(8) (PDF) Physiological and psychosocial stressors among Palestinian hemodialysis patients:A cross-sectional studyPhysiological and psychosocial stressors among Palestinian hemodialysis patients: A cross-sectional study

December 2020

Background: End-stage renal disease (ESRD) in Indonesia has a major impact on the economic burden, particularly hemodialysis treatment. The objective of this study was to estimate the cost-of-illness of hemodialysis and to examine its associated factors in Indonesia. Methods: A cross-sectional study was conducted in 2019 and 1,365 participants with end-stage renal disease were recruited from eight hospitals representative of the western, central, and eastern regions of Indonesia. Medical records of patients have been reviewed for clinical data, and hospital administrative records were reviewed for cost data. Costs of illness were measured from a patient perspective using a bottom-up approach. The direct costs for each patient and indirect costs for each patient and their attendants have been calculated. Multiple regression analysis was performed to identify the determinants of the average annual cost. Results: The vast majority of the patients were male (57.14%), 45-60 years of age (55.46%), and employed (57.58%).

Stress and Coping among Indian Haemodialysis Patients

October 2018
International Journal of Pharmacy and Biological Sciences

Porkodi Arjunan

Background: Chronic kidney disease does not usually cause symptoms until it reaches an advanced stage. During the progression of the disease, the patients experiences some of the common symptoms like lack of energy, difficulty concentrating, poor appetite, insomnia, muscle cramping, edema , dry skin, increased urinary frequency, bruising, shortness of breath, and bone pain. Aim: To assess the level of stress and coping among Indian patients subjected to hemodialysis at Dialysis unit. Design: A cross sectional descriptive research design was adopted. Methods: Sixty patients were selected using convenient sample from the dialysis unit of tertiary care hospital, South India. Study participants were completed the questionnaire on stress and coping. Both descriptive and inferential statistics were used to analyze the data. Results: Among patients subjected for dialysis, 39 (65.00%) of the study participants were having mild stress and 12(20.00%) of the study participants were having moderate stress. The study also revealed that 38(63.3%) of the participants were never had coping whereas 22(36.7%) of them had sometimes coping. Conclusion: Negative correlation between the level of stress and coping among the patients subjected to dialysis insist on intervention to overcome the stress thereby coping with the present condition

Hemodialysis: Stressors and coping strategies

August 2014
Psychology Health and Medicine

End-stage renal disease (ESRD) is an irreversible and life-threatening condition. In Jordan, the number of ESRD patients treated with hemodialysis is on the rise. Identifying stressors and coping strategies used by patients with ESRD may help nurses and health care providers to gain a clearer understanding of the condition of these patients and thus institute effective care planning. The purpose of this study was to identify stressors perceived by Jordanian patients on hemodialysis, and the coping strategies used by them. A convenience sample of 131 Jordanian men and women was recruited from outpatients' dialysis units in four hospitals. Stressors perceived by participants on hemodialysis and the coping strategies were measured using Hemodialysis Stressor Scale, and Ways of Coping Scale-Revised. Findings showed that patients on hemodialysis psychosocial stressors scores mean was higher than the physiological stressors mean. Positive reappraisal coping strategy had the highest mean among the coping strategies and the lowest mean was accepting responsibility. Attention should be focused towards the psychosocial stressors of patients on hemodialysis and also helping patients utilize the coping strategies that help to alleviate the stressors. The most used coping strategy was positive reappraisal strategy which includes faith and prayer.

Hemodialysis Stressors and Coping Strategies Among Jordanian Patients On Hemodialysis: A Qualitative Study

November 2013
Nephrology nursing journal: journal of the American Nephrology Nurses' Association

End-stage renal disease (ESRD) is an irreversible and life-threatening condition. In Jordan, the number of ESRD patients treated with hemodialysis is on the rise. Identifying stressors and coping strategies used by patients with ESRD may help nurses and health care providers to gain a clearer understanding of the condition of these patients and thus institute effective care planning. The purpose of this study was to identify stressors perceived by Jordanian patients on hemodialysis, and the coping strategies used by them. A convenience sample of 131 Jordanian men and women was recruited from outpatients' dialysis units in four hospitals. Stressors perceived by participants on hemodialysis and the coping strategies were measured using Hemodialysis Stressor Scale, and Ways of Coping Scale-Revised. Findings showed that patients on hemodialysis psychosocial stressors scores mean was higher than the physiological stressors mean. Positive reappraisal coping strategy had the highest mean among the coping strategies and the lowest mean was accepting responsibility. Attention should be focused towards the psychosocial stressors of patients on hemod-ialysis and also helping patients utilize the coping strategies that help to alleviate the stressors. The most used coping strategy was positive reappraisal strategy which includes faith and prayer.

The effect of group training implemented on hemodialysis patients for their stress management, psychosocial adjustment and self-care strength

February 2016
Journal of Human Sciences

Purpose: The current study was made with the objective of determining the effect of group training implemented on hemodialysis patients for their stress management, psychosocial adjustment and self-care strength. Method and Material: The single group pre-experiment model with pre-test – post-test was used. The participants were selected from a group of 100 patients who were undergoing treatment in 2011, at the Hemodialysis Units of two state hospitals in North Cyprus. The sampling composed of 90 patients who met the screening criteria and fully consented to take part in the study conducted between January 2011 and June 2011. The researcher collected data before training and 3 months after training by using the Patient Sociodemographic Characteristics Form, Psychosocial Adjustment to Illness Scale-Self-Report, Self-care Strength Evaluation Scale and the Hemodialysis Stressor Scale. Results: It was observed that as the stressors increased in hemodialysis patients, the self-care strength and adjustment to illness decreased. Additionally, it was also found that as the self-care strength increased the adjustments to illness also increased. Furthermore, it was determined that the stressors of female patients were higher compared to male patients. The adjustment of patients working and those receiving treatment at Institution 2 were found to be lower. Conclusions: It was concluded that there was a decrease in the stressors perceived by hemodialysis patients who had undergone the training program. Moreover, these patients also evidenced an increase in the adjustment to illness and in self-care strength after the training program had been implemented.