Will Thomas, Saudan Patrick, Droulez Marie-Geneviève, Soulignac Rodolphe, Martin Pierre-Yves
Service de psychiatrie de liaison, département de psychiatrie, hôpitaux universitaires de Genève, 24, rue Micheli-du-Crest, 1211 Genève, Suisse.
Nephrol Ther. 2008 Oct;4(5):320-4. doi: 10.1016/j.nephro.2007.10.002. Epub 2008 Feb 1.
Dialysis substitutes a deficient organ. To perform dialysis requires qualified nurses and physicians, necessitates time and is an expensive procedure. In a society which valorises autonomy, dialysis leads to dependency and therefore is associated with a very bad image. This loss of autonomy is one of the most common complains of dialyzed patients. For this reason, patients and caregivers valorise renal transplantation. It illustrates how the concept of autonomy and dependency may influence the life experience of dialyzed patients. We propose another approach which is oriented to the aspects of relations during dialysis. This approach is illustrated by two case reports. This concept allows to change the perception of the dialyzed patient and thus to change his life experience.
透析替代了功能不全的器官。进行透析需要合格的护士和医生,需要时间且费用高昂。在一个崇尚自主性的社会中,透析会导致依赖性,因此形象不佳。这种自主性的丧失是透析患者最常见的抱怨之一。因此,患者和护理人员看重肾移植。这说明了自主性和依赖性的概念如何影响透析患者的生活体验。我们提出了另一种针对透析过程中人际关系方面的方法。两个病例报告说明了这种方法。这一概念能够改变对透析患者的认知,从而改变其生活体验。