The Psychological Aspects of Chronic Hemodialysis*

Anderson, Kyle

doi:10.1177/070674377502000509

Cited by 13 publications

(3 citation statements)

References 26 publications

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“…Lubkin (1998) stated that dialysis patients are faced with potential life interruptions and psychosocial changes, including effects on the concept of self, self‐confidence, reversal in family roles and loss of dignity. The most frequent psychosocial stressors identified are anxiety, depression and a feeling of inadequacy (Anderson, 1975; Baldree et al., 1982; Eichel, 1986; Gurklis & Menke, 1988). Some of the identified physiological stressors are pain, discomfort, fluid and diet restrictions, limitation of physical activities, fatigue and weakness (Baldree et al., 1982; Gurklis & Menke, 1988; Lok, 1996).…”

Section: Introductionmentioning

confidence: 99%

Stressors and coping methods among chronic haemodialysis patients in Hong Kong

Mok

Tam

2001

Journal of Clinical Nursing

111

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The purpose of the study was to determine the stressors and coping methods of chronic haemodialysis patients in Hong Kong. Relationships among treatment-related stressors, coping methods and length of time on haemodialysis were explored. Fifty subjects completed the Haemodialysis Stressor Scale (HSS) and Jalowiec Coping Scale (JCS). Results revealed that limitation of fluid was the most frequently identified stressor, followed by limitation of food, itching, fatigue and cost. The most common coping methods are 'accepted the situation because very little could be done', followed by 'told oneself not to worry because everything would work out fine' and 'told oneself that the problem was really not that important.' It was found that the traditional philosophies of the Chinese--Confucianism, Buddhism, and Taoism--share an approach to the understanding and management of life stressors as different from that adopted by Western philosophies. The findings of this study can further facilitate nurse practitioners in providing support, information, and alternative solutions when assisting patients in coping with long-term haemodialysis.

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Section: Introductionmentioning

confidence: 99%

Stressors and coping methods among chronic haemodialysis patients in Hong Kong

Mok

Tam

2001

Journal of Clinical Nursing

111

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“…However, there are also problems with this approach. Denial‐like coping mechanisms are commonly used by patients in adapting to life on dialysis (31–38), and these may present a barrier to effective communication.…”

Section: Advance Care Planning In Hemodialysis Unitsmentioning

confidence: 99%

Ethical Issues in Dialysis Aaron Spital, Series Editor: Quality End‐of‐Life Care in Dialysis Units

Davison

2002

Seminars in Dialysis

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Quality end-of-life care has not been a priority in dialysis units and patients often experience prolonged dying while suffering needlessly. Advance directives (ADs) and decisions to stop dialysis have been highlighted by the medical profession as priorities in improving the quality of care, yet these are only two aspects of end-of-life care. They may not reflect patients' priorities and may not have the expected impact in improving the quality of end-of-life care. This review argues that quality end-of-life care should be a clinical priority in the care of dialysis patients; end-of-life care needs to be developed primarily from the patients' perspective; a clinical framework is required that integrates many aspects of end-of-life care; and end-of-life care should be initiated much earlier in the course of patients' illnesses than traditionally is done. By communicating more effectively and sooner with patients, their values and needs can be identified so we will be better able to plan and facilitate their end-of-life care and improve their experience of dying.

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“…Although the spouse of the dialysis patient has been portrayed as initially mak ing many sincere efforts to accommodate to the patient's limitations, a continuous process of decay tends to occur (4). Presumably the spouse, llCumm1ngs, p. 72. who has a considerably emotional investment in the patient and whose life style is interdependent with that of the.patient, must be strongly affected by the changed circumstances.…”

mentioning

confidence: 99%

Quality of life assessment of chronic hemodialysis patients at the Artificial Kidney Unit of Good Samaritan Hospital and Medical Center

Whittle

Tripp²,

Young³

2000

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The Psychological Aspects of Chronic Hemodialysis*

Cited by 13 publications

References 26 publications

Stressors and coping methods among chronic haemodialysis patients in Hong Kong

Stressors and coping methods among chronic haemodialysis patients in Hong Kong

Ethical Issues in Dialysis Aaron Spital, Series Editor: Quality End‐of‐Life Care in Dialysis Units

Quality of life assessment of chronic hemodialysis patients at the Artificial Kidney Unit of Good Samaritan Hospital and Medical Center

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The Psychological Aspects of Chronic Hemodialysis*

Cited by 13 publications

References 26 publications

Stressors and coping methods among chronic haemodialysis patients in Hong Kong

Stressors and coping methods among chronic haemodialysis patients in Hong Kong

Ethical Issues in Dialysis Aaron Spital, Series Editor: Quality End‐of‐Life Care in Dialysis Units

Quality of life assessment of chronic hemodialysis patients at the Artificial Kidney Unit of Good Samaritan Hospital and Medical Center

Contact Info

Product

Resources

About

Ethical Issues in Dialysis Aaron Spital, Series Editor: Quality End‐of‐Life Care in Dialysis Units