The Physician-Patient Working Alliance in Hemodialysis Treatment

被引：13

作者：

Fuertes, Jairo N. ^{[1
]}

Rubinstein, Sofia ^{[2
]}

Reyes, Mariela ^{[1
]}

Iampornpipopchai, Pichet ^{[2
]}

Mujeeb, Shanza ^{[2
]}

Smith, Carroll R. ^{[2
]}

Toporovsky, Arielle ^{[1
]}

机构：

[1] Adelphi Univ, Derner Inst Adv Psychol Studies, 158 Cambridge Ave, Garden City, NY 11530 USA

[2] Nassau Univ Med Ctr, Div Nephrol & Hypertens, E Meadow, NY USA

来源：

BEHAVIORAL MEDICINE | 2017年 / 43卷 / 04期

关键词：

adherence; hemodialysis; physician-patient working alliance; satisfaction; QUALITY-OF-LIFE; EXPECTATIONS; ADHERENCE; SATISFACTION; ATTACHMENT; MORTALITY; HEALTH; PREDICTORS; MEDICATION;

D O I：

10.1080/08964289.2015.1122569

中图分类号：

B84 [心理学]; C [社会科学总论]; Q98 [人类学];

学科分类号：

03 ; 0303 ; 030303 ; 04 ; 0402 ;

摘要：

Over the past 20years, the role of psychological and social factors, including the physician-patient working alliance, have emerged as integral components of medical care for patients with a myriad of health conditions. The current study examines a model comprised of psychological-interpersonal factors and the extent to which it explains patient satisfaction with and adherence to hemodialysis treatment. One hundred and seven adults with end-stage renal disease who were receiving regular outpatient hemodialysis participated in the study. Path analyses show that the physician-patient working alliance indirectly predicts patient adherence through patient satisfaction and patients' outcome expectations. The working alliance directly predicts patients' quality of life. It is concluded that consistent with previous research, the physician-patient working alliance is a significant factor in predicting key patient behaviors in medical care.

引用

页码：242 / 250

页数：9

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