PATIENT ADHERENCE AND ADJUSTMENT IN RENAL DIALYSIS

肾透析患者的依从性和调整

• 批准号: 2149737
• 负责人: ALAN J CHRISTENSEN
• 金额: $ 10.17万
• 依托单位: UNIVERSITY OF IOWA
• 依托单位国家: 美国
• 财政年份: 1995
• 资助国家: 美国
• 起止时间: 1995-01-01 至 1999-12-01
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2149737
• 关键词: blood chemistry; continuous ambulatory peritoneal dialysis; coping; emotional adjustment; group therapy; health behavior; hemodialysis; human subject; human therapy evaluation; kidney disorder; longitudinal human study; nutrition related tag; self care; therapy compliance

DESCRIPTION: This is a FIRST award application for research on adherence and adjustment in renal dialysis patients. The research proposal has two phases. In Phase I, the investigator will identify patient psychological attributes that interact with dialysis type to determine patient adherence and adjustment. It is predicted that adjustment and adherence will vary as a joint function of the type of dialysis prescribed and patient coping style. For example, patients who possess a more active style of coping should exhibit more favorable adherence when undergoing a self-administered dialysis treatment modality (i.e., continuous ambulatory peritoneal dialysis-- CAPD) but poorer adherence when receiving staff-administered dialysis (i.e., center hemodialysis). A longitudinal research design will be used in Phase I to allow for a prospective test of the interactive hypotheses over a 12-month period. The second phase of the research addresses the effectiveness and feasibility of psychological intervention. Two studies will be conducted, one with hemodialysis patients and the second with CAPD patients. The experiments will examine the interactive effects of self-management training and patient psychological attributes (e.g., coping style). Intervention protocols will consist of conventional procedures widely used by behavioral psychologists and designed to be implemented in a small-group format. The knowledge generated will provide both empirical data and a theoretical framework clinicians can draw upon when making treatment decisions in regard to ESRD and other medical populations.

描述：这是第一个奖励申请，用于研究 肾透析患者的依从性和调整。 研究 提案分为两个阶段。 在第一阶段，研究者将确定 与透析类型相互作用的患者心理特征 以确定患者的依从性和调整。 据预测 调整和坚持将作为联合功能而变化 规定的透析类型和患者的应对方式。 例如， 具有更积极应对方式的患者应该表现出更多 进行自我透析时有良好的依从性 治疗方式（即连续门诊腹膜透析—— CAPD），但在接受工作人员管理时依从性较差 透析（即中心血液透析）。 纵向研究设计 将在第一阶段使用，以进行前瞻性测试 12 个月期间的交互假设。 研究的第二阶段解决了有效性和 心理干预的可行性。 两项研究将 一项针对血液透析患者，另一项针对 CAPD 患者 患者。实验将检验交互效果 自我管理培训和患者心理属性（例如， 应对方式）。干预方案将包括传统的 行为心理学家广泛使用的程序，旨在 以小组形式实施。 产生的知识将 提供经验数据和理论框架，临床医生可以 在做出有关终末期肾病 (ESRD) 和其他疾病的治疗决定时可借鉴 医疗人群。