Self-compassion in patients undergoing haemodialysis: A qualitative study

IF 1.5 4区医学 Q3 NURSING

Journal of renal care Pub Date : 2024-11-24 DOI:10.1111/jorc.12516

Takashi Kemmochi RN, MN, Michiyo Oka RN, PhD, Mitsuhiro Matsumoto RN, CNS, MN, Yoshiko Sato RN, MN, Moe Sato RN, BN, Ai Fukuda RN, BN, Asuka Sadakata RN, BN, Kazumi Kimura RN, BN

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引用次数: 0

Abstract

Background

Patients undergoing haemodialysis require long-term treatment and suffer from physical limitations and emotional distress due to restrictions in daily life, such as food and fluid restrictions, which can lead to self-criticism and depression. To address these issues, the concept of self-compassion, which is important for patients undergoing haemodialysis, has gained attention.

Objective

This study aimed to identify self-compassion in patients undergoing haemodialysis.

Design

This is an interview-based qualitative study.

Participants

Participants were recruited from a regional general hospital in Japan between August and September 2022. They were ≥18-year-old patients with diabetes and chronic kidney disease and visited the hospital for maintenance haemodialysis. Fifteen patients who agreed to participate in the study were interviewed.

Approach

Semistructured interviews were conducted, and each interview was recorded and transcribed verbatim. Data analysis was conducted using reflecxive thematic analysis (TA).

Findings

Thematic analysis generated three themes—acceptance, affirmation, and reinvention—from the seven subthemes. A different concept, “reinvention”, has been generated in this study. Regarding the sequential nature of the themes, it was predicted that they would proceed in the order of acceptance, affirmation, and reinvention, moving back and forth through these stages.

Conclusions

It can be said that nurses can support patients undergoing haemodialysis by providing feedback to them about their thoughts and feelings, which were captured based on the themes and subthemes of this study, to promote the patients' awareness and increase their self-compassion.

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血液透析患者的自我同情：定性研究

背景接受血液透析的患者需要长期治疗，由于日常生活中的限制（如食物和液体限制），他们会受到身体上的限制和情绪上的困扰，从而导致自我批评和抑郁。为了解决这些问题，对血液透析患者非常重要的自我同情概念受到了关注。目标本研究旨在确定血液透析患者的自我同情。设计这是一项基于访谈的定性研究。参与者 2022 年 8 月至 9 月期间从日本一家地区综合医院招募的参与者。他们都是≥18岁的糖尿病和慢性肾病患者，在医院接受维持性血液透析。对同意参与研究的 15 名患者进行了访谈。采用半结构式访谈，每次访谈都进行录音并逐字记录。数据分析采用反思性主题分析法（TA）。结果主题分析从七个次主题中产生了三个主题--接受、肯定和重塑。本研究中产生了一个不同的概念，即 "重塑"。关于这些主题的顺序性，我们预测它们将按照接受、肯定和重塑的顺序进行，并在这些阶段中来回移动。结论可以说，护士可以根据本研究的主题和次主题，通过向血液透析患者反馈他们的想法和感受来支持他们，从而促进患者的认识，增强他们的自我同情。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of renal care Nursing-Advanced and Specialized Nursing

CiteScore

3.50

自引率

5.30%

发文量

期刊介绍： The Journal of Renal Care (JORC), formally EDTNA/ERCA Journal, is the official publication of the European Dialysis and Transplant Nursing Association/European Renal Care Association (EDTNA/ERCA). The Journal of Renal Care is an international peer-reviewed journal for the multi-professional health care team caring for people with kidney disease and those who research this specialised area of health care. Kidney disease is a chronic illness with four basic treatments: haemodialysis, peritoneal dialysis conservative management and transplantation, which includes emptive transplantation, living donor & cadavaric transplantation. The continuous world-wide increase of people with chronic kidney disease (CKD) means that research and shared knowledge into the causes and treatment is vital to delay the progression of CKD and to improve treatments and the care given. The Journal of Renal Care is an important journal for all health-care professionals working in this and associated conditions, such as diabetes and cardio-vascular disease amongst others. It covers the trajectory of the disease from the first diagnosis to palliative care and includes acute renal injury. The Journal of Renal Care accepts that kidney disease affects not only the patients but also their families and significant others and provides a forum for both the psycho-social and physiological aspects of the disease.