A quantitative study comparing adjustment and acceptance of illness in adults on renal replacement therapy.

ANNA journal Pub Date : 1999-10-01
A M Keogh, J Feehally
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Abstract

Adjustment and acceptance of illness are major factors influencing quality of life in different modes of renal replacement therapy. A quantitative tool was used to compare adjustment and acceptance of illness in adult patients on maintenance dialysis to those with a functioning renal transplant. A questionnaire incorporating Felton's Acceptance of Illness Scale was sent to 273 patients receiving replacement therapy for end stage renal disease (ESRD) in Leicester, UK. The instrument examined the effects of a variety of clinical and social parameters on the Acceptance of Illness Scale Score (AISS). Patients with a functioning renal transplant had a significantly higher AISS than patients on hemodialysis (HD) or peritoneal dialysis (PD) (P < 0.0001). Patients in employment or full-time education had a higher AISS than other patients (P < 0.01). White/Caucasian ethnic origin had a higher AISS than Asian (P = 0.011). There were weak inverse correlations between age and AISS, and between AISS and perception of 'choice' in treatment modality. Health care professionals need to be aware of all variables that affect patient acceptance of illness in order to administer optimum clinical care.

一项比较成人对肾脏替代治疗的适应和接受程度的定量研究。
对疾病的适应和接受是影响不同肾替代治疗方式患者生活质量的主要因素。采用定量工具比较维持性透析的成人患者和功能肾移植患者对疾病的适应和接受程度。一份包含费尔顿疾病接受度量表的调查问卷被发送给英国莱斯特的273名接受替代治疗的终末期肾病(ESRD)患者。该仪器检查了各种临床和社会参数对疾病接受度评分(AISS)的影响。功能肾移植患者的AISS明显高于血液透析(HD)或腹膜透析(PD)患者(P < 0.0001)。在职和全日制教育患者的AISS高于其他患者(P < 0.01)。白人/高加索人种的AISS高于亚洲人(P = 0.011)。年龄与AISS之间、AISS与治疗方式的“选择”感知之间存在弱的负相关。卫生保健专业人员需要了解影响患者接受疾病的所有变量,以便进行最佳的临床护理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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