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001-es BibID:BIBFORM073376
035-os BibID:(WoS)000386317900072 (Scopus)84992316179
Első szerző:Illés Amanda (egészségpszichológus)
Cím:Questionnaire Development for the Measurement of Patients' Attitudes Toward Renal Transplantation / A. Illés, B. Nemes, L. Zsom, S. Kovács, A. Bugán
Dátum:2016
ISSN:0041-1345
Megjegyzések:Objective The aim of this work was the exploration of chronic renal insufficiency patients' attitudes toward treatment, various motifs underlying their acceptance or refusal of kidney therapy, and understanding of their psychologic content. Examinations were carried out of chronic renal insufficiency patients' attitudes toward renal treatments, and a questionnaire suitable for its assessment was developed. Methods Suppositions of patients before and after renal transplantation were explored by means of semistructured interviews. The content-based analysis of the interview narratives revealed the system of content-categories, which we fitted with attitude questions. Transplant patients took part in the trial of the questionnaire, and the statistical analysis of their replies revealed specific variations in patients' attitudes toward transplantations. Results The results of the principal component analysis classified the replies of transplanted patients into 8 categories for interpretation: hope of recovery, effects of dialysis in deterioration of quality of life, mistrust of transplantation, refusal, anxiety in the run-up phase to transplantation, difficulty in acceptance of the disease and transplantation as a treatment, fears of living-donor transplantations, acceptance of transplantation, and curiosity about dead donors. Conclusions Our research explored attitude variances among patients for and against transplantations. A good understanding of patients' attitudes (the exploration of valid and invalid assumptions) might exert a positive influence on patient decisions, and might improve their attitude toward their treatment and their adherence from preparation for the operation to the postoperative phase of recovery.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
Megjelenés:Transplantation Proceedings. - 48 : 7 (2016), p. 2534-2539. -
További szerzők:Nemes Balázs Áron (1969-) (sebész) Zsom Lajos (1968-) (belgyógyász, nefrológus) Kovács Sándor (1978-) (matematika tanár) Bugán Antal (1948-) (pszichológus, klinikai szakpszichológus, pszichoterapeuta)
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Intézményi repozitóriumban (DEA) tárolt változat
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001-es BibID:BIBFORM073221
035-os BibID:(WoS)000408790300002 (Scopus)85028024460
Első szerző:Illés Amanda (egészségpszichológus)
Cím:Patient Attitudes Toward Transplantation as Preferred Treatment Modality in Different Stages of Renal Disease / A. Illés, A. Bugán, S. Kovács, E. Ladányi, J. Szegedi, B. József, R. P. Szabó, B. Nemes
Dátum:2017
ISSN:0041-1345
Megjegyzések:ObjectiveKidney transplantation is generally considered to be the best treatment for end-stage renal disease. Not every patient can be operated, but many of suitable patients refuse this possibility. We aimed to explore the attitudes of patients with chronic kidney disease towards renal replacement therapies to recognize motives, thoughts, and feelings concerning accepting or refusing the treatment. We studied the attitudes towards the illness and the treatment, the appearance of depression, and the disease burden during different stages of the disease.MethodsFor this study we implemented a questionnaire that we developed (which has been described in an earlier publication of this journal) with 99 pre-dialysis patients, 99 dialysis patients, and 87 transplantation patients. We completed the attitude questionnaire designed by our team to include disease burden and depression questionnaires.ResultsWe used discriminant analysis to describe different stages of the disease. There was a significant difference in the following factors between the three patient groups: accepting the new kidney, lack of confidence in transplantation therapy, fear of surgery, accepting self-responsibility in recovery, dependency on the transplanted kidney, confidence in recovery, subjective burden of dialysis, and denial of personal responsibility in maintaining the transplanted kidney. Significant differences were also detected in these three groups regarding the level of depression and disease burden: we measured the highest value among the dialysis patients, and the lowest value among the pre-dialysis patients. Comparing patients accepting and refusing transplantation, we found a correlation between the refusal of transplantation and the attitudes towards the illness and treatment.ConclusionsMost patients remain unmotivated to change treatment modality and refuse transplantation. Misbelief about transplantation shows a correlation with the motive of refusal. Dissemination of information may facilitate a change in the situation.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
veseátültetés
pszichológia
attitűd
Megjelenés:Transplantation Proceedings. - 49 : 7 (2017), p. 1517-1521. -
További szerzők:Bugán Antal (1948-) (pszichológus, klinikai szakpszichológus, pszichoterapeuta) Kovács Sándor (1978-) (matematika tanár) Ladányi Erzsébet Szegedi János József B. P. Szabó Réka (1979-) (orvos) Nemes Balázs Áron (1969-) (sebész)
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DOI
Intézményi repozitóriumban (DEA) tárolt változat
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