Abstract: Chronic Renal Failure (CRF) is a public health problem that tends to take dimensions of epidemic and has serious impact on quality of patient’s life. Anger and aggressiveness are common among patients with end-stage renal disease (ESDR). A number of psychiatric problems arise during the course of treatment by hemodialysis, both among patients, relations and members of dialysis teams. Factors of personality like anger are discussed, before the dialysis and after it. As the disease progresses patients show insomnia at night. They may be irritated, depressed, demanding, discontent, aggressive which add to the difficulties in their management by hospital staff. Researchers suggest that the neuro-psychiatric changes are probably concomitant with chemical changes. We reviewed the literature and studied 12 patients with chronic renal failure, interviewed their relatives, three doctors, the psychologist and five nurses to explore if anger and aggressiveness was the psychological impact of dialysis or part of their previous personality and their attitude toward the psychological support. Complexity and chronic nature of the disease affect the quality of life and personality of patients with CRF. All the twelve patients we study showed personality change because of dialysis, but aggressiveness and anger was more related to their temperament than to the impact of the disease. Dialysis patients show resistance to therapy, because it is difficult for them to deal with the end of their life. From the other side the patient's difficulty in joining out-of-site appointments and dialysis hours also corroborates that mental health-focused treatments take second place. The role of the Nephrology Unit is highly important for the implementation of effective nursing interventions and psychological support during their treatment.
Keywords: chronic kidney disease, anger, aggressiveness, negative symptoms, hemodialysis treatment, counselling, opened interviews.
Title: Anger and Aggressiveness as a Factor of Personality in Patients Undergoing Dialysis
Author: Rezalda Shehi, Sabina Tahsimi
International Journal of Social Science and Humanities Research
ISSN 2348-3156 (Print), ISSN 2348-3164 (online)
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