Kron J, Ohme W D, Delev B
Z Gesamte Inn Med. 1982 Jun 1;37(11):330-3.
The long-term preparation of the patients with renal insufficiency to the treatment with chronic haemodialysis has a decisive influence on the later cooperative behaviour under the conditions of dialysis. Offences against diet and a hypertension conditioned by too much water appeared significantly more rarely in 19 patients who were prepared in their own dispensary for renal diseases during a long period than in 11 patients who were transferred to treatment only in the terminal stage. The presentation of the dialysis centre already before the beginning of the treatment is recommended by nearly all patients. The transition from the conservative therapy to the treatment with dialysis should take place without interruption and in the optimum case without stay in a hospital. The necessity of a well-timed registration of the prospective patients who will have to undergo dialysis and of their long-term psychosocial care in the stage of the compensated retention is emphasized.
肾功能不全患者长期为慢性血液透析治疗做准备，对其日后透析条件下的合作行为具有决定性影响。19名长期在自己所在的肾病诊疗所接受准备的患者，违反饮食规定以及因水分过多导致高血压的情况明显比11名仅在终末期才开始接受治疗的患者少见。几乎所有患者都建议在治疗开始前就让他们了解透析中心的情况。从保守治疗向透析治疗的过渡应该不间断地进行，最好不住院。强调了及时登记将要接受透析的准患者以及在代偿性潴留阶段对他们进行长期心理社会护理的必要性。
