[Effect of family environment on adaptation to the hemodialysis program in patients with chronic renal insufficiency].

Archivos de neurobiologia Pub Date : 1992-09-01
E García-Camba, G Barril Cuadrado, C Bernis Carro, V Alvarez Chivas, C García Cantón, J A Traver Aguilar
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Abstract

In our study we have analyzed the influence of family environment on adjustment of renal patients to the HD as well as on the attitude towards kidney transplantation. The study included 57 patients (34 M, 23 F), mean age 52.3 years, and they had been on dialysis for an average of 34.5 months. We obtained information about adaptation and behavior in the care unit, and attitude and motivation towards renal transplantation. Biochemical variables were used to register disruption of medical compliance or dietetic transgression (K, PRC, BUN, weight gain, etc.). The patient's family climate was assessed through use of the Family Environment Scale (FES, Moos and Moos, 1981). The results showed that patients with aggressiveness and noncompliance during HD sessions tended to have high family conflict in family members. The most positive attitudes towards renal transplantation were found in the patients that came from families with the greatest degree of cohesion and expressiveness. In summary, family social climate is a variable influencing outcome of these patients. Its routine assessment would permit the prediction of adaptation to the therapeutic program as much as better efficacy of HD treatment.

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[家庭环境对慢性肾功能不全患者血液透析方案适应的影响]。
在我们的研究中,我们分析了家庭环境对肾脏患者适应HD的影响以及对肾移植态度的影响。该研究包括57例患者(34例男性,23例女性),平均年龄52.3岁,平均透析时间34.5个月。我们获得了有关在护理病房的适应和行为,以及对肾移植的态度和动机的信息。使用生化变量记录医疗依从性中断或饮食违规(K、PRC、BUN、体重增加等)。使用家庭环境量表(FES, Moos and Moos, 1981)评估患者的家庭气候。结果表明,在HD治疗过程中,具有攻击性和不依从性的患者在家庭成员中存在较高的家庭冲突。对肾移植态度最积极的患者来自凝聚力和表达能力最强的家庭。综上所述,家庭社会氛围是影响这些患者预后的一个变量。它的常规评估将允许预测对治疗方案的适应,以及HD治疗的更好疗效。
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