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

• 透析护理专题 • 上一篇    下一篇

维持性血液透析患者益处发现体验的质性研究

龚艳琳(), 郜欣悦, 陈静, 刘玲玲, 吴菁, 李永琦, 储静()   

  1. 200433 上海市 中国人民解放军海军军医大学护理系(龚艳琳,郜欣悦,吴菁,李永琦,储静);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(陈静,刘玲玲)
  • 收稿日期:2023-06-02 出版日期:2024-01-20 发布日期:2024-01-15
  • 通讯作者: 储静,E-mail:chujing1999@smmu.edu.cn
  • 作者简介:龚艳琳:女,本科(硕士在读),护师,E-mail:1398332195@qq.com
  • 基金资助:
    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)

Benefit finding experience in maintenance hemodialysis patients:a qualitative research

GONG Yanlin(), GAO Xinyue, CHEN Jing, LIU Lingling, WU Jing, LI Yongqi, CHU Jing()   

  • Received:2023-06-02 Online:2024-01-20 Published:2024-01-15

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。

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

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;③self-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.

Key words: Maintenance Hemodialysis, Benefit Finding, Mental Health, Positive Psychology, Qualitative Research, Nursing Care