ABSTRACT

Many patients with end-stage kidney disease require haemodialysis, a treatment that requires attending hospital three times a week for four hours each visit. This treatment impacts profoundly on mental health. Arts-based interventions for patients receiving haemodialysis could address the impact of this treatment; however, there is no consensus on methods of implementation and mechanisms underlying these interventions in specific clinical contexts. Using a realist approach, relevant articles were synthesised to inform theory relating to the mechanism and implementation of complex arts-based interventions for haemodialysis patients. The theoretical framework includes two implementation phases, firstly delivery of person-centred art activities during haemodialysis and secondly, display of completed artwork. This intervention triggers mechanisms including flow and social capital. Implementation is hindered by constraints of the haemodialysis unit and patients' lack of confidence in their artistic skills. These issues can be addressed through aflexible approach to implementation and support from healthcare professionals.

摘要

许多终末期肾病患者需要血液透析，这种治疗需要每周去医院 3 次，每次 4 小时。这种治疗对心理健康产生了深远的影响。对接受血液透析的患者进行基于艺术的干预可以解决这种治疗的影响；然而，在具体临床情况下，这些干预措施的实施方法和机制尚未达成共识。使用现实主义方法，综合相关文章，为血液透析患者复杂的基于艺术的干预的机制和实施提供理论依据。理论框架包括两个实施阶段，首先是血液透析期间以人为本的艺术活动的交付，其次是完成的艺术品展示。这种干预触发了包括流动和社会资本在内的机制。血液透析单位的限制和患者对其艺术技能缺乏信心阻碍了实施。这些问题可以通过灵活的实施方法和医疗保健专业人员的支持来解决。