A Descriptive Study to Assess the Stressors, Level of Stress, and Coping Strategies of Patients Undergoing Hemodialysis

Anju Perumal
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Abstract

Background: Hemodialysis is a lifelong treatment that significantly and sometimes adversely affects patient’s physical, mental, and social well-being. Chronic kidney disease is a worldwide public health problem and now recognized as a common condition that is associated with an increased risk of cardiovascular disease and chronic renal failure. The incidence rates of end-stage renal disease have increased steadily and internationally. The United States has the highest incidence rate of end-stage renal disease rate (Parsian, 2007). Methods: The descriptive study was conducted at Madras Medical Mission Hospital dialysis unit Chennai. Sixty samples who fulfilled the sample selection criteria were selected using non-probability purposive sampling. The investigator used structure interview method to collect the data. Data were collected during the process of dialysis. The collected data were tabulated for analysis and analyzed using both descriptive and inferential statistics. Results: Regarding the overall level of stressors, the findings revealed that 35 (58.33%) had moderate level of stressors and 25 (41.67%) had severe level of stressors. The findings revealed that 37 (61.67%) had moderate level of stress, 20 (33.33%) had severe level of stress, and only 3 (5%) had mild level of stress among patient undergoing hemodialysis. Conclusion: The findings revealed that when stressors increases, stress also increases. When coping strategies increase, stressors decrease, indicated that when coping strategies increase, stress decreases.
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血液透析患者应激源、应激水平及应对策略的描述性研究
背景:血液透析是一种终身治疗,对患者的身体、精神和社会健康有显著的不利影响。慢性肾脏疾病是一个全球性的公共卫生问题,现在被认为是一种常见的疾病,与心血管疾病和慢性肾衰竭的风险增加有关。终末期肾脏疾病的发病率在国际上稳步上升。美国终末期肾病发病率最高(Parsian, 2007)。方法:描述性研究在Madras Medical Mission Hospital Chennai透析单元进行。采用非概率目的抽样法,选取符合样本选择标准的60个样本。研究者采用结构访谈法收集资料。在透析过程中收集数据。收集的数据被制成表格进行分析,并使用描述性和推断性统计进行分析。结果:在应激源总体水平上,35人(58.33%)存在中度应激源,25人(41.67%)存在重度应激源。结果显示,血液透析患者中,中度应激37例(61.67%),重度应激20例(33.33%),轻度应激3例(5%)。结论:研究结果表明,当压力源增加时,压力也会增加。当应对策略增加时,压力源减少,表明当应对策略增加时,压力减少。
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