Psychic Reactions to Long‐Term Hemodialysis: Evaluation in the Elderly by Means of the Draw‐A‐Person Test†

Lowenhaupt, Elizabeth

doi:10.1111/j.1532-5415.1977.tb00660.x

Cited by 5 publications

(2 citation statements)

References 8 publications

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“…Still, it is worth noting that it has been suggested that excessive social support can negatively affect patients’ helplessness as well, as it can make them feel completely manipulated by medical staff. 26 …”

Section: Resultsmentioning

confidence: 99%

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Learned Helplessness in Renal Dialysis Patients: Concept Analysis with an Evolutionary Approach

Xie¹,

Li²,

Li³

2022

PPA

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Background: Learned helplessness is an early psychological concept, but in the field of nursing, the concept of learned helplessness in renal dialysis patients and its unique challenges are not well understood. Objective: This article provides a conceptual analysis of learned helplessness in renal dialysis patients to increase knowledge of this psychological phenomenon in the setting of renal nursing. Design: Rodgers' evolutionary concept analysis. Methods: The literature published in five databases (PubMed, CINAHL, Embase, PsycINFO, CNKI) was searched using specific terms. In the first stage, search terms and strategies were used to narrow the relevant articles. In the second stage, the data were extracted from the included articles. In the third stage, the data were analyzed using thematic analysis, and the results were presented in the form of attributes, antecedents, consequences, surrogate terms, and related terms. We found additional instruments and interventions and presented a model case to emphasize the practicality of the concept. In the fourth phase, experts contributed to the discussion and interpretation of the findings. Results: A total of 22 articles were included. Four attributes of learned helplessness in renal dialysis patients were identified: low selfconcept, perceived loss, negative cognitive set, and abandonment of action. The antecedents were sociodemographic characteristics, disease and treatment, and psychological factors. Consequences were separated into four themes: psychological problems, physiological problems, quality of life, and health-related behavior. Surrogate terms are hopelessness and powerlessness, and the related term is depression. Conclusion:The process of conceptual analysis in this study provides a means of identifying awareness gaps and practice challenges of learned helplessness in renal dialysis patients and other concepts. The findings can be used to guide the design of tools and interventions to expand the use of learned helplessness theory in nursing.

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Section: Resultsmentioning

confidence: 99%

“…Their consider themselves unattractive, accompanying the collapse of self-worth and a lack of appropriate self-perception and reasonable self-control. [25][26][27]…”

Section: Low Self-conceptmentioning

confidence: 99%

Learned Helplessness in Renal Dialysis Patients: Concept Analysis with an Evolutionary Approach

Xie¹,

Li²,

Li³

2022

PPA

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Research issues in psychological studies of chronic dialysis

Osberg¹,

Meares²,

McKee³

et al. 1980

Psychiatry Research

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Nursing/Allied Health

Kumar

Chinnabhandar²,

Gupta³

et al. 2014

Neuro-Oncology

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OBJECTIVE: To determine common complications in peripherally inserted central catheters (PICCs) among pediatric oncology patients in a developing world scenario. METHODS: Retrospective analysis of data of patients in whom PICC line was inserted at our centre from January-2011 to July -2013. RESULTS: A total of 82 PICCs were inserted in 68 patients over the study period among 286 treated patients at our unit. 10 patients had PICCs inserted twice and 2 of them thrice. 49 patients were males ( 72% ) and 19 were females (28%) with a median age of 5.7 years (range-0.4-18Y). 53 (64.6%) had hemato-lymphoid malignancies([ALL (42 out of 82) was the commonest] and 15(18.2%) had solid tumors [neuroblastoma (4) was most common].The basilic vein was used most frequently (n ¼ 75; 91.2%) for PICC placement. The commonest indication for PICCs was chemotherapy and majority were inserted during induction-phase chemotherapy. The total duration in-situ for the 82 PICC in our cohort was 3,560 catheter-days (median-time 71.5 days; range: 1-195 days). PICC-associated blood-stream infection, in 28 PICCs was the most common complication in these patients (34.1%, n ¼ 82; 7.8 episodes/1,000 catheter-days) with Gram-positive organisms isolated in 40% cases, Gram-negative organisms in 32% and fungi in 28% cases. Well-recognized hospital-acquired pathogens like Stenotrophomonas, Pseudomonas, Enterococci, Acenetobacter, Candida and Penicillium constituted .50% of isolated organisms. Other complications noted were catheter-occlusion (6%), accidental displacement (4.8%) and catheter-associated venous thrombosis (4.8%). No mortality attributable to PICCs was noted. CONCLUSIONS: Despite significant complications, PICCs are a relatively safe and cost-effective method of establishing long-term central venous access in pediatric-oncology patients. Catheter associated blood-stream infection (CABSI) remains a major morbidity in this patient cohort, often necessitating catheter removal. Pain relief was the major benefit and a tradeoff for increased risk of infection.

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Psychic Reactions to Long‐Term Hemodialysis: Evaluation in the Elderly by Means of the Draw‐A‐Person Test†

Cited by 5 publications

References 8 publications

Learned Helplessness in Renal Dialysis Patients: Concept Analysis with an Evolutionary Approach

Learned Helplessness in Renal Dialysis Patients: Concept Analysis with an Evolutionary Approach

Research issues in psychological studies of chronic dialysis

Nursing/Allied Health

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