We studied adaptability to the stresses of bome bemodialysis and CAPD programs by asking patients (143 on bemodialysis; 53 on CAPD) to assess particular treatment -associated stressors. A 14-item questionnaire was constructed to measure areas in which the patients felt stress and the intensity of the stress. Also we used a self-rating scale to obtain information about both the patient's overall and bis or ber physical wellbeing. The majority of patients complained of physical weakness and an inability to sleep. This paper outlines stressors for each treatment modality, and based on patient self-assessment concludes that the two modes of treatment are comparable.
McCubbinH., PattersonI.Family stress and adaptation to crisis: A double ABCX model of family behavior: In: McCubbinO. eds. Advances and developments in family stress therapy and research.New York: Haworth; 1983.
7.
MolumphyS.K., SporakowskiI.The family stress of hemodialysis.Fam Rei1984; 33: 33–39.
8.
EschbachI.W., BarnettB.M.S., DaltS.Hemodialysis in the home; a new approach to the treatment of chronic uremia.Ann Intern Med1967; 67: 1149–1162.
9.
BurtonH.I., KlattH.I., ConleyI.Stresses associated with sexual adjustment of end stage renal disease patients commencing home dialysis: A comparison between hemodialysis and CAPD.Contemp Dial1981; 25–30.
10.
BurtonH.J., HeidenheimP.M., KlineS.A., LindsayR.M.Sex selection bias in the choice of CAPD.Perit Dial Bull.1984; 4: S172–S125.
11.
BurtonH.I., CanzonaL., LindsayR.M., PalmerS.Adaptation to home dialysis. Report of Health Care Research Unit1980; London, Canada, University of Western Ontario.
12.
NortonC.E.Attitudes toward living and dying in patients on chronic hemodialysis.Di Analysis 172; I.
13.
BaldreeK.S., MurphyS.P., PowersM.I.Stress identification and coping pat terns in patients on hemodialysis.Nurs Res1982; 31: 107–112.
14.
BrundageD.I.Nursing management of renal problems.St. Louis: C. V. Mosby Co.1976.
15.
CramondW.A., KnightP.R., LawrenceI.R.The psychiatric contribution to a renal unit undertaking chronic haemodialysis and homotransplantation.Br I Psych1967; 113: 1201.
16.
CzaczkesI.W., Kaplan De-NourA.Chronic hemodialysis as a way of life.New York: Brunner-Mazel Publishers, 1978.
17.
Kaplan De NourA., ShaltielI., CzaczkesI.W.Emotional reactions of patients on chronic hemodialysis.Psychosometric Med1968; 30: 521.
18.
ReichsmanF., LevyN.O.Problems in adaptation to maintenance hemodialysis.Arch Int em Med1972; 130: 859.
AngerD.Psychologic stress of chronic renal failure and long-term hemodialysis.Nurs Clin North Am1975; 10: 449–460.
21.
FosterF.C., CohnO.L., McKegneyF.P.Psychobiologic factors and individual survival on chronic renal hemodialysis. A two year follow up: Part I.Psychosomatic Med1973; 35: 64–82.
22.
FriedmanE.A., OoodwinN.I., ChaudryL.Psychosocial adjustment to maintenance hemodialysis, Part I.N Y State I Med1970; 70: 6–29.
23.
IsiadensoO.Psychological adaptation to long term hemodialysis: A study of 84 patients.Bull N Y Acad Med1975; 51: 797–803.
24.
LevyN.B.Psychological factors affecting long term survivorship on hemodialysis.Dialysis and Transplantation1979; 8: 880–881.
25.
LindsayR.M., OreopoulosD.O., BurtonH.I.The effect of treatment modality (CAPD vs Hemodialysis) in adaptation to home dialysis in Canada. In: AtkinsR.C. eds. Peritoneal dialysis.New York: Churchill Livingstone Publishers;1981: 385–394.
26.
LindsayR.M., OreopoulosD.O., BurtonH.I.Adaptation to home dialysis: A comparison of continuous ambulatory peritoneal dialysis and hemodialysis. In: LegrainM.. ed. Continuous ambulatory peritoneal dialysis.Excerpta Medica: Amsterdam1980: 120–130.
