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혈액투석 환자가 경험한 '좋은 간호'

The 'Good Nursing' Experienced by Hemodialysis Patients

  • 염은이 (청운대학교 간호학과) ;
  • 김미영 (이화여자대학교 건강과학대학 간호학부)
  • Yeom, Eun Yi (Department of Nursing, Chungwoon University) ;
  • Kim, Miyoung (Division of Nursing Science, College of Health Sciences, Ewha Womans University)
  • 투고 : 2013.12.31
  • 심사 : 2014.06.01
  • 발행 : 2014.06.30

초록

Purpose: The purpose of this study was to explore the meaning and essence of good nursing from the perspective of patients undergoing hemodialysis. Methods: The data were collected through in-depth interviews of five hemodialysis patients who have been dialyzed for one year or longer. The data analysis was conducted using the Giorgi's phenomenological method. Results: The findings included six constituents and 13 sub-constituents. The six constituents were 'prompt and skillful response to mitigate distress', 'careful attention to provide relief', 'individualized education to promote self-management', 'an intimate relationship to regain isolated ego', 'warmhearted support to encourage strength to live in a exhausting life', and 'providing of comfortable environment to maintain stability'. Conclusion: From the perspective of the hemodialysis patients, the concept of good nursing should stem from the integration of nurses' scientific knowledge, expert skills, and moral sensitivity. The finding suggests that strategies to develop nursing interventions for hemodialysis patients will be required on the basis of understanding of their sociocultural contexts and familism.

