Resilience: A Coping Strategy for Physical and Psychological Challenges faced by Chronic Kidney Disease patients

Abeeha Imran, Rubeena Zakar, Ruhma Shahzad, Babar Hussain, R. Ahmed
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引用次数: 1

Abstract

Aim: To explore the lived experiences of patients suffering from chronic kidney disease (CKD)to understand how the physical and psychological challenges associated with the disease influenced their life and what role did resilience play to cope up with the physical and psychological challenges. Method: The present study is qualitative in nature and used the phenomenological research design to study the lived experiences of CKD patients. Thirty seven participants were selected through purposive sampling from the nephrology departments of three government hospitals of Lahore which included Jinnah Hospital, Sheikh Zayed Hospital and General Hospital. Data was collected through in-depth interviews. Results: The study revealed that resilience is a major factor which helps to cope up with the physical and psychological challenges associated with CKD by reducing stress, developing a positive self-image, encouraging to fight back, finding alternative treatment options and increasing the will power of CKD patients. Practical implications: Findings of the present study will be helpful for the health care professionals and clinical psychologists to develop strategies and training programs which can increase resilience among patients. Training the patients and care givers regarding how to fight with CKD will lead to an improvement in their quality of life. Conclusion: Resilience enables CKD patients to have a self-worth and brings them back to life by motivating them to participate in the normal activities of life. On the basis of these results, it is expected that this factor can be helpful for the health care professionals, caregivers and patients themselves in order to minimize the negative impacts of the disease through counseling. Keywords: Chronic kidney disease, Resilience, Physical challenges, Psychological challenges
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弹性:慢性肾病患者面对生理和心理挑战的应对策略
目的:探讨慢性肾脏疾病(CKD)患者的生活经历,以了解与疾病相关的生理和心理挑战如何影响他们的生活,以及恢复力在应对生理和心理挑战方面发挥了什么作用。方法:本研究采用定性研究方法,采用现象学研究设计对CKD患者的生活经历进行研究。通过有目的抽样,从拉合尔三家政府医院(包括真纳医院、谢赫扎耶德医院和综合医院)的肾脏病科选出37名参与者。通过深度访谈收集数据。结果:研究表明,恢复力是一个主要因素,通过减轻压力、建立积极的自我形象、鼓励反击、寻找替代治疗方案和增强CKD患者的意志力,有助于应对与CKD相关的生理和心理挑战。实践意义:本研究结果将有助于卫生保健专业人员和临床心理学家制定提高患者心理弹性的策略和培训计划。培训患者和护理人员如何与CKD作斗争将会改善他们的生活质量。结论:弹性使CKD患者具有自我价值,并通过激励他们参与正常的生活活动使他们恢复生活。在此基础上,期望这一因素能对医护人员、护理人员和患者本身有所帮助,以便通过咨询将疾病的负面影响降到最低。关键词:慢性肾病,恢复力,生理挑战,心理挑战
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