肾移植患者术后心理社会需求模型的建立

The Establishment of the Model of Psychological and Social Needs for Patients Having Received Kidney Transplant Surgery

目的建立肾移植患者术后心理社会需求模型,了解肾移植患者术后心理需求被满足的情况,以及这些需求的影响因素。方法采用质性研究的方法,选取重庆市某医院10例肾移植患者作为研究对象。术后进行非结构式访谈;运用Colaizzi的现象学资料7步分析法分析资料,最后建立患者的心理社会需求模型。结果患者需求模型的核心是安全感,包括4个主题,即适应、知情、控制和信任;安全感受到亲友、医务人员和信念的影响。结论肾移植患者术后的核心心理需求是安全感。安全感的提高需要借助亲友、医务人员和患者自身信念的力量,着重增强患者的适应能力、控制感和对医务人员的信任度,同时还应满足患者的知情需求。

Objective To establish the model of psychological and social needs for patients having received kid- ney transplant surgery, and to understand the state of satisfaction of psychological needs on the part of the pa- tients having received kidney transplant surgery as well as the factors of influence to those needs. Method To adopt a qualitative research method and select 10 cases of patients having received kidney transplant surgery at certain hospital in Chongqing as the object of the research. To conduct non-structural interviews with them af- ter their surgeries, analyze relevant information by the 7-step analytical measure of the phenomenological in- formation of Colaizzi, and finally to establish the model of psychological and social needs for the patients. Re- suits The model of patientst needs centers on the sense of security, which includes four themes i.e. adaption, being informed, control, and trust. The sense of security is affected by factors such as one＇s family and friends, medical personnel, and onets faith. Conclusion The core psychological needs of patients having re- ceived kidney transplant survey is the sense of security whose enhancement requires an enlistment of the strengths of the patients＇ families and friends, medical personnel, and the faith of the patients themselves, and shall focus on the improvement of the patients adaptability, feeling of being in control, the degree of trust to the medical staff, and meet the informed demand.