伊朗腹膜透析患者拒绝肾移植的原因分析

F. Biabani, GH Mahmudirad, H. Hassankhani, A. Rahmani
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引用次数: 0

摘要

背景与目的:肾移植是治疗慢性肾功能衰竭最安全的方法,但由于种种原因,许多患者不愿进行肾移植。识别这些因素可以促进移植过程,提高透析患者的生活质量。因此,本研究旨在探讨伊朗腹膜透析(PD)患者拒绝肾移植的原因。方法:采用目的抽样的方法,从伊朗4个省选取18例PD患者进行定性研究。数据采用半结构化访谈法收集,内容采用常规内容分析法分析。结果:结果确定了三个主要类别:过程困难,结果不可接受,熟悉PD。据患者说,肾移植是一个长期的过程,会造成经济压力、身体和社会问题,并且有移植排斥的风险。另一方面,患者习惯了PD,并认为这是他们生活的一部分。结论:伊朗PD患者有多种原因拒绝肾移植。保险机构对肾移植的全面覆盖、减少移植时间以及提供医疗和心理咨询可以减少患者接受肾移植的这些障碍。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Reasons for Refusing Kidney Transplantation Among Iranian Patients Undergoing Peritoneal Dialysis
Background and Objectives: Kidney transplantation is the safest way to treat chronic renal failure, but for many reasons many patients are reluctant to have a kidney transplant. Identifying these factors can facilitate the transplant process and improve the quality of life of patients undergoing dialysis. Therefore, this study aims to investigate the reasons for refusing kidney transplantation among Iranian patients undergoing peritoneal dialysis (PD). Methods: In this qualitative study, 18 patients with PD were selected from four provinces of Iran using a purposive sampling method. The data were collected by semi-structured interviews and the content were analyzed by a conventional content analysis. Results: Results led to the identification of three main categories: Difficult process, unacceptability of outcome, and familiarization with PD. According to patients, kidney transplantation is a long-term procedure that causes financial stress and physical and social problems and there is a risk of transplant rejection. On the other hand, patients were accustomed to performing PD and considered it a part of their life. Conclusion: Iranian patients undergoing PD have many reasons to refuse kidney transplantation. Full coverage of kidney transplants by the insurance organization, reduction of transplantation time, and provision of medical and psychological counseling can reduce these barriers to accepting kidney transplants by patients.
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