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Haemodialysis patients' beliefs about renal failure and its treatment.
Patient Educ Couns. 2004 May; 53(2):189-96.PE

Abstract

Patients' beliefs about illness are important because they influence adherence and adjustment, but they are often surprising and idiosyncratic. Qualitative research can identify them in ways that are not shaped by psychological theory, but quantification is necessary if clinicians are to be informed about the beliefs that are likely to be prevalent in their patients. Qualitative analysis of interviews with 16 haemodialysis (HD) patients identified beliefs about end-stage renal failure (ESRF) and its treatment that were formed into a questionnaire, completed by 156 similar patients. Patients attributed ESRF to diverse factors including lack of self-care and inadequate medical care. Patients lacked a clear belief in the mechanism of action of dietary control, and its necessity was not readily acknowledged. The common view of haemodialysis as 'cleansing' extended to the reassuring belief that it would purge the body of disallowed food or drink. Many patients regarded haemodialysis and dietary control as externally imposed challenges that dominated life. The findings identify potential targets for educational intervention to improve adherence and adjustment and predictions about effects of patients' beliefs that can be tested in future prospective studies.

Authors+Show Affiliations

Department of Clinical Psychology, University of Liverpool, Liverpool, UK. rkrespi@liv.ac.ukNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

15140459

Citation

Krespi, Rita, et al. "Haemodialysis Patients' Beliefs About Renal Failure and Its Treatment." Patient Education and Counseling, vol. 53, no. 2, 2004, pp. 189-96.
Krespi R, Bone M, Ahmad R, et al. Haemodialysis patients' beliefs about renal failure and its treatment. Patient Educ Couns. 2004;53(2):189-96.
Krespi, R., Bone, M., Ahmad, R., Worthington, B., & Salmon, P. (2004). Haemodialysis patients' beliefs about renal failure and its treatment. Patient Education and Counseling, 53(2), 189-96.
Krespi R, et al. Haemodialysis Patients' Beliefs About Renal Failure and Its Treatment. Patient Educ Couns. 2004;53(2):189-96. PubMed PMID: 15140459.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Haemodialysis patients' beliefs about renal failure and its treatment. AU - Krespi,Rita, AU - Bone,Mike, AU - Ahmad,Rashid, AU - Worthington,Breda, AU - Salmon,Peter, PY - 2002/08/15/received PY - 2003/03/15/revised PY - 2003/04/07/accepted PY - 2004/5/14/pubmed PY - 2004/8/11/medline PY - 2004/5/14/entrez SP - 189 EP - 96 JF - Patient education and counseling JO - Patient Educ Couns VL - 53 IS - 2 N2 - Patients' beliefs about illness are important because they influence adherence and adjustment, but they are often surprising and idiosyncratic. Qualitative research can identify them in ways that are not shaped by psychological theory, but quantification is necessary if clinicians are to be informed about the beliefs that are likely to be prevalent in their patients. Qualitative analysis of interviews with 16 haemodialysis (HD) patients identified beliefs about end-stage renal failure (ESRF) and its treatment that were formed into a questionnaire, completed by 156 similar patients. Patients attributed ESRF to diverse factors including lack of self-care and inadequate medical care. Patients lacked a clear belief in the mechanism of action of dietary control, and its necessity was not readily acknowledged. The common view of haemodialysis as 'cleansing' extended to the reassuring belief that it would purge the body of disallowed food or drink. Many patients regarded haemodialysis and dietary control as externally imposed challenges that dominated life. The findings identify potential targets for educational intervention to improve adherence and adjustment and predictions about effects of patients' beliefs that can be tested in future prospective studies. SN - 0738-3991 UR - https://www.unboundmedicine.com/medline/citation/15140459/Haemodialysis_patients'_beliefs_about_renal_failure_and_its_treatment_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0738399103001472 DB - PRIME DP - Unbound Medicine ER -