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The quality of life: A study of hemodialysis patients
129 PATIENT EDUCATION 4) The ettectiveness of two types of preparatory messages on the responses of patients undergoing sigmoidoscopy examination SAUNDERSON, G. R. Sch. Nursing, Univ. Michigan, Ann Arbor, Mich., U.S.A. Abstr. Hosp. Manage. Stud. 14(2), 18100 NU: 48 p., 1977 This study was designed to test the relative effectiveness of two procedures to prepare patients for sigmoidoscopy examinations. These procedures were the provision of 1) preparatory sensory information and 2) preparatory procedural information. The experimental group of nineteen patients received a systematically organized teaching tape-recorded message. It described preparations for the procedure, physical environment, and sensations patients could expect to experience. The control group of nineteen patients were given only procedural information by the nursing staff. The study tested two hypotheses: 1) patients prepared with preparatory sensory information will demonstrate less negative affect on the Multiple Affect Adjective Checklist than the control group; and 2) patients prepared with preparatory sensory information will have a more positive score on the follow-up survey questionnaire of subjective feelings regarding the sigmoidoscopy examination than the control group. Data supported the first hypothesis, indicating that patients who were prepared with preparatory sensory information demonstrated less situational stress before the sigmoidoscopy examination than patients in the control group who received only preparatory procedural information. The second hypothesis was also supported, indicating that patients in the experimental group in contrast to those in the control group viewed their sigmoidoscopies as less uncomfortable and felt that they had received adequate preparation for the procedure. METIIODS OF SUPPORT 5) The quality of life: A study of hemodialysis patients ATCHERSON, E. VA Hosp., Iowa City, Iowa, U.S.A. Health Soc. Work 3(I), 54-69, 1978 An effective method for treating patients with severe renal failure is maintenance hemodialysis, which can be carried out either at home or in a medical center. In order to determine how patients view the two settings, the medical, psychological, and social factors involved in the completion of the home-hemodialysis
WINTEB/SPBING/1979
(H.H.)-training program and use of H.H. techniques were studied. The H.H.-training program at the Veterans Administration Hospital in Iowa City was initiated in 1970 and expanded in 1976 so that more patients could participate. The:help of an assistant is required for patients who desire to learn and master H.H. procedures. The cost of hemodialysis can be significantly reduced by home treatment. Another benefit of H.H. noted by patients was a lower incidence of medical complications, including fewer transfusions. It has also been observed that rehabilitation of H.H. patients exceeds that of center hemodialysis patients and parallels that of patients who have had kidney transplants. This study surveyed those patients who discontinued H.H., either during training or after actual home use, and transferred to the center for further hemodialysis. The reasons patients discontinued home training included inability to master dialysis procedures, problems with the dialysis equipment, increasing anxiety or stress during dialysis, and related medical problems. It is common for hemodialysis patients to feel anxiety, stress, and depression because of the serious nature of their chronic illness. It is apparent that not all patients or families are able to cope with the stress involved. Assistants, more often than patients, are affected by psychological problems that lead to the discontinuation of home training or treatment. A significant social factor noted by this study is that home dialysis appears to be more successful when the patient is male and the assistant female. If self-hemodialysis is effective in reducing costs and medical complications and in increasing rehabilitation of the patient, then additional efforts must be made to encourage patients and assistants in the use of H.H. The social worker is integral to successful H.H. in providing specific services and in counselling the patient, assistant, and family. 6) The expanded measurement of patients' psychological stress responses to being in the coronary care unit DAVIS, B. K. VA Hosp., Pittsburgh, Pa., U.S.A. Mil. Med. 143 (3), 203-207, 223-225, 1978 The purposes of this study were several: to identify and measure the areas of stress perceived by patients while in the coronary care unit setting; to increase patient understanding; and to facilitate changes in nursing care and approaches where needed. The study compared the patients' responses with findings in the literature, with results from a pilot study conducted
WINTEB/SPBING/1979
(H.H.)-training program and use of H.H. techniques were studied. The H.H.-training program at the Veterans Administration Hospital in Iowa City was initiated in 1970 and expanded in 1976 so that more patients could participate. The:help of an assistant is required for patients who desire to learn and master H.H. procedures. The cost of hemodialysis can be significantly reduced by home treatment. Another benefit of H.H. noted by patients was a lower incidence of medical complications, including fewer transfusions. It has also been observed that rehabilitation of H.H. patients exceeds that of center hemodialysis patients and parallels that of patients who have had kidney transplants. This study surveyed those patients who discontinued H.H., either during training or after actual home use, and transferred to the center for further hemodialysis. The reasons patients discontinued home training included inability to master dialysis procedures, problems with the dialysis equipment, increasing anxiety or stress during dialysis, and related medical problems. It is common for hemodialysis patients to feel anxiety, stress, and depression because of the serious nature of their chronic illness. It is apparent that not all patients or families are able to cope with the stress involved. Assistants, more often than patients, are affected by psychological problems that lead to the discontinuation of home training or treatment. A significant social factor noted by this study is that home dialysis appears to be more successful when the patient is male and the assistant female. If self-hemodialysis is effective in reducing costs and medical complications and in increasing rehabilitation of the patient, then additional efforts must be made to encourage patients and assistants in the use of H.H. The social worker is integral to successful H.H. in providing specific services and in counselling the patient, assistant, and family. 6) The expanded measurement of patients' psychological stress responses to being in the coronary care unit DAVIS, B. K. VA Hosp., Pittsburgh, Pa., U.S.A. Mil. Med. 143 (3), 203-207, 223-225, 1978 The purposes of this study were several: to identify and measure the areas of stress perceived by patients while in the coronary care unit setting; to increase patient understanding; and to facilitate changes in nursing care and approaches where needed. The study compared the patients' responses with findings in the literature, with results from a pilot study conducted