Montagnac R, Defert P, Schillinger F
Nephrologie. 1992;13(4):145-9.
End stage renal failure and its therapeutic procedures disorganize patient's world through the important modifications concerning his body and his personal, familial and socio-professional life. In proportion as the different stages of his psychological adjustment appear, the patient must mobilize several adaptive mechanisms to face fears, deterioration of body-image and numerous restrictions due to illness and its treatment. The quality of his personal response and of the family, society and medical staff responses will determine his compliance to the uremic status with its therapeutic pressures, and so the results of the treatment and the quality of his rehabilitation.
终末期肾衰竭及其治疗程序通过对患者身体、个人、家庭和社会职业生活的重大改变，扰乱了患者的世界。随着患者心理调适不同阶段的出现，患者必须调动多种适应机制来面对恐惧、身体形象的恶化以及疾病及其治疗带来的诸多限制。他个人的应对质量以及家庭、社会和医护人员的应对情况，将决定他对尿毒症状态及其治疗压力的顺应性，进而决定治疗效果和康复质量。
