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[Psychological evaluation of patient on chronic dialysis treatment: comparison between home and hospital replacement
Francesca Manari1, Lorenzo Di Liberato2, Mario Bonomini1
1Dipartimento di Medicina e Scienze dell'Invecchiamento, Università degli Studi G. D'Annunzio di Chieti-Pescara, UOC Clinica Nefrologica, P.O. SS. Annunziata, Chieti, Italy.
Abstract:
The psychologist's work at the Nephrology and Dialysis Unit of SS. Annunziata Hospital in Chieti begins at the early stages of chronic kidney disease and continues in pre-dialysis and after renal replacement therapy begins. Psychological intervention aims to provide support to patients and caregivers facing a chronic organ disease, as well as to the health personnel constantly exposed to chronic patients. The perceptual and emotional experience of dialysis changes according to the different modalities of renal replacement therapy: hospital or home hemodialysis, peritoneal dialysis. These different emotional and perceptive experiences seem to emerge while the patient prepares for dialysis and influence the process of accepting and adapting to the disease and its therapy.
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