[Psychiatric aspect of patient rehabilitation in the late stages of chronic kidney failure using surgical treatment methods (hemodialysis and kidney transplant)]. / Psikhiatricheskii aspekt reabilitatsii bol'nykh v pozdnikh stadiiakh khronicheskoi pochechnoi nedostatochnosti pri ispol'zovanii operativnykh metodov lecheniia (gemodializ, peresadka pochki).

A complex examination of 270 patients with chronic renal insufficiency at late stages treated by hemodialysis was carried out. In 70 of them the operation of kidney transplantation had been performed. As a result of the examination data on objective possibilities of social and occupation re-adaptation of such patients were obtained. Factors leading to dysadaptation were revealed. A particular attention was paid to the dynamics of the diseases insight, the character of the pathomorphological changes in the brain, the peculiarities of organopsychic disorders and disorders of the cognitive activity.