Correlation of the Psychological Status with the Clinical Evolution and the Degree of Compliance in Patients on Chronic Hemodialysis
Keywords:
hemodialysis, therapeutic noncompliance, clinical evolution, quality of life, psychological stateAbstract
Patients with chronic dialysis are a heterogeneous group with a vast pathology. There is an ambivalent relationship between the psychological status and the clinical evolution at these patients.
In this study, we followed the correlation between the clinical and psychological evolution in noncompliant patients, compared with patients complying with renal replacement therapy.
The clinical evolution was assessed using laboratory tests (urea, creatinine, phosphorus, calcium, albumin and Kt/v) and psychological (self-respect, quality of life, evaluation of conditional acceptance, attitudes and beliefs), by applying questionnaires established in literature. Attitudes and beliefs, although present in both groups, were better noticed in the noncompliant patients having a strong personality. Self-esteem was very high in the noncompliant patients, which denotes a non-acceptance of their disease.
Finally, there is the possibility that psychological states influence the clinical evolution of the noncompliant patients, reducing quality of life and increasing mortality in the dialysis wards.
Downloads
Published
How to Cite
Issue
Section
License
The authors are required to transfer the copyright of the published paper to the journal. This is done by agreeing to sign the Copyright Assignment Form. Whenever the case, authors are also required to send permissions to reproduce material (such as illustrations) from the copyright holder.
The papers published in the journal are licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.