接受父母供肾移植患者术后心理体验的质性研究  

A qualitative research on postoperative psychological experiences of patients underwent kidney transplant donated by his/her parent

作　　者：孙胜红[1] 刘安诺[1] 金宗兰[2] 申振[2] 刘鸿雁[1] 宫娟[2] 汪璐璐[1] 

机构地区：[1]安徽医科大学护理学院,合肥市230022 [2]安徽医科大学第一附属医院泌尿外科

出　　处：《中华护理杂志》2017年第4期395-399,共5页Chinese Journal of Nursing

摘　　要：目的探讨接受父母供肾移植患者术后心理体验,明确个体成长中心理征象和心路历程。方法对17例父母供肾移植患者采用半结构式深入访谈,访谈资料应用Giorgi分析法分析整理。结果术后患者心理体验包括创伤后成长、解构生命意义、感念感恩、希望与挑战并存4个主题。结论接受父母供肾移植患者术后心理体验复杂,既有因疾病康复、生活质量改善而产生的积极心理,也有因关注供体健康、害怕并发症和排斥反应、缺乏完善的支持系统而产生的负性情感,医护人员应引导患者调整认知和行为方式,直面生活事件,整合医疗社会支持资源,增强患者面对未来生活的心理资本。Objective To investigate postoperative psychological experiences of patients underwent kidney transplant donated by his/her parent,and to discover mental signs and psychological journey in individual growth. Methods Semi-structured in-depth interviews were conducted among 17 patients underwent kidney transplant do- nated by his/her parent,and Giorgi analysis method was used to analyze data. Results The postoperative psycho- logical experiences of patients mainly contained 4 aspects：posttraumatic growth,rebuilding meaning of life,being grateful for experience ,coexisting of hope and challenge. Conclusion The patients have complex psychological ex- periences,having positive aspects derived from rehabilitation and improved quality of life,as well as negative as- pects derived from concerning health of the donor,fear for complication and rejection,and lack of sound supporting system. Medical staff should guide patients to adjust cognitive and behavioral patterns and face life events directly, integrate medical/social support resources and enhance patients＇ psychological capital to face future life.

关 键 词：肾移植 病人 心理体验 质性研究 

分 类 号：R473.6[医药卫生—护理学]