Negotiating living with an arteriovenous fistula for hemodialysis.
Negotiating living with an arteriovenous fistula for hemodialysis.
复制标题
与动静脉瘘一起接受血液透析。
DOI：
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发表时间：
2010
期刊：
影响因子：
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通讯作者：
J. Engebretson
中科院分区：
文献类型：
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作者：
C. Richard;J. Engebretson
本研究的目的是探讨接受血液透析的终末期肾病患者如何适应动静脉瘘的生活。瘘管是血液透析的首选通路，客户必须持续监测和保护他们的瘘管。在这项定性人种学研究中，数据是通过实地考察和半结构化访谈收集的。建构主义和文化谈判模型为本研究提供了框架。采访了 14 名客户；访谈持续1.5至4小时。结果揭示了对知情者对血管通路的看法和经验的新见解。首要主题是脆弱性，潜在主题是身体意识、依赖性、不信任和耻辱。对脆弱性的反应是持续保持警惕和自信，以保护整体自我。血管通路的耻辱对于知情者来说是一个重要问题，并引起最大的情绪反应。
The purpose of this study was to examine how clients with end stage renal disease on hemodialysis negotiate living with an arteriovenous fistula. A fistula is the preferred access for hemodialysis, and clients must continually monitor and protect their fistula. In this qualitative, ethnographic study, data were collected during fieldwork and semistructured interviews. Constructivism and a cultural negotiation model provided frameworks for the study. Fourteen clients were interviewed; interviews lasted 1.5 to 4 hours. Results revealed new insights into informants'perspectives and experiences with a vascular access. The overarching theme was vulnerability, and underlying themes were body awareness, dependency, mistrust, and stigma. The response to vulnerability was to be continually vigilant and assertive to protect the holistic self Stigma of the vascular access was an important issue for informants and evoked the greatest emotional responses.