| Theme | Approach for preventing dialysis-related complications in dialysis patients and their family | |
|---|---|---|
| Title | Mental health -- initiation of dialysis | |
| Publish Date | 2015/10 | |
| Author | Toshiyuki Watanabe | Division of Social Welfare, Department of Health and Welfare, Takasaki University of Health and Welfare |
| [ Summary ] | At the time of initiation of dialysis, regression and denial are common mental states in patients. Regression and denial influence the patient's compliance with treatment. However, in reality, a good relationship with the dialysis faculty staff and appropriate knowledge play a major role in the patient's attitude towards dialysis. At the time of dialysis, the rate of depression is 44 % and the rate of anxiety disorder is 45.7 %. Decision making for dialysis is a contemporary problem. The author recommends 3 psychoanalytic assessments-reality testing, superego assessment, and adaptive regression tests-to understand the patient's judgment regarding dialysis initiation. |
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