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A Retrospective Study of Adolescent Self-Decision Making Among Clients with Chronic Renal Disease 1The Japanese Red Cross Kyushu International College of Nursing Keyword: 思春期 , 慢性腎疾患 , 慢性疾患患児 , 自己決定 , Adolescence , Chronic renal disease , Adolescent with CRD , Self-decision making pp.52-57
Published Date 2003/11/15
DOI https://doi.org/10.11477/mf.7003100155
  • Abstract
  • Reference

 The purpose of the present study was to examine decision-making among adolescent chronic renal disease (CRD) patients in order to improve nursing care among this population. A retrospective design was employed. Five adults with CRD were recruited from a renal dialysis center. After receiving informed consent, subjects were interviewed by the principal investigator using a semi-structured interview format and asked to describe their treatment-related feelings during the period they were adolescents with CRD. Qualitative content analysis of the interview data revealed that in retrospect, adult clients now felt that as adolescents they had: 1. lacked the ability to fully comprehend their disease and treatment, 2. lacked the ability to express their anxiety and psychological distress, and yet 3. felt a strong urge to make autonomous decisions about their life. Subjects reported that feeling in control of their life and being respected were very important to them at that time. The findings suggest that nursing care of adolescents with CRD should include the following: enabling adolescents to make informed decisions regarding their treatment options, teaching the family members how to support the autonomy and independence of the client, awareness of normal adolescent developmental stages, and creating an atmosphere which fosters client independence in decision-making in every day life.


Copyright © 2003, JAPAN ACADEMY OF NEPHROLOGY NURSING. All rights reserved.

基本情報

電子版ISSN 印刷版ISSN 1344-7327 日本腎不全看護学会

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