中华护理杂志2024,Vol.59Issue(2) :164-169.DOI:10.3761/j.issn.0254-1769.2024.02.005

维持性血液透析患者益处发现体验的质性研究

Benefit finding experience in maintenance hemodialysis patients:a qualitative research

龚艳琳 郜欣悦 陈静 刘玲玲 吴菁 李永琦 储静
中华护理杂志2024,Vol.59Issue(2) :164-169.DOI:10.3761/j.issn.0254-1769.2024.02.005

维持性血液透析患者益处发现体验的质性研究

Benefit finding experience in maintenance hemodialysis patients:a qualitative research

龚艳琳 1郜欣悦 1陈静 2刘玲玲 2吴菁 1李永琦 1储静1
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作者信息

  • 1. 200433 上海市 中国人民解放军海军军医大学护理系
  • 2. 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
  • 折叠

摘要

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.

Abstract

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.

关键词

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

Key words

Maintenance Hemodialysis/Benefit Finding/Mental Health/Positive Psychology/Qualitative Research/Nursing Care

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基金项目

军委后勤部卫生局保健课题面上项目(22BJZ09)

中国人民解放军海军军医大学校级课题面上孵化基金(2021MS02)

出版年

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
参考文献量7
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