中青年维持性血液透析患者压力源的质性研究

    Qualitative research on pressure sources of young and middle-aged patients receiving maintenance hemodialysis

    • 摘要: 目的:探讨中青年血液透析(血透)患者在漫长治疗过程中的压力感受。方法:采取质性研究中的现象学研究方法,对12例中青年血透患者进行深度访谈,采用Colaizzi内容分析法对访谈资料进行分析。结果:青壮年血透患者心理压力主要来源包括对疾病的恐惧和对预后的不确定感、生活规律的改变、自我管理知识缺乏和信心不足、负向的自我概念、经济困难等。结论:中青年血透患者在身体、精神、经济方面承受着巨大压力,应根据患者的压力来源,采取有效措施缓解其压力。

       

      Abstract: Objective: To explore the pressure sources of the young and middle-aged patients receiving maintenance hemodialysis during the long course of treatment. Methods: The phenomenology method of the qualitative study was employed to interview 12 patients receiving maintenance hemodialysis,and the data were analyzed by means of Colaizzi content analysis. Results: The main pressure sources of the young and middle-aged patients came primarily from worries of the disease and uncertain prognosis,alteration of life patterns,lack of the knowledge and confidence for self-management,negative self-concept and financial burden. Conclusions: The young and middle-aged patients receiving maintenance hemodialysis undertake great physical,spiritual and economic pressures,so effective measures should be taken to alleviate their pressure to relieve pressure reactions of physical and mental.

       

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