STRESSORS AND COPING STRATEGIES AMONG HEMODIALYSIS PATIENTS: A CROSS SECTIONAL SURVEY FROM TERTIARY CARE HOSPITALS, PESHAWAR

Main Article Content

Iffat Aisha
Sardar Ali
Dildar Muhammad
Muhammad Nadim
Sahib Jahan
Amir Sultan
Javed Iqbal
Akhtar Bano

Keywords

Stressors, Coping Strategies, Hemodialysis, Patients, End Stage Renal Disease Care

Abstract

Background


 


Kidney diseases are prevailing significantly around the world in terms of its morbidity and mortality rates. End stage renal diseases are considered as one of the most occurring of these kidney diseases which constitute approximately 10 to 15% of all the global burden of diseases. Approximately 88% of all the chronic renal failure or ESRD patients receive hemodialysis management as one of the prime and essential therapy to reinstate their life activities. The statistics report the trend of ESRD and hemodialysis is almost the same in more advanced as well as the developing nations of the world. Certain types of stressors affect the hemodialysis patients during their course of treatment which needs to be addressed with different types of coping strategies among the patients.


 


Aim


 


The main purpose of the study was to assess the different types of stressors and to determine the coping strategies among patients undergoing hemodialysis procedure.


 


Methods


 


A descriptive cross sectional study was carried out to assess the stressors and coping mechanism among hemodialysis survivors. A sample 383 patients were taken through simple random sampling from the three different types of public sector hospitals, Peshawar. Two types of adopted and validated questionnaire (HSS & JCS) were used to collect the required data. Data was analyzed by SPSS Version-22 for its proper presentations. The analyzed data was portrayed in the form of percentages, frequencies, mean and standard deviation which was further represented in the form of graphs and tables.


 


Results


 


The findings of the study showed that majority (69%) of the hemodialysis survivors were male while around (31%) of them were female. Age analysis reported that majority (66%) of all the participants had age more than 50 years of their ages. Physiological stressors was found a big issue among the participants with a mean score 3.16285+0.534 on a scale of 4 category likert scale with an overall percentage of 79.05%.  However Psychological stressors reflected a very big picture in their nature with a mean value of 3.3824+0.6167 with an accumulative percentage of 84.56%. Spirituality and religious coping strategies a mean score of (3.740+0.452) was ranked the highest coping strategies while sleep was found the lowest of coping strategy among patient with a mean score of 1.270+0.0.546.


 


Conclusion


 


The findings of the study showed that different types of stressors specifically physical and psychological stressor affect the hemodialysis patients drastically which need to be taken in consideration for their better management. Patients must be treated to develop good coping mechanism skills to overcome their stressors for having betterment in their quality life.

