Breckenridge D M
School of Nursing, University of Pennsylvania, Philadelphia, USA.
Holist Nurs Pract. 1997 Oct;12(1):54-61. doi: 10.1097/00004650-199710000-00009.
The article describes a secondary analysis of a qualitative study designed to identify factors that influence clients' decisions regarding type of dialysis treatment modality. The original qualitative study was designed to elicit perceptions of clients with end-stage renal disease regarding why, how, and by whom the decision was made about the type of dialysis treatment modality (hemodialysis or continuous ambulatory peritoneal dialysis) that the client would undergo. Secondary analysis of the original study results revealed that the factors that influenced the decision regarding the type of dialysis treatment modality encompassed the five Neuman systems model variable areas: physiologic, psychologic, sociocultural, developmental, and spiritual.
本文描述了一项定性研究的二次分析，该研究旨在确定影响患者透析治疗方式决策的因素。最初的定性研究旨在引出终末期肾病患者对于为何、如何以及由谁来决定患者将接受的透析治疗方式（血液透析或持续性非卧床腹膜透析）的看法。对原始研究结果的二次分析显示，影响透析治疗方式决策的因素涵盖了纽曼系统模式的五个变量领域：生理、心理、社会文化、发展和精神。
