慢性血液透析患者における心理面についての研究 : 主として不安傾向について

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The purpose of the present paper is to investigate the psychiatric and psychological states of patients undergoing chronic hemodialysis. The answers from 228 patients 144 males and 82 females in 23 hospital, to whom the inquiries about these problems, were made, were investigated and particularly analysed by Taylor's manifest anxiety scale (MAS). Furthermore, Rorschach test was carried out in 19 patients. The following results were obtained. 1) At the beginning of chronic hemodialysis, 77.6% of the patients had vague anxiety over hemodialysis. At the present time, 40.4% of them had anxiety, regarding the side effects or physical complications such as shunt troubles. The thing that troubled the patients most was the fact that a relatively long time is required in hemodialysis. Renal transplantation was expected by 57.9% of the patients. 2) The MAS-score of the hemodialysed patients was higher than those of both inpatients of our urological ward and normal students by Taylor. In hemodialysed patients, the group of the forties and sixties, females, inpatients, unrehabilitated patients and patients with anxiety or unsatisfaction showed higher scores than the cortrol groups, but no distinct difference was observed between the group of socalled unstability phase and that of stability phase. 3) Rorschach test disclosed that 17 out of 19 patients were in Level III and remaining 2 in Level II.
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