Brown J, Fitzpatrick R
University College, London, U.K.
J Psychosom Res. 1988;32(2):191-6. doi: 10.1016/0022-3999(88)90054-2.
Dietary restrictions for dialysis patients are very demanding and compliance has been shown to be poor in many patients. A number of psychosocial variables were investigated in a sample of 41 dialysis patients for possible effects on dietary compliance. Clinical criteria of dietary abuse indicated problems in 58% of the sample. Self reported compliance was significantly associated with clinical abuse scores. The longer patients had been on dialysis, the less likely they were to report dietary compliance. Health locus of control and family support were significantly associated with specific items of self reported compliance, but not with overall compliance scores. Acceptance of the limitations imposed by illness was significantly associated with clinical dietary abuse scores. The process whereby positive adjustment and good dietary control may be achieved, is discussed.
对透析患者的饮食限制要求非常苛刻，而且许多患者的依从性较差。在41名透析患者的样本中，研究了一些社会心理变量对饮食依从性可能产生的影响。饮食滥用的临床标准表明，58%的样本存在问题。自我报告的依从性与临床滥用评分显著相关。患者接受透析的时间越长，报告饮食依从性的可能性就越小。健康控制点和家庭支持与自我报告依从性的特定项目显著相关，但与总体依从性评分无关。对疾病所带来限制的接受程度与临床饮食滥用评分显著相关。文中讨论了实现积极调整和良好饮食控制的过程。
