中国血液净化

中国血液净化 ›› 2017, Vol. 16 ›› Issue (05): 333-335.doi: 10.3969/j.issn.1671-4091.2017.05.013

• 透析心理学 • 上一篇    下一篇

维持性血液透析患者等待肾移植期间的心理体验

赵庆杰1 ,邹继华2 ,彭影1 ,郑爽1 ,石有婷11,王美玲1   

  1. 1. 哈尔滨医科大学附属第二医院血液净化中心  2. 丽水医学院护理系
  • 收稿日期:2016-11-07 修回日期:2017-03-10 出版日期:2017-05-12 发布日期:2017-05-19
  • 通讯作者: 赵庆杰 zqj_huli@163.com E-mail:zqj_huli@163.com

A qualitative study on the psychological experience of maintenance hemodialysis patients during waiting for renal transplantation

  • Received:2016-11-07 Revised:2017-03-10 Online:2017-05-12 Published:2017-05-19

PDF

307

摘要： 目的探讨维持性血液透析(maintenance hemodialysis，MHD)患者在等待肾移植期间的心理体验。方法采用质性研究中现象学研究方法，于2015 年8 月～2016 年7 月对11 例MHD 患者进行深度访谈，并采用Colaizzi 7 步分析法对原始资料进行分析。结果MHD 患者在等待肾移植期间的心理体验可划分为：等待中的煎熬、生存的希望、感受负担、不确定感4 个主题。结论MHD 患者在等待肾移植期间经历了复杂的心理体验，临床医护人员应根据患者的心理状态，探讨并制定相应的干预措施，以促进患者身心健康。

关键词: 终末期肾病, 血液透析, 肾移植, 质性研究

Abstract: Objective To explore the psychological experience of the maintenance hemodialysis patients during waiting for renal transplantation. Methods Phenomenological methodology was adopted in this study. In-depth interview was conducted to 11 patients between August 2015 and July 2016. Data were analyzed by Colaizzi method. Results Four themes including waiting in torment, survival hope, burden and uncertainty were extracted. Conclusion Patients underwent a complex psychological experience during waiting for renal transplantation. Medical staffs should concern the psychological state of these patients and give them intervention timely.

Key words: end-stage renal disease, hemodialysis, renal transplantation, qualitive study