PATIENT ADHERENCE AND ADJUSTMENT IN RENAL DIALYSIS

肾透析患者的依从性和调整

• 批准号: 2634279
• 负责人: ALAN J CHRISTENSEN
• 金额: $ 11.25万
• 依托单位: UNIVERSITY OF IOWA
• 依托单位国家: 美国
• 财政年份: 1995
• 资助国家: 美国
• 起止时间: 1995-01-01 至 1999-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2634279
• 关键词: behavioral /social science research tag; blood chemistry; continuous ambulatory peritoneal dialysis; coping; emotional adjustment; group therapy; health behavior; hemodialysis; human subject; human therapy evaluation; kidney disorder; longitudinal human study; nutrition related tag; self care; therapy compliance

DESCRIPTION: This is a FIRST award application for research on adherence and adjustment in renal dialysis patients. The research proposal has two phases. In Phase I, the investigator will identify patient psychological attributes that interact with dialysis type to determine patient adherence and adjustment. It is predicted that adjustment and adherence will vary as a joint function of the type of dialysis prescribed and patient coping style. For example, patients who possess a more active style of coping should exhibit more favorable adherence when undergoing a self-administered dialysis treatment modality (i.e., continuous ambulatory peritoneal dialysis-- CAPD) but poorer adherence when receiving staff-administered dialysis (i.e., center hemodialysis). A longitudinal research design will be used in Phase I to allow for a prospective test of the interactive hypotheses over a 12-month period. The second phase of the research addresses the effectiveness and feasibility of psychological intervention. Two studies will be conducted, one with hemodialysis patients and the second with CAPD patients. The experiments will examine the interactive effects of self-management training and patient psychological attributes (e.g., coping style). Intervention protocols will consist of conventional procedures widely used by behavioral psychologists and designed to be implemented in a small-group format. The knowledge generated will provide both empirical data and a theoretical framework clinicians can draw upon when making treatment decisions in regard to ESRD and other medical populations.

描述：这是研究的第一个奖项申请 肾透析患者的依从性和调整。 研究 提案有两个阶段。 在第一阶段，调查员将确定 与透析类型相互作用的患者心理属性 确定患者的依从性和调整。 预测 这种调整和依从性将随着 开处方的透析类型和患者应对方式。 例如， 具有更活跃的应对方式的患者应该表现出更多 进行自我管理的透析时的依从性 治疗方式（即连续的卧床腹膜透析 - CAPD），但在接受员工管理时的依从性较差 透析（即中心血液透析）。 纵向研究设计 将在第一阶段使用，以允许对 互动假设在12个月内。 研究的第二阶段解决了有效性和 心理干预的可行性。 两项研究将是 进行的，一个患有血液透析患者，第二个患有CAPD 患者。实验将检查 自我管理培训和患者心理属性（例如， 应对风格）。干预方案将包括常规 行为心理学家广泛使用并设计为 以小组格式实施。 产生的知识将 提供经验数据和理论框架临床医生可以 在对ESRD和其他方面做出治疗决定时借鉴 医疗人群。