Raziansyah Raziansyah
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PENGALAMAN DAN HARAPAN PASIEN YANG MENJALANI HEMODIALISIS DI RSUD RATU ZALECHA MARTAPURA Raziansyah, Raziansyah
Jurnal Manajemen Pelayanan Kesehatan Vol 15, No 02 (2012)
Publisher : Jurnal Manajemen Pelayanan Kesehatan

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Abstract

Background: Optimum care for chronic diseases should begiven a major attention. Hospitals have strategic roles inproviding health services, particularly for patients with chronicdiseases who require hemodialysis that is only available at thehospital. In this unit, interpersonal relationship between thepatient and nursesis critical for the success of this long-termtherapy. The patient-nurse interaction will then shapepatients’experiences and hopes.Objective: This study aimed to explore experiences andexpectations of patients undergoing hemodyalisis care at theHemodialysis Unit of Ratu Zalecha Hospital.Method: The research employed a qualitative study. Datawere obtained from in-depth interviews with eight patients,supported by an open observation, and the respondents wereselected purposively. The following criteria were used to selectthe patients: age, sex, duration of hemodialysis treatment andsource of payment. Data were first transcribed and thenanalyzed using open coding.Result: Patients’ experiences during hemodialysis treatmentwere divided into physiological, clinical, psychological, socialand spiritual experiences. These experiences shaped patient’shopes, consisted of individual, information, daily living andnursing care expectations. Information played a central role tocontinue hemodyalisis care and there was a major reliance oncare providers to give adequate information to support thepatients.Conclusion:This study identified patient experiences andhopes that should be taken account to improve hemodyalisiscare. In the future, it is recommended for hospitals to initiateimplementation of a chronic care model at a microsystem levelin order to integrate patient experiences and hopes into currentservices.Keywords:patient experience, hope, hemodialysis, qualitativestudy