患者的便利样本。数据通过半结构化访谈收集。访谈内容录在磁带上并进行了转录。研究人员挑选并解读了决策事件。数据基于归纳理论方法进行分析。
研究对象为来自4家医院的21名患者。平均年龄为51.1岁，开始血液透析后的平均时长为9.1年。确定了16种决策风格：接受、坚定、顺从、妥协、坚持、挑战、自我激励、随波逐流、避免危机、退缩、谨慎、保留、逃避、拒绝、教条和托付。这16种决策风格的特点是面向现实的认知、建设性的状态、较高质量的社会支持。另一方面，被动决策风格的特点是认知扭曲、被动状态和社会支持不足。
现实取向、活力、开放性、价值体系被作为决定血液透析患者决策风格的关键因素进行了讨论。还讨论了支持患者做出决策的护理方法。
