Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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Experience of Dialysis in Long-Term Hemodialysis Patients

장기혈액투석환자의 투석경험

  • Received : 2018.01.23
  • Accepted : 2018.04.06
  • Published : 2018.04.30
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Abstract

This study is a qualitative investigation that used Colaizzi's (1978) phenomenological method to evaluate the meaning and nature of the experience of dialysis of eight long-term (>30 years) hemodialysis patients with chronic renal failure. Data were collected from February 27, 2017 to May 30, 2017 by in-depth interviews. Respondents were then divided into three categories, 'entirely different life', 'getting back up again' and 'focusing on survival' with nine theme clusters and 22 themes. In general, patients initially experienced an entirely different life and overcame a difficult situation when beginning dialysis, then came to know methods for self-care, shared the experience of dialysis, and focused on survival while receiving dialysis over the long-term. Development of variety of education methods depending on long-term experience of dialysis and nursing care intervention to enable chronic patients to adapt to dialysis and continue their own self-management is necessary.

본 연구는 만성신부전으로 30년 이상 혈액투석치료를 받는 8명의 환자를 대상으로 투석경험의 의미와 본질을 탐색하고자 Colaizzi(1978)의 현상학적 방법을 적용한 질적 연구이다. 2017년 2월 27일부터 5월 30일 까지 심층면담에 의한 자료를 수집하였다. 연구결과 장기간 혈액투석환자의 투석경험은 전혀 다른 삶의 시작의 범주는 '힘든 투석생활', '투석치료라는 굴레에 매임', '끝나버린 이전의 삶', 다시 일어서는 삶의 범주는 '투석을 받아들임', '힘이 되는 울타리', '사회생활로 다가서는 삶', 현존하는 삶의 범주는 '투석경험을 나누는 삶', '피할 수 없는 신체적 한계', '살고자 하는 마음가짐'의 3개의 범주와 9개의 주제모음과 22개의 주제로 도출되었다. 장기간 혈액투석환자의 투석경험은 전혀 다른 삶으로 시작되는 초기 투석경험을 통해 힘듦을 이겨내고 각 개인에 맞는 자기 관리 방법을 알고 투석경험을 나누며 장기간의 투석생활을 현존의 삶으로 이어가고 있었다. 혈액투석간호는 투석경험에 따른 다양한 교육방법의 개발과 만성질환자의 투석에 대한 적응 및 지속적인 자기관리 향상을 가져오는 간호가 필요하다.

