末期腎疾病患者接受透析治療的調適過程

The Coping Process of End-Stage Renal Disease Patients with Dialysis Treatment

此篇文章主要是描述末期腎病患者接受透析的心理調適及照護建議。筆者綜合文獻查證及紀錄與15位接受透析患者的互動過程，將患者接受透析治療的心理調適歸類成：面對透析治療的反應、被迫接受透析治療、長期透析生活的調適等三部分。此外也提出護理人員在面對即將透析的患者時，需同理其心理衝擊且協助患者即早接受透析治療，避免嚴重合併症發生，並引導患者坦然面對長期透析引發的衝擊，以因應未來透析生活。

This article described the coping process of patients with End Stage Renal Disease. Based on the review of related literatures and the records from the nurses interactions with patients and families, the coping process were found with three stages. They were facing dialysis phase, accept dialysis, face to maintenance dialysis. In addition, nurses need to have empathy on the patient's psychological impacts when they take care the patient under dialysis treatment to deeply think of an individual's belief and value, and to help the patient understanding the impacts of dialysis. The optimal goal is to help them understand how to live with problems in their future life.