Emotional and psychological support for renal dialysis patients

West MidlandsMental Health
Start Date: 1 Aug 2014

Project summary

People with chronic kidney disease and end-stage renal disease experience considerable emotional and psychological difficulties, often unrecognised and therefore not responded to by their clinicians.

The importance of responding appropriately and effectively to the emotional and psychological difficulties faced by renal patients is highlighted in a range of national guidelines and policy directives relating to chronic kidney disease and end-stage renal disease populations. Support for patients’ emotional and psychological needs is also an integral part of the NHS’s approach to the management of all long-term conditions and chronic diseases.

This summary literature review uses social science based literature published in the UK and internationally on the emotional and psychological needs and support for end-stage renal disease patients. The aim of the literature review was to address the following research questions:

  1. What are the prevalence, range and complexity of emotional and psychological problems experienced by end-stage renal disease patients?
  2. Which measurement tools are used for the screening of emotional and psychological problems in end-stage renal disease patients?
  3. What is the impact of emotional and psychological problems on clinical outcomes for end-stage renal disease patients?
  4. What are the emotional and psychological needs of end-stage renal disease patients from the patient perspective?  
  5. Are there specific approaches used by clinicians in consultations with patients that provide good emotional and psychological support?
  6. Are there non-pharmacological interventions that effectively address the emotional and psychological needs of end-stage renal disease patients?
Contact 
Dr Gill Combes