Courts N F, Boyette B G
Adult Health Division, School of Nursing, University of North Carolina at Greensboro, USA.
Clin Nurs Res. 1998 Feb;7(1):47-63. doi: 10.1177/105477389800700105.
End-stage renal disease (ESRD) is a chronic illness that challenges the coping ability of patients and their families, demanding behavioral and emotional lifestyle changes. The purposes of this comparative descriptive study were to explore the anxiety, depression, and psychosocial adjustment of male patients on three types of dialysis--home hemodialysis (home HD), in-center hemodialysis (in-center HD), and peritoneal dialysis (PD)--and to identify perception of hemodialysis stressors for those on home HD and in-center HD. Five subjects in each of the three groups (N = 15), matched for age, gender, education, and dialysis type, participated in the study. Although the convenience sample size is too small to generalize, subjects on home HD demonstrated higher psychosocial adjustment. The study supports further research with larger, randomized samples. Information about psychosocial adjustment of patients on each type of dialysis provides information for nurses as they guide patients in choosing dialysis type.
终末期肾病（ESRD）是一种慢性疾病，它对患者及其家庭的应对能力构成挑战，要求患者在行为和情感生活方式上做出改变。这项比较性描述性研究的目的是探讨接受三种透析治疗的男性患者的焦虑、抑郁和心理社会适应情况，这三种透析治疗分别是家庭血液透析（家庭HD）、中心血液透析（中心HD）和腹膜透析（PD），并确定家庭HD和中心HD患者对血液透析应激源的认知。三组每组各有五名受试者（N = 15）参与研究，这些受试者在年龄、性别、教育程度和透析类型方面相匹配。尽管便利样本量过小无法进行推广，但家庭HD患者表现出更高的心理社会适应能力。该研究支持采用更大规模的随机样本进行进一步研究。关于每种透析类型患者心理社会适应情况的信息，为护士在指导患者选择透析类型时提供了参考。
