Rehabilitation of Dialyzed Uremic Patients

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  • 透析患者の社会復帰に関する検討
  • トウセキ カンジャ ノ シャカイ フッキ ニ カンスル ケントウ

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Abstract

We conducted a study on the rehabilitation problems of 50 dialyzed uremic patients at Hiroshima City Hospital. The rehabilitated group (engaging in work or in housekeeping for 5 or more days) consisted of 23 patients and the non-rehabilitated group of 27 patients (rehabilitation rate : 46.0%). Fifteen patients (65.2%) had physical complications in the rehabilitated group and 18 patients (66.7%) had physical complications in the non-rehabilitated group, demonstrating no significant difference between the two groups. Zung's Self-rating Depression Scale (SDS) test was conducted on all patients to classify them into depressed (SDS index &gnE; 50) and non-depressed (SDS<50). SDS index was 53.4±13.2 in the rehabilitated group and 57.7±9.9 in the non-rehabilitated group, the difference being not significant. Twelve (35.3%) rehabilitated patients and 22 (64.7%) non-rehabilitated patients were depressed, while 11 (68.7%) rehabilitated patients and 5 (31.3%) non-rehabilitated patients were non-depressed, demonatrating that a significantly higher rate of the patients were depressed in the non-rehabilitated group (χ^2=3.648,p<0.005). In the non-rehabilitated group, SDS indices of the patients with physical complications and without physical complications were 60.4±8.0,52.2±11.0,respectively, demonstrating that SDS index of the patients with physical complications was significantly higher than without them (p<0.005). In the patients with physical complications, 17 (84.4%) patients were depressed and one (5.6%) patient was non-depressed, while in the patients without physical complications, 5 (55.6%) patients were depressed and 4 (44.4%) patients were non-depressed, demonstrating that the proportion occupied by depressed patients was significantly higher in the patients with physical complications(χ^2=6.014,p<0.05). Depression was considered to play an important role as the factor which disturbed the rehabilitation of dialyzed uremic patients, and the presence of depression was considered to be influenced by physical complications, indicating that a psychophysiological approach might be important in coping with the rehabilitation of dialyzed uremic patients.

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