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The pain experienced by ultra-long-term hemodialysis patients and the resilience that supported the dialysis life Keyword: 血液透析 , レジリエンス , 血液透析に伴う痛み , 療養生活の体験 , hemodialysis , resilience , pain associated with hemodialysis , experience of the life under medical treatment pp.65-75
Published Date 2022/10/31
DOI https://doi.org/10.11477/mf.7003200275
  • Abstract
  • Reference

 We conducted semi-structural interviews with three study participants to understand the pain associated with hemodialysis experienced by ultra-long-term dialysis patients and the resilience that supported their dialysis life.

 We found multiple kinds of pain associated with hemodialysis. These include physical pain: [puncture pain][symptoms due to complications], mental pain: [mental distress when introducing dialysis][anxiety about marriage and childbirth][the pain of having to give top priority to dialysis], social pain: [being tied to a bed, limited time][social pressure][a burden on the family][patient relationships], and spiritual pain: [loss of hope to live][awareness of death].

 The findings show that resilience helped overcome such pain and difficulties. Some examples of resilience were [I can be confident and strong by accumulating the experience I have overcome] and [I take my personality and values positively]. Additionally [the support of family members, dialysis colleagues, and medical staff][acquire a role as a patient][finding meaning and value in work][accepting fate][laugh with everyone] and [valuing the present] are also significant factors.

 Based on these results, we believe that ultra-long-term dialysis patients can experience recovery supported by resilience and live positively. Hence, it is important for nurses to understand the life experience and resilience of patients living with dialysis and to support their recovery process. While believing in the resilience of an individual, it is important to take a holistic view of the pain and suffering that the person is facing and to support them closely.


Copyright © 2022, JAPAN ACADEMY OF NEPHROLOGY NURSING. All rights reserved.

基本情報

電子版ISSN 2758-8203 印刷版ISSN 1344-7327 日本腎不全看護学会

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