Exploring Processes through which Haemodialysis Patients Develop Perspectives Towards the Improvement of Self-Care Ability

2022 Fiscal Year Final Research Report

• Project/Area Number: 21K21163
• Research Category: Grant-in-Aid for Research Activity Start-up
• Allocation Type: Multi-year Fund
• Review Section: 0908:Society medicine, nursing, and related fields
• Research Institution: Gifu University
• Principal Investigator: KURIHARA Kayo (大橋佳代) 岐阜大学, 医学部, 助教 (60910057)
• Project Period (FY): 2021-08-30 – 2023-03-31
• Keywords: 血液透析患者 / セルフケア / 見通し / 質的記述的研究

Outline of Final Research Achievements

The purpose of this study is to qualitatively and descriptively clarify the process of how patients develop their own ‘perspectives’.
A semi-structured interview was conducted with haemodialysis patients. Modified Grounded Theory Approach (M-GTA) was used in the analysis. Six patients were interviewed. 13 concepts and 3 categories were generated. Haemodialysis patients were forced to look ahead to an unstable future but concentrated on the present to try overcome it. In their daily life, to recuperate patients accumulated small prospects, while repeating trial and error, relying on their own physical sensations and blood test data.

Free Research Field

看護学

Academic Significance and Societal Importance of the Research Achievements

血液透析患者のセルフケア能力向上に向けた研究が数多く行われている中で、患者の“見通し”に着目した研究はない。したがって、本研究結果は血液透析患者のセルフケア能力向上に向け、“見通し”という新たな概念を活用するための基盤的研究としての意義がある。
本研究結果は、血液透析患者が見通しを持つために必要な要素および患者が見通しを持つことを阻害する要素を明らかにしたといえる。よって今後は本成果を活用し、患者が見通しを持てるような看護支援を検討・実施し、その効果を検証していくことができると考える。