A Study on Resilience of Hemodialysis Patient

• Main Authors: YANG,MIN-JIE, 楊敏婕
• Other Authors: TSAI,PEI-JEN
• Format: Others
• Language: zh-TW
• Published: 2016
• Online Access: http://ndltd.ncl.edu.tw/handle/67784567458002944201

碩士 === 國立暨南國際大學 === 社會政策與社會工作學系 === 104 === Chronic illnesses, diseases that are persistent or long-lasting, have been commonly seen in the modern society. How patients use resilience for subsequent adaption is a vital issue. Hemodialysis, a typical chronic illness, features a stable course of disease and does not impose immediate danger to sufferers. The current study, therefore, focused on hemodialysis patients and adopted the grounded theory to build the resilience model for such patients. Specific purposes of the study included: (1) to build the resilience model for hemodialysis patients, and (2) to probe into the status quo of resilience development among hemodialysis patients. A total of nine hemodialysis patients from Tainan, Changhua, and Nantou were interviewed, regardless of the length of their hemodialysis treatment. The resilience model included protective factors, corresponding strategies, and four stages. Each stage included different protective factors (individual, medical, and family) as well as individual-specific corresponding strategies. In each stage, patients demonstrated different protective factors and corresponding strategies. Hemodialysis resilience development is a progress that features variation and persistent development. Different progresses demonstrate different physical conditions, mindset, and future planning. Upon dialysis, the patients gradually recovered and their mindset gradually became stable, enabling them to be hopeful of the future. With the appearance of complications, the patient’s psychological and physical conditions turned unstable, making them not to expectant of the future. Therefore, physical condition is the key to resilience development. Resilience among hemodialysis patients gradually weakens and fails to improve due to weakening physical conditions. The current study concludes with suggests for medical teams, hemodialysis patients, their families, and future researchers.