Psychosocial factors in adult end-stage renal disease patients treated with hemodialysis: Correlates and outcomes

被引:143
作者
Kimmel, PL
机构
[1] NIDDKD, Div Kidney Urol & Hematol Dis, NIH, Bethesda, MD 20892 USA
[2] George Washington Univ, Med Ctr, Dept Med, Div Renal Dis & Hypertens, Washington, DC 20037 USA
关键词
depression; social support; illness effects; quality of life; hemodialysis;
D O I
10.1016/S0272-6386(00)70240-X
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
The first three decades of the ESRD program were devoted to extending patient survival. Few data have been generated regarding the factors associated with successful patient adjustment. Depression and perception of the effects of illness are important responses to the experience of ESRD and may be associated with differential survival. Perception and extent of social support can moderate these factors. The association of psychosocial factors and assessments of quality of life are incompletely understood and are topics of research interest. The role of variation in socioeconomic status in association with these factors has not been extensively studied. The challenges for the next 30 years include understanding the relationship of psychosocial factors to demographic and medical factors in large ESRD patient populations and the refinement of associations between psychosocial factors and patient outcomes, including adjustment, compliance, morbidity, and mortality. (C) 2000 by the National Kidney Foundation, Inc.
引用
收藏
页码:S132 / S140
页数:9
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