08-12-2012, 04:59 PM
Level of psychosocial problems of patients with End Stage Renal Disease under going Haemodialysis
Level of psychosocial.pptx (Size: 522.9 KB / Downloads: 55)
INTRODUCTION
The haemodialysis regimen required to treat end-stage-renal-Disease(ESRD) can be extremely rigid, requiring,individuals to adapt to and cope with multiple psychosocial stress.
Having feeling of chronically ill there are evidence of conflict,frustation,guilt and depression. It may be difficult for the patient spouse and family to express anger and negative feeling.
Dialysis alters the life style of patient and family. The sense of loss that patient experience cannot be underestimated because every aspect of a “normal life” is disturbed.
NEED FOR STUDY
Chronic kidney disease is a worldwide public health problem, a social calamity and an economic catastrophe
End-Stage-Renal-Disease(ESRD) is probably one of the most devasting illness experience that human being endure. Hemodialysis has offered a new lease of life to these patients.
Global interest has grow in the study of psychosocial adaptation of these once terminally ill patients and the quality of life they lead.
Nurse can prevent social isolation of these patient through identification of high risk group can reduce their stress and help them to improve their stress and help them to improve their quality of life by providing adequate supportive intervention.
DESCRIPTION OF THE INSTRUMENT :-
A structured interview schedule rating scale is developed. It consisted 50 items.
30 items to assess the level of psychological problems
20 items to assess the level of social problems.
Tool consists of three parts:
Part 1 consists of demographic variables.
Part 2 consists of rating scale to assess the psychological problems.
Part 3 consists of rating scale to assess the social problems.
DISCUSSION
The maximum number of hemodialysis patients 40% were in the age group of 51 – 60 years.
The proportion of 30 patients 60% were males.
The proportion of 30 patient 53.3% were Hindus.
The maximum number 93.3% were married.
Out of 30 hemodialysis patients 63.3% were unemployed.
Out of 30 patients 43.3% had duration of illness < 1 year.
60% patients had more than 31 dialysis alone.
Nursing practice:
Nurses should impart education on preventive aspects of psychosocial problems.
Can help the patients and family members by clarifying their fears and anxieties.
Should understand their role for minimizing the physical as well as psychological stress.
Periodical health education programme should be conducted.
Nursing Education
Curriculum should lay more emphasis on the prevention and management of psychosocial problems among hemodialysis patients.
The postgraduate courses should prepare clinical nurses specially who can take care of these patients.
Periodical workshops seminars and conference on psychosocial problems of haemodialysis.
Recommendations for the Further Study:
Similar study can be done on larger sample.
Same study can be conducted for assessing the psychological problems of other type of diseases.
A comparative study can be conducted for psychosocial problems between males and females undergoing haemodialysis.
An experimental study can be conducted on psychosocial problems.