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Psychosocial issues in children on hospital haemodialysis: nurses' views

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Abstract

In a sample of 21 children and adolescents on hospital haemodialysis, nurses identified a substantial percentage of the children (about half) as having marked problems in psychological adjustment. Nearly half of the children were also regarded as showing poor compliance with aspects of treatment other than dialysis. More children were rated as disturbed by nursing than by research psychiatric assessments; there was limited congruence between nurses' and parent/child ratings of problems in physical well-being or in treatment compliance. The reasons for these discrepancies are explored. Our results highlight the importance that psychological aspects in the nursing of children with chornic renal failure on hospital haemodialysis are recognised.

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References

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    Garralda ME, Jameson RA, Reynolds JM, Postlethwaite RJ (1988) Psychiatric adjustment in children with chronic renal failure. J Child Psychol Psychiatry 29:79–90

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Author information

Correspondence to Jill M. Reynolds.

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Reynolds, J.M., Garralda, E.M., Postlethwaite, R.J. et al. Psychosocial issues in children on hospital haemodialysis: nurses' views. Pediatr Nephrol 4, 176–177 (1990). https://doi.org/10.1007/BF00858837

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Key words

  • Haemodialysis
  • Chronic renal failure
  • Nurses
  • Compliance
  • Psychosocial development