| Summary: | 碩士 === 高雄醫學院 === 護理學研究所 === 85 === The purpose of this study is to investigate the health-
seeking experiences of End Stage Renal Disease(E.S.R.D.)patients
before they receive dialysis to understand their types of
health-seeking patterns,the influential factors and the changes
of options of dialysis treatments.A retrospective interview and
content analysis were done to eight E.S.R.D. patients,who came
to receive dialysis for their first time in one of the South
Medical Centers. The result shows that the patirnts''
experiences of seeking health can be divided into four stages:
the body symptoms,the reactions,the outside interruptions and
the treatment outcomes,and these four stages make up the cycle
for health-seekin process.The body symptoms include changes of
body sensation,body structures,and body functions.The reactions
contain three aspects:1.cognitive reaction,2.emotional
reaction,3.active reaction.The outside interruptions contain
themembers of medicial systems and patients''social support
systems which mayprovide them with illness information,hospital
names,medical options,and decisio power.If the symptoms become
worse,the patients will come for the next heaith--seeking cycle.
The main type of health-seeking for those eight patients is
mutiple dimentionaltreatments.They all expected to be cured
without dialysis treatments and have doctor-shopping behavior.
The outside interruptions and patients''negative emotion reaction
are the main influential factors.The fear to face career patient
stasus is the main reason for patients to refuse to have
dialysis.However,they all receive dialysis because of the
uremic syndrome and the threat of death.Therefor,patients,
physicians and nurses should have the cognition that patients
need to learn how to control the disease and live with the
disease.Form consultancy , physicians and nurses should
understand patients and their social support system disease
explanatory models,emotion reaction,treatment experiences,and
their expectations for treatments.Through the consultancy,we may
also strength the trust relationships between patients and
medical-nursing staffs.
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