Volume 15, Issue 1 (4-2005)                   JHNM 2005, 15(1): 1-8 | Back to browse issues page

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Baghaie M, ahangar S, yazdandost Z, taghadosi I. Relationship between severity of stressor, coping mechanisms and quality of life ‎in hemodialysis patients of Razi hospital in Rasht.‎. JHNM 2005; 15 (1) :1-8
URL: http://hnmj.gums.ac.ir/article-1-200-en.html
1- , Baghaie@gums.ac.ir
Abstract:   (6250 Views)

Introduction: Chronic hemodialysis patients are subjected to different stressors (physiological ‎and psychosocial) and use emotion – focused and problem – focused coping mechanisms that ‎can affect their quality of life.‎

 Objective: This study has been performed in order to determine relationdship between ‎severity of stressors, coping mechanisms and quality of life in hemodialysis patients of Razi ‎hospital in Rasht, ‎‏2004‏‎.‎

 Methods: In this descriptive – correlational study, ‎‏105‏‎ patients were selected by census. The ‎means for gathering data were ‎‏4‏‎ questionnaires including demographic data, hemodialysis ‎stressors scale, Jalowiec coping scale and Padilla etal’s quality of life index. These ‎questionnaires were completed by researcher through interview.‎

Results: Results indicated that the mean of psychosocial stressors was higher than the mean ‎of physiological stressors (p<‎‏0.0001‏‎) and the mean of problem-focused coping was higher ‎than emotion – focused coping (p<‎‏0.0001‏‎). On the other hand the results showed that there ‎was a significant correlation between severity of stressors and emotion- focused coping ‎mechanisms (p<‎‏0.01‏‎) and between severity of stressors and quality of life (p<‎‏0.01‏‎). Also there ‎was a significant correlation between problem – focused coping mechanisms and quality of ‎life (p<‎‏0.01‏‎). Finally the results showed a significant positive correlation between the severity ‎of treatment – related stressors and emotion- focused coping mechanisms in regard to all of ‎demographic variables. There was a significant negative correlation between the severity of ‎stressors and problem-focused coping mechanisms in regard to age, marital status, and ‎sufficiency of income. Also there was a significant negative correlation between the severity ‎of stressors and quality of life in regard to all of demographic variables. On the other hand the ‎results showed a significant positive correlation between problem- focused coping mechanisms ‎and quality of life only in regard to age.‎

Conclusion : Nurses have important roles in promoting QOL by planning appropriate nursing ‎intervention in order to eliminate or reduce severity of hemodialysis related stressors and ‎support problem – focused coping.‎

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Article Type : Research | Subject: Special
Received: 2014/08/9 | Accepted: 2014/08/9 | Published: 2014/08/9

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