透析患者の心理的適応

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With the evolution of hemodialysis, it has become possible for patients with end-stage renal failure to survive longer. However, such patients confront much psychosocial stress. To investigate psychological adaptation to maintenance hemodialysis, we administered the CMI, YG, MAS, SDS, stress coping scales and the QOL questionnaire to 77 patients with a dialysis duration of one month-20 years. The results of our investigation indicate that patients on dialysis for a short time were more extraverted and neurotic. Depressive symptoms which were present after a short period on dialysis were maintained even after a long period on dialysis. We also found sex differences in coping patterns. Male patients used problem oriented strategies in coping with stress, independent of the duration of dialysis. Female patients, on the other hand, used suppression the longer they were maintained on dialysis. Males in all durations of dialysis indicated a lower quality of life as expressed by such factors as satisfaction and happiness and females a quality of life that was the same or higher, in comparison to normal people. This is particularly true of the degree of satisfaction in relationships with others, specially with family members, which remained high in females despite the duration of dialysis. In males, relations with family members were disturbed and QOL scores remained low after a long period of dialysis. In females, supported by family members, the QOL scores increased following a long period on dialysis.
日本心身医学会の論文
1993-10-01

透析患者の心理的適応

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