中国肾内科护士对与血液透析患者讨论性功能障碍的看法:定性研究

IF 1.5 4区 医学 Q3 NURSING
Lei An, Kantaporn Yodchai, Waraporn Kongsuwan
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引用次数: 0

摘要

背景这项研究强调了血液透析患者性功能障碍这一至关重要但却经常被忽视的问题。尽管肾内科护士与患者关系密切,但在这一问题上仍存在很大的沟通缺口。目标描述中国肾内科护士与血液透析患者讨论性功能障碍的观点。方法使用访谈指南进行结构化访谈。采用定性内容分析法进行分析。结果描述了五个主题(1) 缺乏性教育培训,肾内科护士称从未接受过处理患者性健康问题的培训;(2) 讨论性话题时感到不适,中国肾内科护士认为性功能障碍话题令人尴尬,因此避免讨论;(3) 性功能障碍被视为非紧急话题,肾内科护士优先考虑身体健康以帮助患者生存;(4) 认为医生是最终的护理顾问,肾内科护士认为医生应该处理与性有关的话题;以及 (5) 缺乏讨论性功能障碍的合适环境,肾内科护士认为性是私人问题,不适合在公共场所讨论。结论该研究指出了在医疗保健中讨论性功能障碍的障碍,包括提供者的知识缺陷、不适感和缺乏支持性环境。研究建议通过专业培训和有利的环境来改善肾脏护理中的沟通。未来的研究应评估这些干预措施的有效性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Perspectives of Chinese nephrology nurses on discussing sexual dysfunction with patients receiving haemodialysis: A qualitative study
BackgroundThe study underscores the crucial yet often neglected issue of sexual dysfunction in haemodialysis patients. Despite nephrology nurses'close relationships with patients, there is a significant communication gap on this topic. In China, limited research highlights the need for further study.ObjectiveTo describe the perspectives of Chinese nephrology nurses on discussing sexual dysfunction with patients receiving haemodialysis.DesignA qualitative descriptive study.ParticipantsTen Chinese nephrology nurses from a tertiary public hospital in Guizhou province, China.ApproachSemistructured interviews were conducted using an interview guide. Qualitative content analysis approach was utilised in analysis.ResultsThere were five themes described: (1) lack of training in sexual education, as nephrology nurses described never being trained to manage patients' sexual health issues; (2) discomfort when discussing sexual topics, Chinese nephrology nurses found the topic of sexual dysfunction embarrassing and avoided discussing it; (3) sexual dysfunction viewed as a nonurgent topic, nephrology nurses prioritise physical health to aid patient survival; (4) belief in physicians as ultimate care advisors, nephrology nurses believed that doctors should handle discussions on sexually related topics; and (5) lack of a suitable environment for discussing sexual dysfunction, nephrology nurses viewed sex as a private matter, inappropriate for discussion in a public unit.ConclusionThe study identifies barriers to discussing sexual dysfunction in healthcare, including provider knowledge deficits, discomfort and lack of supportive environments. It recommends specialised training and conducive settings to improve communication in renal care. Future research should evaluate the effectiveness of these interventions.
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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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