title: [Follow up of patients in chronic hemodialysis].
abstract: Stemming from the evident need of psychological aid for this patients and in order to alleviate the suffering that causes psychiatric syntoms which endanger the survival chances or even worsen a situation which is in itself discouraging, 102 cases were studied trying to determine the possible causes of pathological behavior. The bibliography on the subject was evaluated and the follow-up of the group from our own practice was described. The patients were followed-up with a psychosomatic approach considering each as a hole conducting periodical interviews and administering psychological treatment and drugs. Follow-up of the relatives was done according to necessity. It was observed that these patients need a high tolerance to frustration and to be able to establish a relation of close dependence with a relative and/or the physician. The greatest problem is in the adequate and proper handling of the agression generated by the characteristics of the treatment. The phsychological training of the specialists in hemodialysis and their contact with a team of psychiatrist is of great importance. All of the 22 patients that did not receive transplants presented depression reactions, 2 experienced sexual impotence and 4 were successful in their suicidal behaviours.
mesh_terms: D005500:Follow-Up Studies; D006801:Humans; D007676:Kidney Failure, Chronic / Q000523:psychology* / Q000628:therapy; D006435:Renal Dialysis / Q000523:psychology*
vernacular_title: Seguimiento de pacientes en hemodiálisis crónica.