Theofilou Paraskevi
Department of Psychology, Panteion University, Eratous 12, 14568, Athens, Greece.
Case Rep Nephrol. 2011;2011:476038. doi: 10.1155/2011/476038. Epub 2011 Dec 19.
Patients undergoing haemodialysis treatment have a high burden of disease (particularly cardiovascular comorbidities) affecting their quality of life and dramatically shortening life expectancy. Effective chronic kidney disease (CKD) control requires regular preventive medication and a response to that medication. Poor receptiveness to CKD medication can be related to individual variability in the dose needed to achieve a response, as well as to low-adherent behaviour in relation to the CKD medication regimen. Some patients, though not many, according to studies' findings, abuse the medical regimen as a result of suicidal tendencies. The present case gave us the opportunity to consider the causes and clinical findings and review the specific psychological interventions for patients with CKD.
接受血液透析治疗的患者疾病负担较重（尤其是心血管合并症），这影响了他们的生活质量，并显著缩短了预期寿命。有效的慢性肾脏病（CKD）控制需要定期进行预防性用药以及对药物治疗的反应。对CKD药物的接受度低可能与实现治疗反应所需剂量的个体差异有关，也与CKD药物治疗方案的低依从行为有关。根据研究结果，一些患者（尽管数量不多）由于自杀倾向而滥用医疗方案。本病例让我们有机会思考其病因和临床发现，并回顾针对CKD患者的具体心理干预措施。
