血液透析初期患者的内心体验.pdfVIP

论 著 论 著 Research Paper Research Paper 血液透析初期患者的内心体验 田君叶 孙文秀 刘钟缘 周建浩 于重燕 [ 摘 要 ] ?目 的 ：深 入 了 解 血 液 透 析 初 期 患 者 内 心 真 实 感 受 ， 从 而 有 针 对 性 地 提 供 心 理 护 理 服 务。 方 法 ：对 9 名 血 液 透 析 初 期的患者进行个体化的深入访谈，使用定性资料的内容分析法进行资料分析。结果 ：血液透析初期患者的内心体验分为消极悲 观的负性情绪和积极乐观的正性情绪。负性情绪包括抑郁绝望、烦恼焦虑、恐惧害怕、愤怒抗拒、抱怨自责、悔恨不已。正性 情绪包括坦然接受、充满希望和寻求信息。结论 ：血液透析初期患者负性情绪明显，应针对患者的负性情绪，在了解其需求的 基础上，为其提供个体化的护理服务。 [ 关键词 ] 血液透析 ；心理体验 ；护理 ；质性研究 [ 中图分类号 ] R47 [DOI] 10.3969/j.issn.1672-1756.2015.07.010 The qualitative research on the feelings of patients at the beginning of the hemodialysis / TIAN Junye, SUN Wenxiu, LIU Zhongyuan, ZHOU Jianhao, YU Chongyan // Nephrology Department, Peking University First Hospital, Beijing, 100034 China /// Chinese Nursing Management-2015,15(7): 804-807 [Abstract] Objective: To describe the feelings of patients at the beginning of the hemodialysis and provide the bases for individualized psychological care. Methods: The in-depth interview was conducted on 9 patients at the beginning of the hemodialysis individually. The data were analyzed by qualitative content analysis method. Results: The feelings of patients in the early stage of hemodialysis included negative emotions and positive emotions. The negative emotions were despair, anxiety, fear, anger or resistance, complaint, remorse. The positive emotions were accepted, ho