Christensen A J, Smith T W, Turner C W, Holman J M, Gregory M C
Department of Psychology, University of Utah, Salt Lake City 84112.
Health Psychol. 1990;9(2):225-36. doi: 10.1037//0278-6133.9.2.225.
Examined the effects of hemodialysis type (i.e., staff controlled, in center vs. patient controlled, home) and patient preference for behavioral involvement on adherence and emotional adjustment in a sample of 53 patients with end-stage renal disease. Consistent with person x treatment interaction models, higher levels of preference for behavioral involvement were associated with better dietary adherence (i.e., lower serum potassium) for patients receiving dialysis at home but worse dietary adherence for patients receiving treatment in a dialysis center. A similar though weaker patient x treatment type matching pattern was observed for fluid-intake adherence (i.e., interdialytic weight gain). No effects were observed for patients' self-reported depression levels. Possible mechanisms for the interactional effect on adherence are discussed.
研究了血液透析类型（即工作人员控制的中心透析与患者控制的家庭透析）以及患者对行为参与的偏好对53例终末期肾病患者依从性和情绪调节的影响。与个体×治疗交互模型一致，对于在家接受透析的患者，较高水平的行为参与偏好与更好的饮食依从性（即较低的血清钾水平）相关，但对于在透析中心接受治疗的患者，饮食依从性较差。在液体摄入依从性（即透析间期体重增加）方面观察到类似但较弱的患者×治疗类型匹配模式。未观察到对患者自我报告的抑郁水平有影响。讨论了对依从性产生交互作用影响的可能机制。