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References

Sa’ed HZ, Daraghmeh DN, Mezyed DO, Khdeir RL, Sawafta MN, Ayaseh NA, Tabeeb GH, Sweileh WM, Awang R, Al-Jabi SW. Factors affecting quality of life in patients on Heamodialysis: a cross-sectional study from Palestine. BMC nephrology. 2016; 17(1):44.
2. Atkins RC. The epidemiology of chronic kidney disease. Kidney international. 2005: 1;67:S14-8.
3. de Abreu MM, Walker DR, Sesso RC, Ferraz MB. A cost evaluation of peritoneal dialysis and hemodialysis in the treatment of end-stage renal disease in Sao Paulo, Brazil. Peritoneal Dialysis International. 2013: 1;33(3):304-15.
4. Weening JJ. Advancing nephrology around the globe: an invitation to contribute. Journal of the American Society of Nephrology. 2004: 1;15(10):2761-2.
5. Goodkin DA, Mapes DL, Held PJ. The dialysis outcomes and practice patterns study (DOPPS): how can we improve the care of hemodialysis patients?. InSeminars in dialysis 2001:(Vol. 14, No. 3, pp. 157-159). Boston, MA, USA: Blackwell Science Inc.
6. Ali Jaffar Naqvi S. Nephrology services in Pakistan. Nephrology Dialysis Transplantation. 2000 Jun 1; 15(6):769-71.
7. Bukhary FE, Sayied NE, Abo-El-Magd MH, Saber EH. Psychological stress and coping strategies among chronic hemodialysis patients at El-minia University Hospital. AAMJ. 2013 Jul; 11(3):1-48.
8. Paraskevas KI, Bessias N, Koupidis SA, Tziviskou E, Mikhailidis DP, Oreopoulos DG. Incidence of end-stage renal disease in the elderly: a steadily rising global socioeconomic epidemic. International urology and nephrology. 2010:1;42(2):523-5.
9. Szczech LA, Harmon W, Hostetter TH, Klotman PE, Powe NR, Sedor JR, Smedberg P, Himmelfarb J. World Kidney Day 2009: problems and challenges in the emerging epidemic of kidney disease.
10. Parvan K, Ahangar R, Hosseini FA, Abdollahzadeh F, Ghojazadeh M, Jasemi M. Coping methods to stress among patients on hemodialysis and peritoneal dialysis. Saudi Journal of Kidney Diseases and Transplantation. 2015 Mar 1;26(2):255.
11. Tu HY, Shao JH, Wu FJ, Chen SH, Chuang YH. Stressors and coping strategies of 20–45-year-old hemodialysis patients. Collegian. 2014 Sep 1; 21(3):185-92.
12. Weisbord SD, Fried LF, Arnold RM, Fine MJ, Levenson DJ, Peterson RA, Switzer GE. Prevalence, severity, and importance of physical and emotional symptoms in chronic hemodialysis patients. Journal of the American Society of Nephrology. 2005 Aug 1;16(8):2487-94.
13. Zamanzadeh V, Heidarzadeh M, Oshvandi KH, Lakdizaji S. Relationship between quality of life and social support in hemodialysis patients in Imam Khomeini and Sina educational hospitals of Tabriz University of medical sciences.
14. Curtin RB, Bultman DC, Thomas-Hawkins C, Walters BA, Schatell D. Hemodialysis patients' symptom experiences: effects on physical and mental functioning. Nephrology Nursing Journal. 2002 Dec 1;29(6):562-74.
15. Anand S, Khanam MA, Finkelstein FO. Global perspective of kidney disease. In Nutrition in kidney disease 2014 (pp. 11-23). Humana Press, Totowa, NJ.
16. Lii YC, Tsay SL, Wang TJ. Group intervention to improve quality of life in Heamodialysis patients. Journal of clinical nursing. 2007 Nov 1; 16(11c):268-75.
17. Shahrokhi Z, Rayyani M, Sabzevari S, Haghdoost AA. Stressors and Coping strategies of dialysis patients. J Crit Care Nurs. 2014; 6(4):184-93.
18. Tahseen D, Issa N. Stressors and Coping Strategies amongst Hemodialysis Patients in North of West Bank. 2015
19. Yee A, Seow YY, Tan SH, Goh C, Qu L, Lee G. What do renal health‐care professionals in Singapore think of advance care planning for patients with end‐stage renal disease?. Nephrology. 2011 Feb;16(2):232-8.
20. Polaschek N. Negotiated care: a model for nursing work in the renal setting. Journal of advanced nursing. 2003 May;42(4):355-63.
21. Polkinghorne KR, Seneviratne M, Kerr PG. Effect of a vascular access nurse coordinator to reduce central venous catheter use in incident hemodialysis patients: a quality improvement report. American Journal of Kidney Diseases. 2009 Jan 1;53(1):99-106.
22. Doss S, DePascal P, Hadley K. Patient-nurse partnerships. Nephrology Nursing Journal. 2011 Mar 1;38(2).
23. Ran KJ, Hyde C. Nephrology nursing practice: more than technical expertise. EDTNA‐ERCA Journal. 1999 Oct 12;25(4):5-8.
24. Denise FP, Cheryl B. Essentials of nursing research: Appraising evidence for nursing practice. Lippincott Williams and Wilkins pp-26-27. 2013.

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