The psycho-social stressors associated with survival by dialysis

The psychological condition of people surviving by dialysis has been investigated using the Dialysis Problem Check-list together with appropriate ratings. Although there may have been some underestimation owing to a denial effect, many stressing difficulties were revealed amongst a sample of dialysis patients and their partners. Some difficulties were associated with hardships directly caused by renal failure and the dialysis techniques, but others had their origin in the practices of the staff, particularly in relation to training and communications. The implications in terms of psychological intervention within a kidney unit are discussed.