García-Camba E, Barril Cuadrado G, Bernis Carro C, Alvarez Chivas V, García Cantón C, Traver Aguilar J A
Servicio de Psiquiatría, Hospital de la Princesa, Universidad Autónoma, Madrid.
Arch Neurobiol (Madr). 1992 Sep-Oct;55(5):203-8.
In our study we have analyzed the influence of family environment on adjustment of renal patients to the HD as well as on the attitude towards kidney transplantation. The study included 57 patients (34 M, 23 F), mean age 52.3 years, and they had been on dialysis for an average of 34.5 months. We obtained information about adaptation and behavior in the care unit, and attitude and motivation towards renal transplantation. Biochemical variables were used to register disruption of medical compliance or dietetic transgression (K, PRC, BUN, weight gain, etc.). The patient's family climate was assessed through use of the Family Environment Scale (FES, Moos and Moos, 1981). The results showed that patients with aggressiveness and noncompliance during HD sessions tended to have high family conflict in family members. The most positive attitudes towards renal transplantation were found in the patients that came from families with the greatest degree of cohesion and expressiveness. In summary, family social climate is a variable influencing outcome of these patients. Its routine assessment would permit the prediction of adaptation to the therapeutic program as much as better efficacy of HD treatment.
在我们的研究中，我们分析了家庭环境对肾病患者适应血液透析（HD）以及对肾移植态度的影响。该研究纳入了57名患者（34名男性，23名女性），平均年龄52.3岁，他们平均已接受透析34.5个月。我们获取了有关在护理单元中的适应情况和行为，以及对肾移植的态度和动机的信息。生化变量用于记录医疗依从性的破坏或饮食违规情况（钾、全血蛋白、尿素氮、体重增加等）。通过使用家庭环境量表（FES，莫斯和莫斯，1981年）对患者的家庭氛围进行评估。结果显示，在血液透析过程中表现出攻击性和不依从性的患者，其家庭成员之间往往存在高度的家庭冲突。对肾移植态度最为积极的患者来自凝聚力和表达性程度最高的家庭。总之，家庭社会氛围是影响这些患者治疗结果的一个变量。对其进行常规评估将有助于预测患者对治疗方案的适应性以及血液透析治疗更好的疗效。
