ORIGINAL ARTICLES   

Panminerva Medica 2000 September;42(3):207-10

Copyright © 2009 EDIZIONI MINERVA MEDICA

lingua: Inglese

Patient’s needs in substitutive dialysis treatment. Some psycho-social and organizational considerations

Giacchino F., Manzato A., De Piccoli N., Ponzetti C.

From the Nephrology and Dialysis Unit Civil Hospital, Ivrea (Turin), Italy *Department of Psychology University of Turin, Turin, Italy

Background. The obser­va­tions ­here pre­sent­ed ­come ­from an ­action-­research pro­ject car­ried out at the Dialysis Centre of Ivrea. The ­work is ­focused on the artic­u­la­tion ­between sub­jec­tive (the ­felt expe­ri­ence) and objec­tive var­i­ables (the struc­ture and inter­ven­tion typol­o­gy) ­with the aim of under­stand­ing ­patient’s ­needs ­from an organ­iza­tion­al ­point of ­view.
Methods. A ques­tion­naire to eval­u­ate the ­needs of dia­lyt­ic ­patients and the bur­den ­that ­these ­have on the ­health ser­vice and ­staff, was for­mu­lat­ed by the nurs­es.
Results. The ­results ­showed how the ­patient’s clin­i­cal his­to­ry indi­cate, sig­nif­i­cant­ly, not ­only per­son­al and sub­jec­tive ­aspects (e.g. inter­per­son­al rela­tion­ships), but ­also how ­they con­struct ­their rela­tion­ships ­with the hos­pi­tal and its ser­vic­es (includ­ing the hos­pi­tal ­staff).
Conclusions. Data ­open up cer­tain reflec­tions on ­what ­role com­mu­ni­ca­tion and infor­ma­tion ­play with­in the hos­pi­tal struc­ture. Efficient com­mu­ni­ca­tion con­trib­utes ­both to ­reduce the anx­ie­ty lev­el and to ­improve the organ­iza­tion­al cli­mate there­fore influ­enc­ing ser­vice qual­ity.