Procci W R
Gen Hosp Psychiatry. 1980 Dec;2(4):255-61. doi: 10.1016/0163-8343(80)90077-8.
Sixteen males undergoing maintenance hemodialysis were evaluated for social disability through the use of the Ruesch Social Disability Rating Scale and were compared with a group of 16 cadaver renal transplant recipients, matched for age and marital status. All 16 had excellent functioning of their transplanted kidney. In both groups most patients experienced a major degree of social disability, indicating significant interference with life-style. Patients who were married had lower social disability scores (DS) than those who were divorced or single (P less than 0.01). Contrary to expectation, no differences were noted between these two groups with regard to the overall degree of social disability. The DS data are corroborated by other clinical indices, such as employment status, financial stability, degree of depression and sexual functioning, which indicated similar degrees of impairment in both groups. New approaches, aimed at the preservation and enhancement of social and avocational skills, are mandatory of a comprehensive effort seriously geared towards rehabilitation is to be implemented in the overall treatment of these patients. The expertise of the mental health professional, especially the liaison psychiatrist, is critical for this task.
通过使用鲁施社会残疾评定量表，对16名接受维持性血液透析的男性进行了社会残疾评估，并与一组16名年龄和婚姻状况相匹配的尸体肾移植受者进行了比较。所有16名移植肾受者的移植肾功能均良好。两组中大多数患者都有严重程度的社会残疾，这表明对生活方式有显著干扰。已婚患者的社会残疾评分（DS）低于离婚或单身患者（P<0.01）。与预期相反，两组在社会残疾总体程度方面未发现差异。DS数据得到其他临床指标的佐证，如就业状况、财务稳定性、抑郁程度和性功能，这些指标表明两组的受损程度相似。若要在这些患者的整体治疗中认真开展全面的康复工作，必须采取新方法来保持和提高社交及业余技能。心理健康专业人员，尤其是联络精神科医生的专业知识对于这项任务至关重要。
