The Japanese Journal of Clinical Dialysis Vol.22 No.10(2-2)

Theme Dialysis Re-initiation and Related Cares after Functional Loss of Transplanted Kidney
Title Psychological status of and mental care for patients requiring resumption of dialysis
Publish Date 2006/09
Author Kiyoko Kubota Transplant Inspection Center, Hachioji Medical Center, Tokyo Medical University
Author Naoto Matsuno The Fifth Surgical Department, Hachioji Medical Center, Tokyo Medical University
[ Summary ] The need for resumption of dialysis following kidney transplantation arises due to a variety of causes. In general, patients receive explanations regarding dialysis resumption prior to the operation, and thus gain a full understanding of the possible need for dialysis resumption. However, dialysis resumption remains patients' greatest fear ; therefore, it may be difficult for them to accept dialysis resumption when they are informed that it is necessary. Numerous psychological processes, as well as the time required for implimentation of such processes, is thought to be crucial in achieving acceptance in patients. However, an individual's psychological status and the amount of time required to accept dialysis resumption vary depending on the patient's perspective on their health, psychological characteristics, and coping skills. Given these circumstances, it is necessary to gain an understanding of patients' psychological backgrounds through their “narratives”, in order to provide mental care that meets individual patients' needs and also assists patients in accepting reality and achieving psychological recovery.
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