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GAZZETTA MEDICA ITALIANA ARCHIVIO PER LE SCIENZE MEDICHE
A Journal on Internal Medicine and Pharmacology
Indexed/Abstracted in: BIOSIS Previews, EMBASE, Scopus, Emerging Sources Citation Index
Gazzetta Medica Italiana Archivio per le Scienze Mediche 2005 October;164(5):385-9
Psychologicl aspects in kidney transplantation
Rapisarda F. 1, Tarantino A. 2, Campise M. 2, Passerini C. 2, Baggio G. 1, Ghezzi F. 1, Nicodemo D. 1, Reseca R. 1, Zito M. T. 1, Buscemi G. 3, Di Lorenzo G. 4, Provenzano R. 5, Li Vecchi M. 5
1 Cattedra di Chirurgia Generale e Trapianti d'Organo, Università di Palermo, Palermo;
2 U.O. di Nefrologia e Dialisi, Ospedale Maggiore di Milano, Milano;
3 Cattedra di Semeiotica e Metodologia Chirurgica Università di Palermo, Palermo;
4 Cattedra di Medicina Interna, Università di Palermo, Palermo;
5 Cattedra di Nefrologia, Università di Palermo, Palermo
Aim. Even if the transplantation represents an opportunity for the patients to re-estabilish the same standard of living they had before the disease, it is not always accepted for the nature and the frequency of the therapy or for the frequency of clinical tests they have to face. Our study aims to outline the aspects that may possibly result in patients that have been transplanted and in non complaint patients; we indeed planned to describe some strategies of coping that may deal with these subjects.
Methods. The control group of 30 patients was made of 14 men (10 of them were married or live-in-partners) and 16 women (7 of whom were married). We divided all of them in 3 groups. In the first two there were patients with more then two years from transplantation, in the second patients with less then two years from transplantation. In the third there were 4 non complaint patients. We used a test for the analysis of the personality (MMPI2) and the COPE, that tests the abilities to coping used by the patient in certain situations that may have be perceived us stressful (a similar perception can regard also the transplantation).
Results. Our data show that patients with more than two years from transplantation can be anxious about their clinical situation, even leading to the denial of their disease status, because their hopes on the new organ has been dashed. Other elements like family malaise and the lack of an adequate emotional support can have a negative effect on the patient’s compliance.
Conclusions. This is the reason why it is advisable that the attention of the medical staff should be focused on the patients that show clearly these reactions and difficulties, in order to require an adequate and psychologically specialized support.