ATTITUDE TO THE HEMODIALYSIS AT PATIENTS WITH TERMINAL STAGES OF CHRONIC KIDNEY DISEASE

Abstract

THE AIM. Identify the types of relations between patients on chronic hemodialysis (HD), directly to the most hemodialysis (as a separate constituent of the disease), to reveal their relationship to the factors and types of attitudes toward the disease as a whole. PATIENTS AND METHODS. Examined 45 patients aged 21 to 75 years old who are being treated on HD during 6 to 102 months. The types of patients respond to illness by questionnaire A.E. Lichko. Testing of patients to determine the type of relationship to the HD conducted by questionnaire, based on the typology of “psycho-social reactions to the disease,” Z. Lipowski and data of psychotherapeutic interviews with patients. We also tested by questionnaire “HAM” – health, activity, mood. According to test results identified 3 types of relationship to the HD – positive, negative and indifferent. In order to identify the factors that influence the type of relationship to the HD, conducted statistical evaluation of the clinical and laboratory data, age, duration of HD, working patients, HD severe complications and comorbidities; correlation analysis. RESULTS. In the studied group of patients, 28 (62.2%) patients were diagnosed with a certain type of relationship to the HD, in 17 (37.8%) patients had symptoms of several types of collection. The predominant frequency of occurrence is defined III (positive) the type of relationship to the HD. A negative correlation was established between age and state of health, age and the type of negative attitude to the HD. CONCLUSION. Relationship to the HD reflects the totality of the individual understanding patients ‘meaning’ HD, his emotional reactions and accumulated coping strategies. 3 types of relationship allocated to HD: negative, positive, indifferent. Of objective factors that influence the type of attitude to the HD, according to the study, is the age indicator.