Real experience of continuous renal replacement therapy in ICU patients: a qualitative study
10.3760/cma.j.cn115682-20240907-04991
- VernacularTitle:ICU患者连续性肾脏替代治疗真实体验的质性研究
- Author:
Lixia ZHONG
1
;
Lina YANG
;
Weiwei ZHANG
;
Yanhong JIN
Author Information
1. 首都医科大学附属北京友谊医院重症医学科，北京 100050
- Publication Type:Journal Article
- Keywords:
Intensive Care Unit;
Social ecosystem theory;
Continuous renal replacement therapy;
Qualitative study
- From:
Chinese Journal of Modern Nursing
2025;31(8):1026-1031
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the real experience of ICU patients during continuous renal replacement therapy (CRRT) and to inform the development of interventions.Methods:This study was a qualitative study. Using the social ecosystem theory as a theoretical framework and purposive sampling method, 15 ICU patients who received CRRT at Beijing Friendship Hospital, Capital Medical University from May 2023 to February 2024 were selected for semi-structured interviews. Colaizzi 7-step analysis was applied to analyze the data.Results:A total of three themes and 11 sub-themes were summarized, including microsystems (symptom improvement, limited mobility and self-care, sleep disorders, hypothermia, emotional overload, hope and gratitude), mesosystems (heavy financial burden, disrupted rhythm of family life, dependence on peer support), and macrosystems (information support needs to be improved, expectation of an open ICU visitation system) .Conclusions:The social ecosystem of patients with CRRT in the ICU is not optimistic. Healthcare professionals should provide appropriate support for patients to facilitate their physical and psychological recovery.
