Psychological Aspects of Chronic Renal Failure by Sarvdeep Kohli and H.K. Aggarwal
By: Global Vision Publishing HouseSingle Issue
Single Issue
- Psychological Aspects of Chronic Renal Failure by Sarvdeep Kohli and H.K. Aggarwal
- Price : 200.00
- Published on May 29, 2013
- Global Vision Publishing House
- Language - English
- Published na
About this issue
Chronic Renal Failure (CRF) patients have to face not only clinical problems due to uremia but also are burdened with financial constraints and job problems. In such a scenario they are bound to have abundant psychological problems. However the financial and logistic problems of the management of CRF in a developing country like India takes a precedence over the psychological aspects. Physicians also do not address this issue which in itself causes substantial morbidity if not mortality. Depression is an important problem in patients of CRF more so in End Stage Renal Disease (ESRD) on dialysis. Various factors such as associated diseases, insecurity about work and future, impairment of physical and mental performance, anxiety, restrictions, dependence, financial and domestic problems interfere with the normal sensation of satisfaction and well being. The patients of CRF especially those on dialysis have the desire to be encouraged and protected, seek support and advice, don’t have independent judgement and lack initiative to start activity as compared to healthy normal who are more independent. Dialysis patients have higher dependence proneness which has a direct relationship with duration of illness. Adaptation to CRF may go through stages of denial to depression. In dialysis patients the most commonly used coping strategies are emotion oriented, avoidance and isolated thoughts which correlate with stress levels. Problem oriented strategy is less often used. To conclude in view of the psychological problems in CRF patients a comprehensive approach for the overall management is required. Not only physicians need to be sensitised about the psychological aspects of CRF but also there is a need to attach regular counselling services to the treatment course.
About Psychological Aspects of Chronic Renal Failure by Sarvdeep Kohli and H.K. Aggarwal
Journal of Indian Health Psychology Vol. 3, No. 1, September, 2008