The Psychological Profiling Of Hemodialysis Patients and its Parallel with Physiological Indicators in Hemodialysis
Dr. Emilda Judith Ezhil Rajan
The current model of mental health has increased focus biopsychosocial model if mental health. The concept of the biopsychosocial model highlights the biological, the psychological and social feedback loop that determines ones mental status. The past decade has seen the increase of chronic illness, and the advancement of treatment for the same. The state of chronic illness involves a regimen that dictates lifelong treatment till palliative care or death. The maintenance and the sustenance of the individuals through the course of treatment and settlement in to routine life with the illness vary based on the diagnosed illness. Chronic illness in any medical proviso is known to result in any form of psychological problem, most commonly depression as a result of change in one's life style. An attempt to address this psychological problem has been a new venture in the field of psychology. The present study is on chronic illness involving Chronic Kidney Disease (CKD). CKD is when an individual's kidney fails and the long term effect of the failure is death. There are two interventional protocols for CKD the first is dialysis and the other Kidney transplant. Both treatment protocols are effective, though transplants are not easy intervention protocols that are easily available. Large number of patients undergoing dialysis, dialysis is of two type's peritoneal dialysis (PD) and Hemodialysis (HD). Hemodialysis is the most common protocol for treatment in India. The process of dialysis intervention is effective based on how the patients go through and maintains on the intervention and these impacts the life span of the patients. This related to addressing the psychological factors of hemodialysis patients as per our biopsychosocial model. The present study aims to identify if there is a relationship between key physiological variable that evaluates the health status of HD patients such as serum albumin, creatinine, inter-dialytic weight gain (IWG) and physical status to identify if they correlate with key psychological variables such as depression, anxiety, illness intrusiveness, quality of life-physical (QOL-P) and quality of life-health (QOL-H) that come with the life style changes in HD patients. This association factor can be help understand and improve dialysis outcome for the patient and also add on the existing treatment protocol especially in the Indian setup.
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