慢性肾脏病女性患者的诊断和肾脏替代疗法启动经验。

IF 1.7 4区 医学 Q2 NURSING
Clinical Nursing Research Pub Date : 2024-09-01 Epub Date: 2024-07-24 DOI:10.1177/10547738241264591
Miriam Álvarez-Villarreal, Juan Francisco Velarde-García, Ana San Martín-Gómez, Stella Maris Gómez-Sánchez, Antonio Gil-Crujera, Domingo Palacios-Ceña
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引用次数: 0

摘要

慢性肾脏病(CKD)对女性患者的生活质量有很大影响。接受诊断和开始肾脏替代治疗(RRT)对患者的个人影响很大。本研究旨在描述流动透析病房的女性慢性肾脏病患者在诊断、生活变化和开始 RRT 方面的经历。本研究以社会结构主义框架为基础,进行了一项定性探索性研究。研究采用有目的的抽样方法招募参与者。共纳入了 18 名接受 RRT 治疗慢性肾功能衰竭的妇女。这些妇女在马德里(西班牙)一家隶属于公共卫生系统的医院的非住院透析室就诊。研究采用了非结构化和半结构化的深度访谈、研究人员的现场记录以及妇女的私人信件。对文本进行了系统的压缩分析。控制可信度的标准是可信度、可转移性、可依赖性和可确认性。数据中出现了两个主题:(a) 生命中的转折点;(b) 开始 RRT 的情感历程。诊断出慢性肾脏病和开始治疗意味着改变生活习惯和适应慢性肾脏病患者的新生活。第一次透析和动静脉瘘穿刺是一次重要的经历。其他有更多经验的 CKD 患者的支持被认为是必要的,也是同龄人之间分享经验和解决疑虑的工具。RRT 的诊断和启动会给女性 CKD 患者的生活带来许多变化,这可能会影响她们对治疗的接受程度。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Experience of Diagnosis and Initiation of Renal Replacement Therapy in Women with Chronic Kidney Disease.

Chronic kidney disease (CKD) has considerable effects on the quality of life of female patients. Receiving the diagnosis and beginning renal replacement therapy (RRT) has a great personal impact on patients. The purpose of this study was to describe the experience of female patients with CKD at an ambulatory dialysis unit regarding diagnosis, life changes, and initiation of RRT. A qualitative exploratory study was conducted based on a social contructivism framework. Participants were recruited using purposeful sampling. In total, 18 women who received treatment for CKD with RRT were included. The women were attending the Ambulatory Dialysis Unit at a hospital belonging to the public health system of Madrid (Spain). Unstructured and semi-structured in-depth interviews, researchers' field notes, and women's personal letters were used. A systematic text condensation analysis was performed. The criteria used to control trustworthiness were credibility, transferability, dependability, and confirmability. Two themes emerged from the data: (a) A turning point in their lives, and (b) The emotional journey of beginning RRT. The diagnosis of CKD and the beginning of treatment implies changing routines and adapting to a new life with CKD. The first dialysis and puncture of the arteriovenous fistula is a major experience. Support from other CKD patients with more experience is perceived as a necessity and a tool to share their experiences and resolve doubts among peers. The diagnosis and initiation of RRT leads to numerous changes in the lives of women with CKD, which may influence the acceptance of treatment.

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来源期刊
CiteScore
3.40
自引率
5.90%
发文量
107
审稿时长
>12 weeks
期刊介绍: Clinical Nursing Research (CNR) is a peer-reviewed quarterly journal that addresses issues of clinical research that are meaningful to practicing nurses, providing an international forum to encourage discussion among clinical practitioners, enhance clinical practice by pinpointing potential clinical applications of the latest scholarly research, and disseminate research findings of particular interest to practicing nurses. This journal is a member of the Committee on Publication Ethics (COPE).
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