从产妇慢性肾功能衰竭转为腹膜透析治疗

Sevda Tüzün Özdemir, Aynur Tűreyen, Yasemin Yildirim
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摘要

慢性肾衰竭(CKF)已成为我国乃至全球日益重要的公共卫生问题。据我国数据系统显示,截至 2022 年底,我国共有 86 665 名慢性肾衰竭患者,其中 4.1%的患者接受腹膜透析治疗。腹膜透析需要患者积极参与治疗,由于腹膜透析导管的存在,会对患者的身体形象、自尊、性关系等产生负面影响,导致患者焦虑、抑郁,对患者的生活质量产生负面影响。在人的一生中,由于各种原因(疾病、怀孕、死亡、出生),个人的身份、角色、责任、能力和行为都会发生变化。护士的基本职责之一就是帮助生活中经历各种转变的人,支持健康的转变,尽量减少不健康的转变。本研究以 Meleis 的过渡理论为基础,探讨了一名健康妇女因怀孕期间的健康问题而过渡到母亲角色,以及过渡到慢性肾衰竭和腹膜透析治疗所经历的过渡过程。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
TRANSITION FROM MATERNAL CHRONIC RENAL FAILURE TO PERITONEAL DIALYSIS TREATMENT
Chronic kidney failure (CKF) has become an increasingly important public health issue in our country and worldwide. According to data systems in our country, as of the end of 2022, there were a total of 86,665 patients with chronic kidney failure, and 4.1% of these patients undergo peritoneal dialysis treatment. Peritoneal dialysis requires active participation of the patient in the treatment, and it can lead to negative effects on body image, self-esteem, and sexual relations due to the peritoneal dialysis catheter, causing anxiety and depression in patients and negatively affecting their quality of life. Throughout human life, individuals undergo changes in identity, roles, responsibilities, abilities, and behaviors due to various reasons (illness, pregnancy, death, birth). One of the fundamental duties of nurses is to assist individuals undergoing various transitions in their lives, to support healthy transitions, and to minimize unhealthy transitions. In this study, the process of transition experienced by a healthy woman transitioning to the role of motherhood due to health problems during pregnancy, and transitioning to chronic kidney failure and peritoneal dialysis treatment, is examined based on Meleis' Transition Theory
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