Symister P, Friend R, Wadhwa NK, Suh H
Psychological adjustment to compliance, depression, and staff
social support: their relation to objective compliance in ESRD
patients
17th Annual CAPD Conference
Perit Dial Int Suppl 1
(Feb) 17:S69 1997
The authors hypothesize that compliance to treatment in ESRD patients
depends on their psychological adjustment and social support. In 56 ESRD
patients (31 HD, 25 PD), questionnaires concerning difficulties in
following directives were filled out and compared to a staff support scale,
where it is presumed that the poorly adjusted patient will be less
compliant, and hence receive more staff support. Compliance was also
related to somatic parameters like interdialytic weight gain.
The statistical analysis revealed that patient adjustment was well
predicted by interpretation of the questionnaires, and that staff ratings
for giving more support were related to negative responses towards regimen
and depression. More staff support influenced patient survival via
improved objective compliance. Differences between HD and PD patients
appeared to be of no importance.
Comment: The results of this study suggest that there is a direct
relationship between staff support and compliance, a fact that seems
evident, but that is very hard to prove with objective data.
(Johan Rosman M.D., The Hague, Netherlands)
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17th Annual CAPD Conference
CRF by organ system :
Psychiatric
Basic peritoneal dialysis :
Chronic PD regimens, adequacy, modeling