洞察血液透析患者症状管理的复杂性:定性研究的系统回顾。

IF 6.6 1区 心理学 Q1 PSYCHOLOGY, CLINICAL
Xutong Zheng, Zhen Yang, Linyu Xu, Aiping Wang
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引用次数: 0

摘要

接受血液透析的患者会经历一系列影响其身体、心理和社会福祉的症状。传统的定性研究往往侧重于患者经验的孤立方面,对症状管理的相互联系性质提供有限的见解。本系统综述和元人种志旨在综合定性研究,并开发一个全面的模型,阐明血液透析患者经验和症状管理实践之间的相互关系。我们的分析综合了使用元民族志方法进行的30项定性研究的结果。结果揭示了影响症状管理的关键心理和社会动力。该模型强调了支持性因素,如家庭参与和有效的医疗保健互动,如何增强应对机制,提高情绪弹性和治疗依从性。相反,它发现了重大障碍,包括慢性自我调节倦怠和系统性效率低下,这些障碍阻碍了症状管理并加剧了心理困扰。通过整合不同的定性研究结果,本研究提出了一种转向以患者为中心,文化敏感的护理策略,优先考虑心理支持。这一转变旨在通过解决医疗、心理和社会因素的复杂相互作用来改变血液透析护理。开发的框架不仅有助于更深入地理解症状管理的心理影响,而且为该领域的未来研究和干预提供了结构化的方法[Q1]。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Insights into the complexities of symptom management for hemodialysis patients: a systematic review of qualitative studies.

Patients undergoing hemodialysis experience a broad spectrum of symptoms that impact their physical, psychological, and social well-being. Traditional qualitative studies often focus on isolated aspects of patient experiences and offer limited insights into the interconnected nature of symptom management. This systematic review and meta-ethnography aims to synthesise qualitative studies and develop a comprehensive model that elucidates interrelations between patient experiences and symptom management practices in hemodialysis. Our analysis integrated findings from 30 qualitative studies using a meta-ethnographic approach. The results revealed critical psychological and social dynamics influencing symptom management. The model highlights how supportive factors, such as family involvement and effective healthcare interactions, enhance coping mechanisms, improving emotional resilience and treatment adherence. Conversely, it identifies significant barriers, including chronic self-regulatory burnout and systemic inefficiencies, that hinder symptom management and exacerbate psychological distress. By integrating diverse qualitative findings, this study proposes a shift towards patient-centred, culturally sensitive care strategies that prioritise psychological support. This shift aims to transform hemodialysis care by addressing the complex interplay of medical, psychological, and social factors. The developed framework not only facilitates deeper understanding of the psychological impacts of symptom management and offers a structured approach for future research and interventions in this domain[Q1].

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来源期刊
Health Psychology Review
Health Psychology Review PSYCHOLOGY, CLINICAL-
CiteScore
21.30
自引率
0.00%
发文量
28
期刊介绍: The publication of Health Psychology Review (HPR) marks a significant milestone in the field of health psychology, as it is the first review journal dedicated to this important and rapidly growing discipline. Edited by a highly respected team, HPR provides a critical platform for the review, development of theories, and conceptual advancements in health psychology. This prestigious international forum not only contributes to the progress of health psychology but also fosters its connection with the broader field of psychology and other related academic and professional domains. With its vital insights, HPR is a must-read for those involved in the study, teaching, and practice of health psychology, behavioral medicine, and related areas.
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