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Life Adjustments of Elderly Hemodialysis Patients for Continuing to Attend Dialysis Facility

Life Adjustments of Elderly Hemodialysis Patients for Continuing to Attend Dialysis Facility

作     者:Utako Shimizu Momoe Sakagami Mieko Uchiyama Hagiko Aoki 

作者机构:School of Sciences Faculty of Medicine Niigata University Niigata Japan 

出 版 物:《Open Journal of Nursing》 (护理学期刊(英文))

年 卷 期:2015年第5卷第10期

页      面:878-884页

学科分类:1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

主  题:Elderly Hemodialysis Patient Living Support Qualitative Research 

摘      要:This study aimed to elucidate elderly patients’ recognition of and life adjustment to attending dialysis facilities, and then to discuss factors for enabling such patients to continue attending dialysis facilities. Semi-structured interviews were conducted with 15 participants and interview data were analyzed using the modified grounded theory approach. The study was approved by the Ethical Review Board of Niigata University School of Medicine. The interview data yielded 21 concepts, comprising 2 categories and 7 subcategories. Patients who find themselves in a “Difficult Lifestyle often try to maintain their health and lifestyle by using required support for hemodialysis patients. Factors for continuing to attend dialysis facilities were the ability to cope with the Difficult Lifestyle and to adjust to Hemodialysis as a Life Priority. It is thought that switching from a model of economic security to one of providing living support will be effective for maintaining elderly dialysis patients’ life with only limited expenses. Additionally, it is necessary to consider the utilization of existing services.

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