Abstract
Therapeutic blood purification can now be recommended for outpatients with end-stage renal disease (ESRD). Biochemical examination values, mental effects and degree of social rehabilitation were compared in two groups of patients with ESRD. 13 outpatients (8 males and 5 females, mean age 45±12.1 years-Out-G) underwent therapeutic blood purification in our hospital during the 5 years from 1980 to 1984. In 13 inpatients (8 males and 5 females, mean age 43±10.3 years-In-G), age, sex and other factors were simila to Out-G. Measurement of blood pressure and body weight and biochemical examination were performed before and 4 and 12 weeks after initiation of the therapy. No significant differences were observed between the two groups. Mental effects and degree of social rehabilitation were examined via questionnaire. Of mental effects, pain at puncture of blood access and anxiety concerning extracorporeal circulation were the most frequent complaints among the In-G. This seemed to come from erroneous information concerning the therapy provided by other inpatients. Anxieties over the possible need of dialysis therapy for the rest of their lives, dietary restrictions and length of survival were noted in a high 75% of each group. Of the Out-G, 64% were completely rehabilitated, while only 26% of the In-G was. As for duration until social rehabilitation, the Out-G returned to their jobs within shorter terms, and continued their work. It is concluded that initiation of therapeutic blood purification in outpatients with ESRD is more advantageous for social rehabilitation.
