معنای گذار به همودیالیز: مطالعه کیفی

Aims: Transition is­ a passage or movement from one stage of life, condition, or place to another. Chronic patients somehow experience transition and nurses have an important role in supporting them. This study was aimed to explore the meaning of transition to hemodialysis. Methods: In this qualitative research, hemodialysis purposeful sampling and then theoretical sampling had been continued until data saturation (۱۳ people). Participants were hemodialysis patients that were referring to affiliated hospitals with Shahid Beheshti University of Medical Sciences and persons being in direct and close touch with them in ۲۰۱۲. Semi-structured interviews were undertaken and field notes and memos were used for data collection. The data were analyzed by content analysis. Data rigor was confirmed by Lincoln & Goba criteria. Ethical considerations were observed. Results: The participants showed dual meanings of transition to hemodialysis (positive & negative). Categories of recovery & healing way, an opportunity for interaction, an opportunity for learning, a hope point, God’s gift, and renewal life demonstrated positive meanings of transition to hemodialysis. Categories of valueless of hemodialysis, useless living with hemodialysis, life bitterness with hemodialysis, and hardship of living with hemodialysis and tragedy of life with hemodialysis, demonstrated negative meanings of transition to hemodialysis. Conclusions: Considering complexity and multidimensionality of transition and influences of means associated with transition and formation of intensity and nature of the consequences that clients experience, must be relied on reinforcing positive meanings of transition to hemodialysis in nursing care.

کلیدواژه ها:

Transition ، Meaning ، Hemodialysis ، Nursing ، گذار ، معنا ، همودیالیز ، پرستاری ، مطالعه کیفی