Survival by Machine: The Psychological Stress of Chronic Hemodialysis
Survival by Machine: The Psychological Stress of Chronic Hemodialysis
复制标题
机器生存：慢性血液透析的心理压力
DOI：
10.2190/u6n8-n115-naga-ppjh
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发表时间：
1970
期刊：
影响因子：
--
通讯作者：
H. Abram
中科院分区：
文献类型：
--
作者：
H. Abram
对于治疗慢性血液透析患者的医生来说，通过人工手段延长生命是一个引人注目的话题。本文讨论的压力，损失和限制，透析强加给病人，他的家人，和其他照顾者。对这种情况的心理反应的例子，并描述了主要的冲突问题。慢性疾病中依赖和独立的作用，否认作为一种主要的防御机制，身体形象的改变，对生命和死亡的态度都讨论了血液透析压力的心理反应。自杀的问题是用各种形式来说明的，这些特殊的病人依靠机械装置生存。血液透析患者选择的一些道德，伦理和经济问题的指示和简要检查。
The prolongation of life by artificial means is a compelling topic for the physician who treats patients with chronic hemodialysis. This paper discusses the stresses, losses, and restrictions which dialysis imposes upon the patient, his family, and other caretakers. Examples of psychological reactions to such circumstances are given and major conflictual problems are described. The role of dependency and independence in chronic illness, the use of denial as a major defense mechanism, alterations in body image, attitudes towards life and death are all discussed in terms of the psychological reactions to the stress of hemodialysis. The problem of suicide is illustrated with a variety of forms it takes in these special patients who depend upon mechanical devices for their very existence. Some of the moral, ethical and economic problems of patient selection for hemodialysis are indicated and briefly examined.