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Couples coping in response to kidney disease: a developmental perspective.
Christina B Gee1, George W Howe, Paul L Kimmel
1Department of Psychology, Division of Renal Diseases and Hypertension, George Washington University, Washington, DC, USA. Cgee@gwu.edu
Seminars in Dialysis
|March 18, 2005
Summary
This study suggests integrating developmental, psychosocial, and relationship perspectives to improve long-term treatment success and adjustment for patients with end-stage renal disease (ESRD). Considering these factors enhances patient coping and overall care outcomes.
Area of Science:
- Nephrology
- Psychology
- Sociology
Background:
- End-stage renal disease (ESRD) presents complex challenges beyond medical treatment.
- Patients face significant psychosocial and relationship adjustments during illness progression.
Purpose of the Study:
- To propose a comprehensive treatment approach for ESRD patients.
- To integrate developmental, psychosocial, and relationship perspectives for improved patient outcomes.
Main Methods:
- Review of existing literature on ESRD patient development, psychosocial changes, and relationship dynamics.
- Synthesis of three key developmental perspectives for clinical application.
Main Results:
- Integrating illness progression, life stage development, and relationship evolution offers a holistic view of patient needs.
- This integrated approach can enhance patient coping mechanisms and treatment adherence.
Conclusions:
- A multi-perspective approach is crucial for effective long-term management of ESRD.
- Interventions should consider patients, partners, and cultural variations for optimal adjustment and care.