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Biomedical subjects

R C Ziller

Publications and source records attributed to R C Ziller.

At least 19 recordsLinked to original sources

Quality of life of patients on in-center hemodialysis versus continuous ambulatory peritoneal dialysis.

This study compared chronic hemodialysis and CAPD patients on several quality of life variables: dietary adherence, self-esteem, hope, wellbeing, marital happiness, perceived control over life, marital status, number of emotional support persons, and participation in social, recreational, and work activities. Statistically significant differences in the quality of life variables due to treatment modality or demographic variables were not found. However, CAPD patients did engage in significantly more social and recreational activity, though not more work activity, than did hemodialysis patients. It is noted that 73% of the CAPD patients were Caucasian and that 72% of the hemodialysis patients were of black origin. Similarly skewed racial compositions in preceding research comparing patients on CAPD and hemodialysis suggest that 1. choice of treatment is occurring on the basis of some set of patient characteristics, or 2. systematic assignment is occurring on the basis of race, sex, and/or education. However, given no significant race/demography differences for variables used in this research, it appears that quality of life across racially different groups of hemodialysis and CAPD patients is comparable.

Black or African American↗

Assessment-based group counseling to address concerns of chronic hemodialysis patients.

A Dialysis Patient Concerns Inventory (DPCI) was administered to 15 chronic hemodialysis outpatients by their nurses to assess concerns related to being a hemodialysis patient. This direct information from patients rather than experts in the field was used to construct a group counseling program to address these and other concerns later acknowledged by patients once group counseling began. Components of the counseling program, how the program was implemented, its effects, and factors important in effective program implementation with nurse involvement are discussed. It was concluded that it is important for nurses to play key roles in group counseling to address patients' concerns. It is also important for such counseling to be based on structured assessment of specific concerns reported from patients. Furthermore, it was concluded that group counseling should be planned and executed in ways that actively involve patients and that allow patients to participate for skill development and for life enhancement, rather than to get help with personal problems--a motivator that is often stigmatized.

Adult↗

Shyness-environment interaction: a view from the shy side through auto-photography.

It is proposed that shyness both induces and is induced by the perception of the environment. This study of person-situation transaction used photographic images taken by shy and less shy subjects in response to the question, "Who are you?" A content analysis of the photographs showed that shy persons were less person-oriented, more aesthetically oriented, and showed a reduced range of orientations when compared to less shy persons. The hierarchy of orientations for shy persons was aesthetic, people, self, and school; whereas for less shy persons it was people, self, aesthetic, and other persons. Thus, the difference between shy and less shy persons is in the pattern of orientations rather than in orientations in and of themselves. Moreover, one single difference between the groups, such as the lesser orientation toward people, does not justify the interpretation of shyness as a "people phobia."

Adult↗

An ecological and behavioral approach to outpatient dialysis treatment.

A treatment-research program is described which was implemented in an outpatient dialysis treatment unit to facilitate patients' psychosocial adjustment and quality of life. The program's theoretical framework and multifaceted treatment approach are based on an ecological-behavioral model of community intervention research. The effects of the program were evaluated from (1) pre- and post-measures of patients' and nurses' self-esteem and level of hope. (2) behavior changes, and (3) program evaluations from patients, nurses and doctors. These indices suggest that the program resulted in positive psychosocial consequences for patients and nurses.

Adult↗

The psychological niche of older Japanese and Americans through auto-photography: aging and the search for peace.

In an effort to understand aging cross-culturally, photography as a universal language was used to perceive the perceiver. Persons averaging seventy-three years of age from Japan and the United States were asked to describe "Who are you?" by taking (or having someone else take) six photographs. A content analysis of the photographs showed that older Japanese appear to be inward oriented (inside own territory, gardens, residence) and aesthetically oriented, while older Americans were more oriented toward other people. The results were interpreted in terms of differences in the search for peace. Peace is sought through self-harmony in the orient, but through social harmony in the occident.

Adaptation, Psychological↗