Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
2
pubmed:dateCreated
2004-5-13
pubmed:abstractText
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.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
N
pubmed:status
MEDLINE
pubmed:month
May
pubmed:issn
0738-3991
pubmed:author
pubmed:issnType
Print
pubmed:volume
53
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
189-96
pubmed:dateRevised
2007-11-15
pubmed:meshHeading
pubmed-meshheading:15140459-Adolescent, pubmed-meshheading:15140459-Adult, pubmed-meshheading:15140459-Aged, pubmed-meshheading:15140459-Aged, 80 and over, pubmed-meshheading:15140459-Attitude to Health, pubmed-meshheading:15140459-Causality, pubmed-meshheading:15140459-Diet, Protein-Restricted, pubmed-meshheading:15140459-Educational Status, pubmed-meshheading:15140459-Female, pubmed-meshheading:15140459-Fluid Therapy, pubmed-meshheading:15140459-Health Knowledge, Attitudes, Practice, pubmed-meshheading:15140459-Hospitals, University, pubmed-meshheading:15140459-Humans, pubmed-meshheading:15140459-Kidney Failure, Chronic, pubmed-meshheading:15140459-Male, pubmed-meshheading:15140459-Middle Aged, pubmed-meshheading:15140459-Needs Assessment, pubmed-meshheading:15140459-Patient Education as Topic, pubmed-meshheading:15140459-Prognosis, pubmed-meshheading:15140459-Qualitative Research, pubmed-meshheading:15140459-Quality of Life, pubmed-meshheading:15140459-Questionnaires, pubmed-meshheading:15140459-Renal Dialysis, pubmed-meshheading:15140459-Treatment Outcome
pubmed:year
2004
pubmed:articleTitle
Haemodialysis patients' beliefs about renal failure and its treatment.
pubmed:affiliation
Department of Clinical Psychology, University of Liverpool, Liverpool, UK. rkrespi@liv.ac.uk
pubmed:publicationType
Journal Article