[Components of decision-making among hemodialysis patients].
[Components of decision-making among hemodialysis patients].
复制标题
[血液透析患者决策的组成部分]。
DOI：
10.5630/jans1981.17.1_22
复制
发表时间：
1997
期刊：
影响因子：
--
通讯作者：
Y. Miyatake
中科院分区：
文献类型：
--
作者：
S. Nojima;I. Kajimoto;Y. Hino;S. Matsumoto;Y. Miyatake
未标记
这项描述性研究的目的是确定透析患者决策的组成部分。受试者是同意参加本研究的血液透析患者的便利样本。资料是以半结构式访谈的方式收集，并记录在录音带上。研究人员挑选并解释了决策过程。根据扎根理论方法对数据进行分析。
结果
受试者为来自4家医院的21例患者。平均年龄为51.1岁，血液透析后的平均持续时间为9.1年。决策事件数为136次。六个组成部分的决策提取，如。受试者通过审时度势、审他们选择了形势和自己。毕竟，决策的结果是评估的。提取出了七种决策类型：勃起型、现实导向型、精心型、教条型、被动型、机遇型、抗拒型。
讨论
讨论了与决策质量相关的因素，如审视现实、控制自己愿望和需求的能力以及对决策的承诺。并提出了护理对策，以利于患者做出正确的选择。
UNLABELLED
The purpose of this descriptive study was to identify the components of decision-making among the dialysis patients. Subjects were a Convenience sample of hemodialysis patients who agreed to participate this study. The data was collected through semi-structured interviews was recorded on the tape and transcribed. Decision-making episodes were picked and interpreted by researchers. Data was analysed based on the Grounded Theory Approach.
RESULT
Subject were 21 patients from 4 hospitals. The mean age was 51.1 and the mean duration after the hemodialysis was 9.1 years. The number of episode of decision-making were 136. Six components of decision-making were extracted such as . The subject were making decision by examining and judging the situation and oneself, and then setting the goal. They were selecting situation and themselves. After all, the outcomes of decision-making were evaluating. Seven type of decision-making, erection type, reality-oriented type, elaborate type, dogmatic type, passive type, chance type, resistant type were extracted.
DISCUSSION
The factors which were related to the quality of decision-making were discussed such as the ability to examine the reality and control own wishes and needs, and the commitment for the decision-making. The nursing approach to facilitate the patients to make the decision were mentioned.