Streltzer J, Moe M, Yanagida E, Siemsen A
Int J Psychiatry Med. 1983;13(2):97-106. doi: 10.2190/b8hd-e5qa-6vk0-v15a.
A major drawback to kidney transplantation as a treatment for end stage renal disease is the common occurrence of rejection and failure of the transplanted kidney. We evaluated twenty-five dialysis patients, all of whom had suffered transplant failure during a ten year period. Of these, twenty-four had good psychological readjustment to chronic dialysis. Fourteen patients successfully grieved the loss of their kidneys. Ten denied any psychological difficulty in returning to dialysis and did not manifest the usual signs of grief. We suggest that the effectiveness of denial as a coping mechanism should be recognized and supported when present; in contrast, "grievers" should be helped through the grieving process and followed up to ensure resolution and proper readjustment to dialysis.
肾移植作为终末期肾病的一种治疗方法，一个主要缺点是移植肾排斥和衰竭的情况很常见。我们评估了25名透析患者，他们在十年期间均经历了移植失败。其中，24名患者对慢性透析有良好的心理适应。14名患者成功地为失去肾脏而悲痛。10名患者否认重新开始透析存在任何心理困难，也未表现出通常的悲痛迹象。我们建议，当否认作为一种应对机制有效时，应予以认可和支持；相比之下，对于“悲痛者”，应帮助他们度过悲痛过程，并进行随访，以确保问题得到解决并能妥善适应透析。
