Bargiel-Matusiewicz K
Department of Psychology, Medical University of Silesia, Katowice, Poland.
J Physiol Pharmacol. 2006 Sep;57 Suppl 4:33-8.
The great progress that has been made in application of dialyses lets the patients with chronic kidney disorders live in satisfactory somatic state for many years. The patients' quality of life becomes a more often raised issue. The psychological problems accompanying this form of treatment have many aspects that are worth paying attention to, e.g., mood reduction or resignation attitude. The symptoms that usually occur in depression gain special significance in the case of patients treated with dialyses. Loss of appetite in these patients may lead to a prompt occurrence of metabolic disorders. Mood reduction may result in willingness to give up treatment. Depression symptoms are a significant early indication of bad prognosis as to survival of patients treated with dialyses.
透析应用方面取得的巨大进展使慢性肾病患者能够多年保持良好的身体状态。患者的生活质量成为一个更常被提及的问题。这种治疗方式伴随的心理问题有许多方面值得关注,例如情绪低落或消极态度。在接受透析治疗的患者中,通常出现在抑郁症中的症状具有特殊意义。这些患者食欲不振可能会迅速导致代谢紊乱。情绪低落可能导致放弃治疗的意愿。抑郁症状是透析治疗患者生存预后不良的重要早期指标。