接受血液透析治疗患者的卫生服务需求:定性研究

Yuliani Budiyarti, Evimira Sukanti
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引用次数: 0

摘要

优质保健服务是根据病人的需要提供的保健服务,而不是根据提供服务的机构所拥有的东西提供的保健服务。接受血液透析的慢性疾病如肾衰竭患者需要更多的支持性护理,如身体和心理支持以及有关其病情的信息。本研究旨在探讨血液透析患者的健康服务需求。本研究是现象学的定性研究。数据的收集采用半结构化和深度访谈的方式,对17名接受血液透析治疗的终末期肾衰竭患者进行了有目的的抽样。数据分析采用主题分析。研究发现了三个主要主题:在进行血液透析治疗时满足基本需求的服务、在接受血液透析治疗时获得的支持以及在接受血液透析治疗时尚未获得的各种保健服务。可以得出结论,确定服务需求对服务质量有积极影响,因为医护人员将更好地了解患者的期望。血液透析患者有基本的生理、心理和支持需求。未满足的需求包括药物治疗不足、卫生工作者不足和信息需求未得到满足。医疗保健提供者应该制定策略来管理这些需求,包括身体和心理的改变,改善设施、基础设施、人力资源和跨学科的方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Health service needs in patients receiving hemodialysis therapy: qualitative study
Quality health services are health services that are provided based on patient needs, not based on what is owned by the service-providing institution. Patients with chronic diseases such as kidney failure undergoing hemodialysis need more supportive nursing care, such as physical and psychological support and information about their condition. This study aims to explore and identify health service needs in patients receiving hemodialysis therapy. This research is qualitative research on phenomenology. Data was collected using semi-structured and in-depth interviews with 17 participants of end-stage renal failure who underwent hemodialysis therapy, selected by purposive sampling. Thematic analysis is used for data analysis. The study found three main themes: services to meet basic needs when hemodialysis therapy was carried out, support received while undergoing hemodialysis therapy, and Various health services that have yet to be received while undergoing hemodialysis therapy. It can be concluded that identifying service needs positively impacts service quality as healthcare workers will better understand patient expectations. Hemodialysis patients have basic physical, psychological, and support needs. Unmet needs include inadequate drug therapy, health workers, and unmet information needs. Healthcare providers should develop strategies to manage these needs, including physical and psychological modification, improvement of facilities, infrastructure, human resources, and interdisciplinary approaches.
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