"I need to lead my own life in any case"-A study of patients in dialysis with or without a partner

"I need to lead my own life in any case"-A study of patients in dialysis with or without a partner
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DOI:
10.1016/j.pec.2009.10.025
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发表时间:
2010-10-01
影响因子:
3.5
通讯作者:
Andersson, Sven Ingmar
Andersson, Sven Ingmar
中科院分区:
医学2区
文献类型:
--
作者:
Ekelund, Marie-Louise;Andersson, Sven Ingmar

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目的:为了了解透析患者及其伴侣存在的心理和社会心理问题,认为所涉及的多样性对透析单位如何向患者及其伴侣提供服务具有重要意义。对39名透析患者及其21名伴侣进行了一系列访谈,关于他们的思维方式和他们的感情和行为,进行了定性和内容为导向的条款。结果:可以确定五个基本主题:个体化治疗的重要性,对仪器的依赖性,疾病及其治疗的后果,对未来的希望,关于生与死的思考有关年龄,公民身份,文化和性别问题disclosed.Conclusion:面试的方法说明了扩展的专业和个性化的支持,在处理心理和心理社会的差异和需求,以使治疗制度更容易接受的人参与的重要性。建议有关努力,以改善接受透析的患者的护理,并与患者和那些最接近他们的多学科团队的工作的重要性。(C)2009爱思唯尔爱尔兰有限公司保留所有权利。
Objective: To elicit psychological and psychosocial problems existing in patients in dialysis and their partners, its being felt that the diversity involved has important implications for how service in dialysis units is delivered to patients and their partners.Methods: The results of a series of interviews of 39 patients in dialysis and 21 partners of theirs, each interview individual, concerning their ways of thinking and their feelings and the behaviour, were analyzed in qualitative and content-oriented terms.Results: Five basic themes could be identified: importance of treatment being individualized, dependency on an apparatus, consequences of the disease and its treatment, hopes for the future, and thoughts concerning life and death. Diversities relating to age, civil status, cultural and gender matters were disclosed.Conclusion: The interview approach illustrated the importance of extended professional and individualized support in handling psychological and psychosocial disparities and needs in order to make treatment regimes more acceptable to the persons involved.Practice implications: Suggestions are made concerning efforts to improve the care of patients receiving dialysis, and the importance of working with the patients and those closest to them in multidisciplinary teams. (C) 2009 Elsevier Ireland Ltd. All rights reserved.