首页|中青年维持性血液透析患者社会疏离体验的研究

中青年维持性血液透析患者社会疏离体验的研究

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目的:探索中青年维持性血液透析患者社会疏离的体验,为制订该人群护理干预方案提供参考依据.方法:采用描述性质性研究,按照目的抽样法,于2023 年 6月—10月选取在杭州市某三级甲等中医院行维持性血液透析治疗的14 例尿毒症患者进行半结构式深入访谈,并以内容分析法归纳和提炼主题.结果:将维持性血液透析患者社会疏离的体验提炼为 4 个主题:社交逃避、自我封闭、自由受限、发现支持系统的力量.结论:中青年维持性血液透析患者由于身体健康受损、心理状态不佳、社会支持不足等原因存在社会疏离,医护人员应加强对该人群的症状管理和心理疏导,强化多维支持,以帮助其重返和适应社会.
Social alienation experience of young and middle-aged patients with Maintenance Hemodialysis:a qualitative study
Objective:To describe the experience of social alienation in young and middle-aged patients with Maintenance Hemodialysis(MH),and to provide reference for further nursing support.Methods:A descriptive qualitative study was conducted,and 14 patients with uremia undergoing MH treatment in a grade A hospital of traditional Chinese medicine in Hangzhou were selected from June to October 2023 for semi-structured in-depth interviews by purposive sampling.The themes were summarized and refined by content analysis.Results:The experience of social alienation in MH patients was summarized into four themes:Social avoidance,Self-isolation,Restriction of freedom,Discovering the power of the support system.Conclusion:Young and middle-aged patients with MH treatments experience social alienation due to impaired physical health,poor psychological status,limited social support and other reasons.It is necessary to strengthen the symptom management and psychological counseling,and strengthen multidimensional support to help this population return to and adapt to society.

Maintenance Hemodialysisyoung and middle-aged patientsuremiasocial alienationqualitative research

李艳娇、常立阳、田荣荣、张红梅

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浙江中医药大学附属杭州市中医院肾病科,310007 杭州市

杭州市肾脏病医院

维持性血液透析 中青年患者 尿毒症 社会疏离 质性研究

2024

中国护理管理
卫生部医院管理研究所

中国护理管理

CSTPCD北大核心
影响因子:2.545
ISSN:1672-1756
年,卷(期):2024.24(8)