Keywords

References

  1. Current Renal Replacement Therapy in Korea-Insan Memorial Dialysis Registry, ESRD Registry Committee, Korean Society of Nephrology, 2017.
  2. E. H. Ann, V. B Julie, A Comparison of Temporal Patterns of Fatigue in Patients on Hemodialysis. Nephrol Nurs J., vol. 43, no. 2, pp. 129-139, 2016.
  3. F. F. Bourbonnais, & K. F. Tousignant. The pain experience of Patients on maintenance hemodialysis. Nephrology Nursing Journal., vol. 39, no. 1, pp. 13-19, 2012.
  4. V. G. Guerrerro, M.d.P, Camargo Plazas, B. L. Cameron, A. V. Santos Salas. C. G. Cofre Gonzalez, Understanding the Life experience of people on hemodialysis: adherence to treatment and quality of life. Nephrology Nursing Journal, vol. 41, no. 3, pp. 289-298, 2012.
  5. S. H, Yoon, S. S. Kim, Influence of Depression, Hope, and Social Support on Suicidal Ideation in Renal Dialysis Patients. The Journal of Korean Academic Society of Adult Nursing, vol. 24, no. 3, pp. 209-218, 2012. DOI: https://doi.org/10.7475/kjan.2012.24.3.209
  6. Y. J. Kim, H. J. Choi, The Influence of Uncertainty and Social Support on General Well-being among Hemodialysis Patients. Korean J Rehabil Nurs, vol. 15, no. 1, pp. 20-29, 2012. DOI: https://doi.org/10.7587/kjrehn.2012.20
  7. S. J. Yun, Y. H. Lee, Factors Influencing Uncertainty in Dialysis Patient by Duration of Dialysis. Korean J Adult Nurs, vol. 24, no. 6, pp. 597-606, 2012. DOI: https://doi.org/10.7475/kjan.2012.24.6.0597
  8. J. E. Cha, M. S. Yi, Relationships between Treatment Belief, Personal Control, Depressive Mood and Health-related Quality of Life in Patients with Hemodialysis. Korean Journal of Adult Nursing, vol. 26, no. 6, pp. 693-702, 2014. DOI: https://doi.org/10.7475/kjan.2014.26.6.693
  9. H. M. Cho, E. K. Yoo, The Factors Influencing the Resilience among Hemodialysis Patients. Korean Journal of Adult Nursing, vol. 26, no. 6, pp. 614-620, 2014. DOI: https://doi.org/10.7475/kjan.2014.26.6.614
  10. N. S. Seo, S. J. Kang, J. H. Kim, S. J. Kim, Relationships between Fatigue, Sleep Disturbance, Stress, Self-efficacy and Depression in Hemodialysis Patients. Journal of Korean Clinical Nursing Research, vol. 19, no. 2, pp. 285-297, 2013. DOI: http://doi.org/10.22650/JKCNR.2013.19.2.285
  11. M. S. Park, M. Y. Kim, Work Experience of Patients Undergoing Hemodialysis. J Korean Acad Fundam Nurs, vol. 17, no. 2, pp. 149-158, 2010.
  12. E. J. Park, Y. H. Kim, H. M. Son, Adaptation Experience among Hemodialysis of Women with End-Stage Renal Disease. Journal of Adult Nursing, vol. 27, no. 5, pp. 493-504, 2015. DOI: https://doi.org/10.7475/kjan.2015.27.5.493
  13. Y. S. Kim, M. Y. Kim, The Experience of Fluid Management in Hemodialysis Patients. J Korean Acad Nurs, vol. 45, no. 5, pp. 773-782, 2015. DOI: https://doi.org/10.4040/jkan.2015.45.5.773
  14. A. G. Suhair, S. Khaled, The Lived Experience of Patient' with End Stage Renal Disease on Hemodialysis: A Phenomenological Study. International Journal of Medicine and Medical Science, vol. 47, no. 1, pp. 2051-5731, 2014.
  15. C. C. Lin, C. Y. Han, I. J. Pan, A Qualitative Approach of Psychosocial Adaptation Process in Patients Undergoing Long-term Hemodialysis. Asian Nursing Research, vol. 9, pp. 35-41, 2015. DOI: https://doi.org/10.1016/j.anr.2014.10.007
  16. A. Sturesson, & K. Ziegert, Prepare the patient for future challenges when facing hemodialysis: nurses' experiences. International Journal of Qualitative Studies on Health and Wellbeing, vol. 9, pp. 22952, 2014. DOI: https://doi.org/10.3402/qhw.v9.22952
  17. P. F. Colaizzi, Psychological research as the phenomenologist views it. In R, S. Valle & M. King,(Eds,), Existential-phenomenological alternatives for psychology, New York: Oxford University Press, pp. 48-71, 1978.
  18. E. G. Guba, & Y. S. Lincoln, Competing Paradigms in qualitative research. In N. K. Denzin & Y. S. Lincoln(Eds.), The landscape of qualitative research. Thousands Oaks, CA: Sag, 1988.
  19. C. Chantira, The Lived Experience of Patients Receiving Hemodialysis Treatment for End-StageRenal Disease: A Qualitative Study. The Journal of Nursing Research, vol. 24, no. 2, 2016.
  20. K. Charmaz, Good days, Bad days: The self in chronic illness and time. New Brunswick, NJ: Rutgers University Press, 1991.
  21. E. K. Yang, I. O. Kim, Hemodialysis Patients' Experience of Adapting to Dietary Therapy, Korean Journal of Adult Nursing, Vol. 28, No. 3, pp. 323-333, 2016. DOI: https://doi.org/10.7475/kjan.2016.28.3.323
  22. A. Cupisti, V. Ferretti, C. D. Alessandro, I. Petrone, A. D. Giorgio, M. Meola, V. Panichi, P. Conti, A. Lippi, R. Caprioli, & A. Capitanini, Nutritional Knowledge in Hemodialysis Patients and Nurses: Focus on Phosphorus Journal of Renal Nutrition, pp. 1-6. 2012.
  23. R Zabel, S. Ash, N. King, P. Juffs, & J. Bauer. Relationships between appetite and quality of life in hemodialysis patients. Appetite, vol. 59, pp. 194-199, 2012. DOI: https://doi.org/10.1016/j.appet.2012.02.016
  24. L. C. Ma, H. J. Chang, Y. M. Liu, H. L. Hsieh, L Lo, M. Y. Lin, & K. C. Lu, The relationship between health-promoting behaviors and resilience in patients with chronic kidney disease. The Scientific World Journal, 124973, 7, 2013. DOI: https://doi.org/10.1155/2013/124973
  25. P. Salonen, M. T. Tarkka, P. L. Kellokumpu-Lehtinen, A. M. Koivisto, P. Aalto, & M. Kaunonen, Effect of social support on changes in quality of life in early breast cancer patients: a longitudinal study. scandinavian Journal of Caring Sciences, 2792, pp. 396-405, 2013. DOI: https://doi.org/10.1111/j.1471-6712.2012.01050.x
  26. C. M. Weil, Exploring hope in patients with end stage renal disease on chronic hemodialysis. Nephrology Nursing Journal, Vol. 27, No. 2, pp. 219-224, 2000.
  27. A. E. Nazly, M. Ahmad, C. Musil, M. Nabolsi, Hemodialysis stressors and coping strategies among Jordanian patients on hemodialysis: a qualitative study. Nephrology Nursing Journal, Vol. 40, No. 4, pp. 321-7, 2013.
  28. P. Prezerakos, P. Galanis, & I. Moisoglou, The work environment of haemodialysis nurses and its impacton patients' outcomes. International Journal of Nursing Practice, vol. 21, no. 2, pp. 132-140, 2015. DOI: https://doi.org/10.1111/ijn.12223

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