首页|维持性血液透析患者益处发现体验的质性研究

维持性血液透析患者益处发现体验的质性研究

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目的 探讨维持性血液透析患者的益处发现体验,为促进患者心理健康提供参考.方法 2023年3月—5月,以 目的抽样法对上海市某三级甲等医院的13例维持性血液透析患者进行半结构式访谈,借助Nvivo软件整理资料,并采用Colaizzi七步分析法对资料进行分析.结果 共提炼3个主题:①探究意义,包括认可维持性血液透析、渴望活着;②获得控制感,包括调适自我心理、养成健康生活习惯、学会维持性血液透析相关行为管理;③自我增强,包括挖掘外部优势资源和肯定自我价值.结论 维持性血液透析患者有多方面的益处发现体验,医护人员可通过强化维持性血液透析知识宣教、搭建心理互助平台、组建多学科护理团队等方式引导患者进行积极心理建设,挖掘和提供有效的社会支持资源,培养患者自我健康管理,提高患者益处发现的水平和能力,体验正向激励,促进身心健康,提升维持性血液透析患者的生活质量.
Benefit finding experience in maintenance hemodialysis patients:a qualitative research
Objective To illuminate the benefit finding experience of maintenance hemodialysis patients,and to provide a reference for promoting their mental health.Methods From March to May 2023,the purposive sampling was used to select 13 maintenance hemodialysis patients in a tertiary hospital in Shanghai for semi-structured interviews.The data were organized with the help of Nvivo software,and the Colaizzi's seven-step method was used to analyze the data.Results 3 themes were extracted:①the search of meaning,including approved hemodialysis,the desire to live;②gaining a sense of mastery,including adjusting self-psychology,developing healthy living habits,and learning hemodialysis related behavior management;(3)self-enhancement,including excavating external resources and affirming self-worth.Conclusion Maintenance hemodialysis patients have benefit finding experience in many aspects.Medical staff can guide patients to carry out positive psychological construction by strengthening disease knowledge education,building a psychological mutual assistance platform,forming a multidisciplinary nursing team,excavate and provide effective social support resources,and cultivate patients'self-health management,so as to improve the level and ability of benefit finding of patients,experience positive incentives,promote physical and mental health,and improve the quality of life of hemodialysis patients.

Maintenance HemodialysisBenefit FindingMental HealthPositive PsychologyQualitative ResearchNursing Care

龚艳琳、郜欣悦、陈静、刘玲玲、吴菁、李永琦、储静

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200433 上海市 中国人民解放军海军军医大学护理系

中国人民解放军海军军医大学第二附属医院血液净化中心

维持性血液透析 益处发现 心理健康 积极心理学 定性研究 护理

军委后勤部卫生局保健课题面上项目中国人民解放军海军军医大学校级课题面上孵化基金

22BJZ092021MS02

2024

中华护理杂志
中华护理学会

中华护理杂志

CSTPCD北大核心
影响因子:5.365
ISSN:0254-1769
年,卷(期):2024.59(2)
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