[Chronic renal failure: predictors of good adjustment to disease and treatment].
N = 109 patients with chronic renal failure were studied referring to somatic, psychological and social parameters, which are often discussed in psychonephrology. N = 25 of the patients were in the status of compensated retention, n = 43 were undergoing hemodialysis and n = 41 lived after transplantation. At the same time the treating physicians were asked to judge different criterias referring to the adaptation of the patients to the disease and treatment. Using a discriminant analysis, we were successful in predicting the quality of adaption in 75-85% using the patient variables. The results show, that each of the three treatment groups is to be considered separately, although some variables seem to have a generally strong prediction power: Serum level of Calcium, psychosomatic complaints and the extent of depressive disorder. Some aspects for further prospective studies and for the practical treatment are shown.
Driessen
M
M
Klinik für Psychiatrie, Medizinischen Universität zu Lübeck.
Balck
F
F
D000223:Adaptation, Psychological; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000523:psychology* / Q000534:rehabilitation; D016030:Kidney Transplantation / Q000523:psychology; D008297:Male; D008875:Middle Aged; D011788:Quality of Life; D006435:Renal Dialysis / Q000523:psychology; D012803:Sick Role
Chronische Niereninsuffizienz: Prädiktoren für eine günstige Adaptation an Krankheit und Behandlung.