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참고문헌

  1. Argentero, P., Dell' Olivo, B., & Ferretti, M. S. (2008). Staff burnout and patient satisfaction with the quality of dialysis care. American Journal of Kidney Diseases, 51, 80-92. http://dx.doi.org/10.1053/j.ajkd.2007.09.011
  2. Barnett, T., Yoong, T. L., Pinikahana, J., & Si-Yen, T. (2008). Fluid compliance among patients having haemodialysis: Can an educational programme make a difference?, Journal of Advanced Nursing, 61, 300-306. http://dx.doi.org/10.1111/j.1365-2648.2007.04528.x
  3. Bayoumi, M., & Alwakeel, J. (2012). Hemodialysis patients needs priorities according to Maslows' hierarchy and quality of life. Journal of Palliative Care & Medicine, 2 , 106-110. http://dx.doi.org/10.4172/2165-7386.1000106
  4. Bokarius, A., Ha, K., Poland, R., Bokarius, V., Rapaport, M. H., & IsHak, W. W. (2011). Attitude toward humor in patients experiencing depressive symptoms. Innovations in Clinical Neuroscience, 8(9), 20-23.
  5. Bourbonnais, F. F., & Tousignant, K. F. (2012). The pain experiences of patients on maintenance hemodialysis. Nephrology Nursing Journal, 39(1), 13-19.
  6. Cho, C. H., Woo, H. J., Cho, Y. S., Choi, Y. O., Kim, M. S., Lee, E. H., et al. (1999). The needs for the nursing care in hemodialysis patients. The Chung-Ang Journal of Nursing, 3(2), 59-72.
  7. Davison, S. N., & Jhangri, G. S. (2010). Existential and supportive care needs among patients with chronic kidney disease. Journal of Pain and Symptom Management, 40, 838-843. http://dx.doi.org/10.1016/j.jpainsymman.2010.03.015
  8. De Boer, D., Delnoij, D., & Rademakers, J. (2010). Do patient experiences on priority aspects of health care predict their global rating of quality of care? A study in five patient groups. Health Expect, 13, 285-297. http://dx.doi.org/10.1111/j.1369-7625.2010.00591.x
  9. Dermody, K., & Bennett, P. N. (2008). Nurse stress in hospital and satellite haemodialysis units. Journal of Renal Care, 34(1), 28-32. https://doi.org/10.1111/j.1755-6686.2008.00007.x
  10. Erdenen, F., Curuk, S., Karsidag, C., Muderrisoglu, C., Besler, M., Trabulus, S., et al. (2010). Evaluation of disability, anxiety and depression in hemodialysis patients. Nobel Medicus, 6(1), 39-44.
  11. Giorgi, A. (2009). The descriptive phenomenological method in psychology: A modified Husserlian approach. Pittsburgh, Pennsylvania: Duquesne University Press.
  12. Hughes, J., Wood, E., & Smith, G. (2009). Exploring kidney patients' experiences of receiving individual peer support. Health Expectations, 12, 396-406. http://dx.doi.org/10.1111/j.1369-7625.2009.00568.x
  13. Kara, B., Caglar, K., & Kilic, S. (2007). Nonadherence with diet and fluid restrictions and perceived social support in patients receiving hemodialysis. Journal of Nursing Scholarship, 39, 243-248. http://dx.doi.org/10.1111/j.1547-5069.2007.00175.x
  14. Karlsson, M., Bergbom, I., von Post, I., & Berg-Nordenberg, L. (2004). Patient experiences when the nurse cares for and does not care for. International Journal for Human Caring, 8(3), 30-36.
  15. Kim, H. B., Boek, K. S., & Choi, K. S. (2003). The coping experience of hemodialysis patients. The Chung-Ang Journal of Nursing, 18(3), 310-316.
  16. Kim, S. J., & Kim, H. S. (2011). The difference between nursing demand and perceived nursing performance in hemodialysis patients. The Korean Journal of Fundamentals of Nursing, 18(3), 310-316.
  17. Kong, B. H. (2007). Ethics of caring in the aesthetic communication. Kant-studien, 19, 101-126.
  18. Kvale, K., & Bondevik, M. (2010). Patients' perceptions of the importance of nurses' knowledge about cancer and its treatment for quality nursing care. Oncology Nursing Forum, 37(4), 436-442. https://doi.org/10.1188/10.ONF.436-442
  19. Lee, J. S., Kim, K. S., Kim, M. Y., Byun, J. H., Oh, S. B., & Koo, B. J. (2004). A study on expected nursing role in hemodialysis patients and nurses. Journal of Clinical Nursing Research, 7, 45-62.
  20. Licoln, Y. S., & Guba, E. G. (1985). Effective evaluation(4th ed.). San Francisco: Jossey-Bass.
  21. Nelson Danquah, F. V., Zimmerman, L., Diamond, P. M., Meininger, J., & Bergstrom, N. (2010). Frequency, severity, and distress of dialysis-related symptoms reported by patients on hemodialysis. Nephrology Nursing Journal, 37(6), 627-639.
  22. Park, J. S., Lee, H. S., Lee, S. Y., Im, H. B., & Oh, H. S. (2011). Relationship between knowledge and adherence to selfmanagement guidelines, and influencing factors of adherence for hemodialysis patients. Korean Academic Society of Rehabilitation Nursing, 14(1), 39-46.
  23. Shin, M. H. (2007). A comparative study on perceived importance and perceived satisfaction about nursing activities among hemodialysis patients. Unpublished master's thesis, Chonnam National University, Gwangju.
  24. Smith, J. A. (1996). Beyond the divide between cognition and disclosure: Using interpretative phenomenological analysis in health psychology. Psychology & Health, 11, 261-271. https://doi.org/10.1080/08870449608400256
  25. The Korean Society of Nephrology. (2012). Current renal replacement therapy in Korea. Retrieved December 15, 2013, from http://www.ksn.or.kr/journal/2013/index.html
  26. Thorsteinsson, L. S. (2002). The quality of nursing care as perceived by individuals with chronic illness: The magical touch of nursing. Journal of Clinical Nursing, 11 , 32-40. http://dx.doi.org/10.1046/j.1365-2702.2002.00575.x
  27. van der Veer, S. N., Jager, K. J., Visserman, E., Beekman, R. J., Boeschoten, E. W., de Keizer, N. F., et al. (2012). Development and validation of the consumer quality index instrument to measure the experience and priority of chronic dialysis patients. Nephrology Dialysis Transplantation, 27 , 3284-3291. http://dx.doi.org/10.1093/ndt/gfs023
  28. Wasserfallen, J. B., Moinat, M., Halabi, G., Saudan, P., Perneger, T., Feldman, H. I., et al. (2006). Satisfaction of patients on chronic haemodialysis and peritoneal dialysis. Swiss Medical Weekly, 136(13), 210-217.

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  3. Chronically Ill Patients' Perception of Hospital Nurses vol.48, pp.3, 2018, https://doi.org/10.4040/jkan.2018.48.3.311
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  5. 성별에 따른 혈액투석 환자의 삶의 만족도에 미치는 영향요인 vol.17, pp.8, 2017, https://doi.org/10.5392/jkca.2017.17.08.631
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  7. Predictors Influencing of Medication Adherence in Hemodialysis Patients vol.31, pp.3, 2014, https://doi.org/10.7475/kjan.2019.31.3.283
  8. Patients' and Nurses' Perceptions of What Constitutes Good Nursing Care: An Integrative Review vol.34, pp.2, 2014, https://doi.org/10.1891/rtnp-d-19-00070
  9. 혈액투석 환자의 생의 의미에 영향을 미치는 요인 vol.22, pp.1, 2014, https://doi.org/10.5762/kais.2021.22.1.743