解释性现象学研究 探索为什么功能衰竭患者对移植说不
Emma Jones1, Leah McLaughlin2, Kate Shakespeare3
1Cardiff and Vale University Health Board, Cardiff, UK.
Journal of advanced nursing
|October 21, 2025
概括
许多人在仔细考虑个人经历和感知到的风险后,拒绝进行移植. 了解这些明智的决策对于以患者为中心的护理和功能衰竭治疗中的共享决策至关重要.
科学领域:
- 质量健康研究 质量健康研究
- 移植科学 移植科学
- 患者决策研究的研究.
背景情况:
- 移植是衰竭的首选治疗方法.
- 了解患者拒绝移植的情况对于改善护理至关重要.
- 之前的研究还没有充分探讨移植减少的多方面的原因.
研究的目的:
- 探索拒绝移植的个体对决策的深入感知和经验.
- 确定拒绝移植机会背后的原因.
主要方法:
- 定性解释性现象学分析由计划行为理论提供信息.
- 与30名拒绝脏移植的英国成年人进行半结构面试 (2022年8月 - 2023年6月).
- 数字录制的采访的文字转录和分析.
主要成果:
- 对大多数参与者来说,反对移植的决定是具体的.
- 出现了四个横跨主题:过去的负面经历的影响,负面态度/信念,对移植的偏好,以及对衰退的感知好处.
- 从以前的负面经历中产生不信任,对移植失败的恐惧,被认为不适合年龄,以及COVID-19的担忧影响了决策.
结论:
- 反对移植的决定是经过仔细考虑的,多方面的,并根据个人经验,风险和价值观作出决定.
- 认识到这些因素对于以患者为中心的护理和共同决策至关重要.
- 护士主导的教育应该平衡促进移植,同时尊重患者的自主权.
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