Exploring the Experiences of Significant Others Providing Helping Relationship among Patients with Chronic Kidney Disease

• Main Authors: Fang-RuYueh, 岳芳如
• Other Authors: Miaofen Yen
• Format: Others
• Language: zh-TW
• Published: 2015
• Online Access: http://ndltd.ncl.edu.tw/handle/13747518149665641147

碩士 === 國立成功大學 === 護理學系 === 103 === SUMMARY The research purpose was describe how helping relationships can affect a patient’s motivation to adopt a healthy life style. This is based qualitative research analysis uses a qualitative research method, which explores how the helping relationships between early stage CKD patients and their significant others can affect diet and exercise. It adopts semistructured, openended, indepth interviews to obtain details of the respondents’ behaviors with regard to diet and exercise. For these CKD patients, helping relationships were defined as:(1) families keep company with patients when their ill, (2) family remind for dietary and exercise controls, (3) doing exercise together can improve regularity of exercise, (4) dietary and lifestyle changes between each other. The findings of this work can help healthcare professionals to better understanding how to educate and encourage patients’ significant others to improve their motivation and willingness to achieve healthier behaviors. INTRODUCTION Patients with chronic kidney disease (CKD) who have a healthy lifestyle could delay the progression of CKD and improve their quality of life. It has been shown that patients with CKD can get more emotional support from family or friends than from healthcare professionals. Moreover, the behaviors of significant others (e.g., friends, spouses, and partners) could have positive or negative effects on the dietary and exercise habits of patients. We found that if the patients’ significant others also adopt dietary control measures, then this makes it easier for patients to engage in healthier behaviors, with a greater motivation to exercise. In addition, significant others can also help to reminded patients that they should regularly take their medication, thus also improving their habits. This qualitative research aimed to describe how helping relationships can affect a patient’s motivation to adopt a healthy life style, including a better diet and more exercise. MATERIALS AND METHODS This is qualitative research method, which explores how the helping relationship between early chronic kidney disease patients and their significant others can affect health-related behaviors. It adopts semi-structured, open-ended, in-depth interviews to obtain details of the respondents’ lives. Purposive sampling is used to recruit patients diagnosed with early-stage CKD from the nephrology education departments of medical centers. Participants were eligible for inclusion if they had been diagnosed with early-stage CKD, speak Taiwanese or Mandarin, and their diet and exercise achieved stage 6 of the TTM (Transtheoretical Model). This study used the content analysis method, based on the following six steps: (1) prepare the data; (2) familiar your data; (3) define the unit of analysis; (4) definition of categories and temporary coding; (5) confirming common categories and themes; (6) Establishing categories or themes. This research meets Lincoln ＆ Guba’s four indicators of research rigor. RESULTS AND DISCUSSION The analysis of the interviews carried out in this work led to a better understanding of the role significant others can play in the lives of patients with early chronic kidney disease, including providing helping relationship. For these CKD patients, helping relationships were defined as:(1) families keep company with patients when their ill, (2) family remind for dietary and exercise controls, (3) doing exercise together can improve regularity of exercise, (4) dietary and lifestyle changes between each other. Compared with previous studies, the findings of this work reveal that the help provided by significant others can effectively change patients' behaviors, and improve how they cope with CKD. CONCLUSION This study finding Helping relationship is between patients and significant others(including family and friends), and this relationship can improve health-promoting behavior. Compared with previous studies, our study show families support are more than health professional providers. Furthermore, helping relationships are vital in mental health recovery process. The helping relationship is not only improving health-promoting behavior, but also enhancing growth of each other. This finding can help nurses to provide health education.