菲律宾拉古纳一家三级医院慢性肾病患者接受中心血液透析的生活经历

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摘要

慢性肾脏疾病(CKD)是一个具有挑战性且普遍存在的问题,每年每百万人中约有120人受到影响,其中5,000人接受透析治疗,110万人接受肾脏替代治疗。然而,只有少数研究人员探索了这些个人经历的视角;因此,本研究旨在填补这一知识空白。本研究旨在通过分析慢性肾脏疾病患者的生活经验,为护士提供整体治疗方法提供指导。研究人员采用定性研究设计和解释学-现象学方法。数据收集使用的访谈问卷改编自Wasihun等人(2021)的研究,其中12名参与者在菲律宾拉古纳的一家三级医院接受了访谈。对转录本进行主题分析并得出五(5)个关键主题,包括疾病的严重程度、慢性肾病的生理-心理-情绪影响、应对HD治疗、HD治疗的社会经济影响和医疗保健提供。慢性肾病患者面临着各种各样的生理、心理、情感和经济挑战。尽管存在这些障碍,但他们能够接受治疗并管理自己的问题。医疗服务提供者应该从整体上满足患者对健康生活的需求。关键词:慢性肾病,慢性肾病,血液透析,慢性肾病,生活经历,疾病严重程度,慢性肾病的生理-心理-情绪影响,应对慢性肾病治疗HD治疗和医疗保健提供的社会经济影响DOI: 10.7176/JHMN/110-05出版日期:2023年10月31日
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Lived Experiences of Patients with Chronic Kidney Disease Receiving In-Center Hemodialysis at a Tertiary Hospital in Laguna, Philippines
Chronic kidney disease (CKD) is a challenging and prevalent problem that affects around 120 Filipinos per million people annually, with 5,000 on dialysis and 1.1 million on kidney replacement therapy. However, only a few researchers have explored the perspectives of these individuals' experiences; hence, this study was intended to fill that knowledge gap. This study aims to provide a guideline for nurses in providing a holistic approach to chronic kidney disease patients by analyzing their lived experiences. Researchers utilized a qualitative research design and hermeneutic-phenomenological method. The data were gathered using an interview questionnaire adapted from the study of Wasihun et al. (2021), with twelve participants interviewed in a Tertiary Hospital in Laguna, Philippines. The transcripts were thematically analyzed and yielded five (5) key themes, including the severity of the disease, physico-psycho emotional effects of having CKD, coping with HD treatment, socio-economic impacts of HD treatment, and healthcare provision. CKD patients face diverse physical, psychological, emotional, and financial challenges. Despite these impediments, they were able to comply with treatment and manage their problems. Healthcare providers should holistically address patients' needs for healthier lives. Keywords: Chronic kidney disease, CKD, Hemodialysis, HD, Lived-Experiences, Severity of the Disease, Physico-psycho Emotional Effects of Having CKD, Coping with HD Treatment. Socio-Economic Impacts of the HD Treatment, and Health Care Provision DOI: 10.7176/JHMN/110-05 Publication date: October 31 st 2023
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