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Psychological Stress During Hemodialysis for Chronic Renal Failure

Ann Intern Med. 1966;64(3):611-621. doi:10.7326/0003-4819-64-3-611
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It is recognized that psychological factors crucially influence successful rehabilitation in many patients wth chronic illness. Some factors often thought to be conducive to successful rehabilitation in any chronic illness include a stable doctor-patient relationship, a meaningful goal in life for the patient, and the meaning of the symptom or disability to the patient.

Published experience with chronic dialysis in different parts of this country suggests that psychological factors are among critical variables in determining adjustment to treatment. Shea, Bogden, Freeman, and Schreiner (1) have outlined some apparent psychological reactions immediately before, during, and after the physical process of dialysis.


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