ATTITUDE TO ILLNESS OF CHRONIC HEMODIALYSIS PATIENTS
https://doi.org/10.24884/1561-6274-2005-9-2-53-60
Abstract
THE AIM of the investigation was to determine the types of attitude to illness prevailing in patients on hemodialysis (HD) and the variables associated with the attitude of these patients to illness. PATIENTS AND METHODS. Examination of 218 patients treated by chronic HD allowed to detect their subjective attitude to the illness and to study the treatment with the questionnaire «Type of attitude to illness». The following parameters were determined in all the patients: quality of life, coping strategies, levels of depression, asthenia and anxiety as well as the clinical signs in order to establish the variables associated with the attitude of these patients to their illness. RESULTS. The HD patients mostly had ergopathic («getting away from disease to work»), sensitive (with hypersensitivity) and harmonious types of attitude to illness. In 62% of the patients types of the attitude of the adaptive block prevail that speaks of adaptive reaction to the illness and treatment. The types of attitude to illness was shown to be connected with the parameters of life quality, character of emotional sphere, labor employment, level of education, strategies of overcoming the problems, duration of the kidney disease and HD treatment, specificity of beginning HD, blood serum albumin level, change of the body mass for the last 6 months. CONCLUSION. HD patients mainly have the ergopathic, sensitive and harmonious types of attitude to the illness, the paranoiac and dystrophic types are rare that speaks of good adaptive potency of these patients. The attitude to illness is closely connected with the quality of life of the patient, the emotional state, employment, education level, coping strategies and following medical recommendations.
About the Author
I. A. Vasilieva
Научно-исследовательский институт нефрологии, Санкт-Петербургский государственный медицинский университет им. акад. И.П. Павлова
Russian Federation
Russian Federation
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Review
For citations:
Vasilieva I.A. ATTITUDE TO ILLNESS OF CHRONIC HEMODIALYSIS PATIENTS. Nephrology (Saint-Petersburg). 2005;9(2):53-60. (In Russ.) https://doi.org/10.24884/1561-6274-2005-9-2-53-60
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