概括
腹腔透析 (PD) 提供患者自主权,但影响健康. 了解患者和护理人员的需求,特别是透析前,是以人为中心的病护理的关键.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 质量健康研究 质量健康研究
- 患者体验 患者体验
背景情况:
- 腹腔透析 (PD) 提供独立性,但影响患者和家人的身体,心理和社会福祉.
- 需要以人为中心的方法来解决PD患者及其非正式照顾者的多方面的需求.
研究的目的:
- 调查患有PD的成年人和他们的非正式照顾者的经验和需求.
- 探索以人为中心的方法如何更好地满足这些需求.
主要方法:
- 采用了通用描述性的定性研究设计.
- 与12名患者和4名非正式护理人员进行了半结构化访谈.
- 使用布劳恩和克拉克的方法和NVivo®软件进行的主题分析,促进了数据分析,并对患者和护理人员的数据进行三角化.
主要成果:
- 五个宏观主题出现了:"与脏疾病和PD生活"",PD的准备"",学习PD"",透析的影响"和"与护理团队的经验".
- 透析前阶段需要大量的信息,教育,共享决策,以及对心理,身体和组织调整的支持.
- 护理人员发挥着至关重要的作用,必须融入护理途径.
结论:
- 护理的连续性和强大的患者护理团队关系对于PD患者至关重要.
- 透析前的时期对于关于脏替代疗法的知情,共享决策至关重要.
- 实施以人为中心的护理模式可以在整个PD过程中增强对患者和护理人员需求的响应.
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