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腎移植レシピエントの妊娠・出産の経験と看護支援の検討

机译:肾移植受者的怀孕和分娩经历及护理支持的考虑

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摘要

【Objective】 The frequency of pregnancies among kidney transplant recipients has increased due to improvement in kidney transplant health care. Marriage, pregnancy, and childbirth are important in a woman’s life, even for kidney transplant recipients. The goal of this study was to highlight the experience of childbearing for kidney transplant recipients and to investigate methods of nursing for that condition. 【Design】 Qualitative research. 【Methods】 Data collection was performed by conducting semi-structured interviews with three mothers who had experienced pregnancy and delivered their children after kidney transplantation.The life history of each recipient was described according to the life history method, and we performed qualitative and inductive analysis. 【Results】 Four periods were considered in evaluating the experience of kidney transplantation subjects regarding pregnancy and childbirth. Recipients, who abandoned the possibility of motherhood before kidney transplantation, felt strongly that their purpose was to bear and rear children. On the other hand, since they suffered from anxiety resulting from the stress of rearing children since childbirth, it led to their poor health maintenance. 【Conclusion】 Recipients had abandoned the hope for bearing and rearing children before transplantation. However, the transplant enabled those women to experience childbirth and parenting; they appreciated such an experience and found something to live for. On the other hand, because health care gets neglected when one is busy with childcare, they were scared and afraid that their graft might get damaged. We concluded that it is necessary to transform their desire to be healthy for their child into self-health maintenance.
机译:【目的】肾移植受者妊娠频率因肾移植保健水平的提高而增加。婚姻、怀孕和分娩在女性的生活中很重要,即使对于肾移植受者也是如此。本研究的目的是强调肾移植受者的生育经历,并研究该病症的护理方法。【设计】 定性研究。【方法】对3位经历过肾移植后妊娠和分娩的母亲进行半结构化访谈,进行资料收集。根据生活史法描述每个受者的生活史,并进行定性和归纳分析。【结果】考虑4个时期评价肾移植受试者的妊娠和分娩经历。接受者在肾移植前放弃了做母亲的可能性,他们强烈地认为他们的目的是生育和抚养孩子。另一方面,由于她们从分娩开始就因抚养孩子的压力而感到焦虑,导致他们的健康维护不佳。【结论】受者在移植前放弃了生育和抚养孩子的希望。然而,移植使这些妇女能够经历分娩和育儿;他们很欣赏这样的经历,并找到了生活的意义。另一方面,由于当一个人忙于照顾孩子时,医疗保健被忽视了,他们害怕并担心他们的移植物可能会受到损害。我们得出的结论是,有必要将他们对孩子健康的愿望转化为自我健康维护。

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