Artigo Acesso aberto Revisado por pares

Professional psychological stress management in chronic renal failure patients

2013; Volume: 45; Issue: 1 Linguagem: Inglês

10.14748/ssm.v45i1.336

ISSN

1314-6408

Autores

Svetla Staykova, Rositsa Dimitrova-Zlatkova,

Tópico(s)

Health and Well-being Studies

Resumo

PURPOSE: Any patients with chronic diseases, and especially those with chronic renal failure, face not only the specific physical aspects of their own primary pathology but also the psychological distress when realizing the severity of the progression of this disease and its poor prognosis. The objective of this study was to reveal some psychological features of the patients on haemodialysis. MATERIAL AND METHODS: The investigation covered 70 patients, 43 males and 27 females with chronic renal failure treated in the Clinic of Dialysis of Varna and in the Dialysis Centre of Targovishte. The patients filled in anonymous questionnaires and underwent a psychological examination according to a modified anxiety scale. RESULTS: Recently, the number of emergency cases in both haemodialysis centres increased. In Varna, the emergency cases were 34 out of 37 while in Targovishte, these amounted to 8 out of 11. This hampered the provision of sufficient information about the disease to the patients. At the onset of treatment, social activity was preserved in 44% of the patients while after 12 months this persisted in 16% of them. More than 85% of the patients retired due to disability caused by the renal disease. The influence on the interpersonal relations of the disease-related stress and anxiety was very unfavourable. CONCLUSION: There is a necessity to apply individualized psychotherapeutic approach to the patients with chronic renal failure in order to improve their adjustment to this severe pathology and collaboration with the physician as well as to minimize their feeling of inevitability. Scripta Scientifica Medica 2013; 45(1): 40-42.

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