The phenomenon of urinary tract infection experienced by women with a kidney transplant

IF 1.5 4区 医学 Q3 NURSING
Mette Marie Gad BSN, Maiken Kildahl Rasmussen BSN, Henriette Braüner Ladefoged BSN, Lotte Løntoft Mathiesen MSN, Jeanette Finderup PhD
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Abstract

Background

Urinary tract infection is the most common infection among people with a kidney transplant and increases the risk of graft rejection. Women have a higher risk. A literature search did not identify any description of the phenomenon of urinary tract infection experienced by women with a kidney transplant.

Objective

To examine how women with a kidney transplant experienced the phenomenon of a urinary tract infection.

Design

A qualitative study with a phenomenological approach.

Approach

Eight individual semistructured interviews based on van Manen's four lifeworld existentials and analysed using systematic text condensation.

Participants

Women with a kidney transplant and recently been admitted to the hospital due to a urinary tract infection.

Findings

We identified four themes: (1) Feeling both typical and atypical symptoms; (2) Becoming aware of the body and trying her best to prevent urinary tract infection; (3) Having a urinary tract infection is a dual experience, both good and bad; (4) Support from relatives.

Conclusion

The urinary tract infection symptoms pathway varied between participants but also between individual episodes of incidents among each participant. Participants felt secure when they experienced a common symptom pattern, but a new symptom pattern made them insecure. Together with their relatives, they experienced a urinary tract infection as a disruption of their everyday life and it decreased their experiences of happiness. They experienced to be supported by relatives but also by healthcare professionals, but needed more information on how to prevent, observe and react to a urinary tract infection in the future.

肾移植妇女的尿路感染现象。
背景:尿路感染是肾移植患者中最常见的感染,会增加移植排斥反应的风险。女性的风险更高。在文献检索中没有发现任何关于女性肾移植患者经历尿路感染现象的描述:研究肾移植女性如何经历尿路感染现象:设计:采用现象学方法进行定性研究:方法:根据范马南的四种生活世界存在形式进行八次个人半结构式访谈,并使用系统文本浓缩法进行分析:研究结果:我们发现了四个主题:(1)肾脏移植后的女性,最近因尿路感染入院:我们确定了四个主题:(1) 感受到典型症状和非典型症状;(2) 意识到自己的身体并尽力预防尿路感染;(3) 患尿路感染是一种双重体验,既好又坏;(4) 亲属的支持:结论:尿路感染症状的途径因参与者而异,但在每个参与者的不同事件中也各不相同。参与者在经历共同的症状模式时会感到安全,但新的症状模式会让他们感到不安全。他们与亲属一起经历了尿路感染,认为尿路感染扰乱了他们的日常生活,降低了他们的幸福感。他们得到了亲属和医护人员的支持,但需要更多关于如何预防、观察和应对未来尿路感染的信息。
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来源期刊
Journal of renal care
Journal of renal care Nursing-Advanced and Specialized Nursing
CiteScore
3.50
自引率
5.30%
发文量
36
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.
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