加纳慢性功能衰竭 (CRF) 患者的经验和应对策略:现象学研究
Emmanuel Abu Bonsra1, Princess Yesutor Atsrim2, Alex Korankye3
1Department of Population and Behavioural Sciences, Fred N. Binka School of Public Health, University of Health and Allied Sciences, Hohoe, Ghana.
PLOS mental health
|February 9, 2026
概括
慢性功能衰竭 (CRF) 患者面临着重大的情绪,身体和财务挑战. 他们利用应对策略,如接受,情绪表达和信仰来管理他们的状况并改善结果.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 心理学 心理学 心理学
- 社会学 社会学 社会学
背景情况:
- 慢性功能衰竭 (CRF) 在全球范围内给患者带来了相当大的身体,情感和心理社会负担.
- 有限的医疗保健和财务限制加剧了CRF患者所面临的挑战.
- 了解患者的经历和应对机制对于有效的管理至关重要.
研究的目的:
- 探索加纳慢性功能衰竭患者的生活经历.
- 确定这些患者使用的应对策略.
- 为医疗保健干预提供信息,以改善患者的治疗结果.
主要方法:
- 使用了定性现象学设计.
- 进行了深入的访谈,对有目的地选择的患者进行了深入的访谈.
- 在ATLAS.ti的帮助下,使用专题分析来分析专题网络中呈现的采访成绩单.
主要成果:
- 两个主要主题出现了:生活经历 (情绪上的痛苦,身体上的挑战,经济上的困难) 和应对策略 (情绪上的应对,逃避,宗教信仰,接受).
- 患者在诊断后报告了最初的冲击,痛苦,抑郁,焦虑和自杀想法.
- 财务压力和有限的透析接入加剧了负担,但接受和适应性应对促进了弹性.
结论:
- 慢性功能衰竭显著影响患者的情感,身体和财务福祉.
- 患者使用各种各样的应对策略,包括接受,情绪表达,回避和宗教信仰.
- 加纳卫生服务部门应优先考虑个性化干预和诊断后咨询,以提高应对能力和患者的结果.
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