Relationship between severity of stressor, coping mechanisms and quality of life ‎in hemodialysis patients of Razi hospital in Rasht.‎

• Main Authors: mojgan Baghaie, shabnam ahangar, zahra yazdandost, iman taghadosi
• Format: Article
• Language: English
• Published: Shahid Beheshti School of Nursing and Midwifery, Rasht 2005-04-01
• Series: Journal of Holistic Nursing and Midwifery
• Subjects: Coping processes; Quality of life; Stress
• Online Access: http://hnmj.gums.ac.ir/browse.php?a_code=A-10-243-42&slc_lang=en&sid=1

Introduction: Chronic hemodialysis patients are subjected to different stressors (physiological &lrm;and psychosocial) and use emotion &ndash; focused and problem &ndash; focused coping mechanisms that &lrm;can affect their quality of life.&lrm; Objective: This study has been performed in order to determine relationdship between &lrm;severity of stressors, coping mechanisms and quality of life in hemodialysis patients of Razi &lrm;hospital in Rasht, &lrm;&rlm;2004&rlm;&lrm;.&lrm; Methods: In this descriptive &ndash; correlational study, &lrm;&rlm;105&rlm;&lrm; patients were selected by census. The &lrm;means for gathering data were &lrm;&rlm;4&rlm;&lrm; questionnaires including demographic data, hemodialysis &lrm;stressors scale, Jalowiec coping scale and Padilla etal quality of life index. These &lrm;questionnaires were completed by researcher through interview.&lrm; Results: Results indicated that the mean of psychosocial stressors was higher than the mean &lrm;of physiological stressors (p<&lrm;&rlm;0.0001&rlm;&lrm;) and the mean of problem-focused coping was higher &lrm;than emotion &ndash; focused coping (p<&lrm;&rlm;0.0001&rlm;&lrm;). On the other hand the results showed that there &lrm;was a significant correlation between severity of stressors and emotion- focused coping &lrm;mechanisms (p<&lrm;&rlm;0.01&rlm;&lrm;) and between severity of stressors and quality of life (p<&lrm;&rlm;0.01&rlm;&lrm;). Also there &lrm;was a significant correlation between problem &ndash; focused coping mechanisms and quality of &lrm;life (p<&lrm;&rlm;0.01&rlm;&lrm;). Finally the results showed a significant positive correlation between the severity &lrm;of treatment &ndash; related stressors and emotion- focused coping mechanisms in regard to all of &lrm;demographic variables. There was a significant negative correlation between the severity of &lrm;stressors and problem-focused coping mechanisms in regard to age, marital status, and &lrm;sufficiency of income. Also there was a significant negative correlation between the severity &lrm;of stressors and quality of life in regard to all of demographic variables. On the other hand the &lrm;results showed a significant positive correlation between problem- focused coping mechanisms &lrm;and quality of life only in regard to age.&lrm; Conclusion : Nurses have important roles in promoting QOL by planning appropriate nursing &lrm;intervention in order to eliminate or reduce severity of hemodialysis related stressors and &lrm;support problem &ndash; focused coping.&lrm;