腹膜透析患者透析依从性影响因素的质性研究
|
摘要
目的了解影响腹膜透析患者透析依从性的影响因素。方法采用质性研究中的现象学研究方法对12例行腹膜透析的患者进行深度访谈,整理分析访谈内容,提炼出主题。结果通过分析资料得出3个影响腹膜透析患者透析依从性主题:对透析充分性的认知不足、外部客观因素及负性情感的影响、对疾病的康复失去信心。结论腹膜透析患者透析依从性受主观和客观因素的影响,医护人员应根据患者个人的情况,采取相应的护理干预措施。
引文
[1]Lee MJ,Kwon YE,Park KS,et al.Changes in geriatric nutritional risk index and risk of major adverse cardiac and cerebrovascular events in incident peritoneal dialysis patients[J].Kidney Res Clin Pract,2017,36(4):377-386.
[2]Griva K,Lai AY,Lim HA,et al.Non-adherence in patients on peritoneal dialysis:a systematic review[J].PLo S One,2014,9(2):e89001.
[3]马勤,黄月星,雷小华.影响腹膜透析患者治疗依从性的因素分析[J].中国中西医结合肾病杂志,2014,15(2):144-145.
[4]Clark S,Farrington K,Chilcot J.Nonadherence in dialysis patients:prevalence,measurement,outcome,and psychological determinants[J].Semin Dial,2014,27(1):42-49.
[5]邹锋.主观综合性营养评估在腹膜透析充分性中的作用[J].中外医学研究,2014,12(27):140-141,142.
[6]胡雁.质性研究[J].护士进修杂志,2006,21(7):579-581.
[7]Giorgi A.The theory,practice,and evaluation of the phenomenological method as a qualitative research procedure[J].J Phenomenol Psychol,1997,28(2):235-260.
[8]邹宝林,黄燕林,黄柳.中青年持续非卧床腹膜透析患者的应对方式,焦虑抑郁状况分析[J].广西医学,2016,38(8):1 183-1 184.
[9]李钦君,张长岭,张曙光,等.持续性不卧床腹膜透析患者焦虑和抑郁状态及其相关因素探究[J].中国血液净化,2012,11(6):321-324.
[10]Yu ZL,Lee VY,Kang AW,et al.Rates of intentional and unintentional nonadherence to peritoneal dialysis regimes and associated factors[J].PLo S One,2016,11(2):e0149784.
[11]黄柳,黄燕林,郭阳化,等.中青年腹膜透析患者疾病不确定感与应对方式的相关性[J].实用医学杂志,2015,31(5):846-848.
[12]Niihata K,Fukuma S,Akizawa T,et al.Association of coping strategies with mortality and health-related quality of life in hemodialysis patients:the Japan dialysis outcomes and practice patterns study[J].PLo S One,2017,12(7):e0180498.
[13]何川鄂,杨林,饶毅峰,等.腹膜透析患者负面情绪、社会支持调查分析[J].安徽医药,2014,18(2):290-292.
[14]Szeto CC,Chow KM,Kwan BC,et al.The impact of social support on the survival of Chinese peritoneal dialysis patients[J].Perit Dial Int,2008,28(3):252-258.
[15]唐杏明,邹朝晖,方慧苹,等.维持性非卧床腹膜透析患者社会支持状况的调查分析[J].实用医学杂志,2012,28(14):2 451-2 453.
[16]王洁,王菲,李琳.CAPD患者社会支持和自我效能对自我管理能力影响的路径分析[J].实用医学杂志,2015,31(10):1 708-1 710.
[2]Griva K,Lai AY,Lim HA,et al.Non-adherence in patients on peritoneal dialysis:a systematic review[J].PLo S One,2014,9(2):e89001.
[3]马勤,黄月星,雷小华.影响腹膜透析患者治疗依从性的因素分析[J].中国中西医结合肾病杂志,2014,15(2):144-145.
[4]Clark S,Farrington K,Chilcot J.Nonadherence in dialysis patients:prevalence,measurement,outcome,and psychological determinants[J].Semin Dial,2014,27(1):42-49.
[5]邹锋.主观综合性营养评估在腹膜透析充分性中的作用[J].中外医学研究,2014,12(27):140-141,142.
[6]胡雁.质性研究[J].护士进修杂志,2006,21(7):579-581.
[7]Giorgi A.The theory,practice,and evaluation of the phenomenological method as a qualitative research procedure[J].J Phenomenol Psychol,1997,28(2):235-260.
[8]邹宝林,黄燕林,黄柳.中青年持续非卧床腹膜透析患者的应对方式,焦虑抑郁状况分析[J].广西医学,2016,38(8):1 183-1 184.
[9]李钦君,张长岭,张曙光,等.持续性不卧床腹膜透析患者焦虑和抑郁状态及其相关因素探究[J].中国血液净化,2012,11(6):321-324.
[10]Yu ZL,Lee VY,Kang AW,et al.Rates of intentional and unintentional nonadherence to peritoneal dialysis regimes and associated factors[J].PLo S One,2016,11(2):e0149784.
[11]黄柳,黄燕林,郭阳化,等.中青年腹膜透析患者疾病不确定感与应对方式的相关性[J].实用医学杂志,2015,31(5):846-848.
[12]Niihata K,Fukuma S,Akizawa T,et al.Association of coping strategies with mortality and health-related quality of life in hemodialysis patients:the Japan dialysis outcomes and practice patterns study[J].PLo S One,2017,12(7):e0180498.
[13]何川鄂,杨林,饶毅峰,等.腹膜透析患者负面情绪、社会支持调查分析[J].安徽医药,2014,18(2):290-292.
[14]Szeto CC,Chow KM,Kwan BC,et al.The impact of social support on the survival of Chinese peritoneal dialysis patients[J].Perit Dial Int,2008,28(3):252-258.
[15]唐杏明,邹朝晖,方慧苹,等.维持性非卧床腹膜透析患者社会支持状况的调查分析[J].实用医学杂志,2012,28(14):2 451-2 453.
[16]王洁,王菲,李琳.CAPD患者社会支持和自我效能对自我管理能力影响的路径分析[J].实用医学杂志,2015,31(10):1 708-1 710.