[The hemodialysed patient and his/her family caregiver. Comparison of perceptions of the chronic illness].
BACKGROUND
According to health psychology, the family caregiver (fc), i.e. the person who takes care of a hemodialysed patient, plays a pivotal role in coping with dialysis. This study explored and compared the lifestyle and the main needs of a cohort of hemodialysis patients, with reduced personal autonomy, to their fc, evaluating some psychological functional parameters, such as the perception of familial and social support, the psychological quality of life, the disability due to chronic illness, and the communication style.


METHODS
An anonymous multiple versions questionnaire, administered according to the caregiver's family relationship, was given for self assessment to 54 couples of patients and related fc (spouse, son/daughter and brother/sister), mean age 66 and 60, respectively; mean dialytic patients' age: 8 years and 6 months. The questionnaire consisted of three different sections, demographics, renal disease and psychological evaluation, with 4 standard scales (Social Support Satisfaction, Marital Communication, Psychological General Well-Being Index and Evaluation of Needs). A multivariate variance analysis (MANOVA) was subsequently performed.


RESULTS
Women have a higher perception of their lifestyle change after dialysis, and, in general, patients communicate more easily with their fc than vice versa. Communication problems are more common in patients with a recent diagnosis. Patients and fc mostly need a better dialogue with their nephrologists and urge some psychological help.


CONCLUSIONS
The quality of the relationship between physicians, patients and their families is a key element in the process of healing.
Zanini
S
S
Struttura Semplice Dipartimentale, Servizio di Consultazione Psicologica e Psicoterapia, Azienda Ospedaliera Ospedale Niguarda Ca' Granda, Milano-Italy. susannacatia.zanini@ospedaleniguarda.it
Ajmone
C
C
Margola
D
D
Busnach
G
G
Summa
I
I
Brunati
C
C
Cabibbe
M
M
Dal Col
A
A
De Ferrari
M E
ME
Macaluso
M
M
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D017028:Caregivers / Q000523:psychology*; D002908:Chronic Disease; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010465:Perception; D006435:Renal Dialysis / Q000523:psychology*; D011795:Surveys and Questionnaires