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Original Research |

Living with Long-Term Home Dialysis

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▸Requests for reprints should be addressed to Dr. Charles S. Houston, Department of Epidemiology and Environmental Health, University of Vermont College of Medicine, Burlington, VT 05401.

Burlington, Vermont

Ann Intern Med. 1974;81(2):165-170. doi:10.7326/0003-4819-81-2-165
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Eleven of the 22 patients receiving home dialysis in the spring of 1973 from the dialysis unit of a university medical center hospital were interviewed to determine what factors might help or hinder patient adjustment to chronic renal failure alleviated by home dialysis. Two interviewers, following a relaxed protocol, talked with patients at home and recorded the interviews on tape and in notes. Four areas were identified in which well-adjusted patients differed significantly from those poorly adjusted: extent of change in physical or mental state due to disease, source and extent of financial support, role and relationship of helper to patient, and the importance that the patient perceived dialysis to have in his daily life. From the typical patients' profiles, some tentative suggestions to enhance patient adjustment are offered.





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