RELATION BETWEEN STRESSORS, COPING STRATEGIES AND SELF-EFFICACY AMONG PATIENTS UNDERGOING HEMODIALYSIS

Document Type : Original Article

Authors

1 Mental and Psychiatric Nursing Department , Faculty of Nursing , Portsaid University

2 medical surgical department, faculty of nursing, port said university

3 Lecturer of Psychiatric and Mental Health Nursing, faculty of nursing, port-said university

4 Assistant Professor of Community Health Nursing, Faculty of Nursing, Port Said University

Abstract

Background: Hemodialysis is the most common method used to treat advanced and permanent kidney failure. Identifying stressors, self-efficacy and coping strategies used by patients undergoing hemodialysis may help nurses and health care providers to gain a clearer understanding of the condition of these patients and thus, institute effective care planning. Aim: Assess relation between stressors, coping strategies and self-efficacy among patients undergoing hemodialysis. Subjects and method: Design: A descriptive correlational research design was used. Subjects: This study implemented among 100 hemodialysis patients. Setting: The study was carried out in hemodialysis unit at El-Salam Hospital in Port-Said city, Egypt. Tools: Three tools were utilized to collect data for this study including; Hemodialysis Stressor Scale, Self-Efficacy for Managing Chronic Disease6-itemScale and Coping Strategies Scale. Results:  Most prominent increase in percent score among all stressors associated with chronic hemodialysis treatment was related to social life. Patients were adaptive with stressors by the use of affective-oriented coping strategies more than problem-oriented coping strategies, nearly two thirds of the studied patients had low level of self-efficacy. Conclusion &Recommendations: There were statistically significant negative correlations between total scores of coping strategies, self-efficacy and stressors among the studied patients. While, there was a statistically significant positive correlation between total scores of coping strategies and self-efficacy. So, Continuous educational programs should be held by health professionals for patients about proper coping methods, problem solving strategies and stress management techniques to alleviate stressors associated with chronic hemodialysis treatment and maintain compliance to treatment regimen. This will empower their self-efficacy. 

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References

Ahmad, M., Al Nazly, E. (2015). Hemodialysis: Stressors and coping strategies. Saudi J Kidney Dis Transpl 20 (4), 477-487.                                  
Bladree, K., & Powers, M. (1982). Stress identification and coping patterns in patients on hemodialysis. Journal of Nursing Research, 31, 107-112.
Cherry, A. (2018). Self-efficacy: Why believing in yourself matters. Very Will Mind Journal, 265 (3), 720-725. 
Dehkordi, L., & Shahgholian, N. (2013). An investigation of coping styles of hemodialysis patients. Iran Journal of Nursing Midwifery Research, 18 (1), 42-46.
Dormann, C., Fay, D., Zapf, D., & Frese, M. (2006). A state trait analysis of top satisfaction on the effect of core self-evaluation. Applied Psychology: An international review, 55 (1), 27-81.   
E-Sayed, S. (2018). Assessment of self-care behaviors, self-efficacy and level of physical activity of patients undergoing hemodialysis; retrieved from DOI: 10.21608/pssjn.2018.33186.
El-Matty, G., Rashwan, H., Abd El-Hamid, M., & Abd El-Halim, Z. (2000). Design, implementation and evaluation of health education program dealing with the psychological and physiological stressors, coping mechanisms and quality of life of chronic renal failure patients on hemodialysis. Unpublished Dissertation. Faculty of Nursing, Suez Canal University, Egypt.
Fink, G. (2016). Stress: Concepts Definition, History. Reference Module in neuroscience and Bio behavioral Psychology.  Florey Institute of Neuroscience and Mental Health, University of Melbourne, Melbourne, VIC, Australia
Folkman, S. (2012). Stress, health, and coping: Synthesis, commentary, and future directions. The Oxford Handbook of Stress, Health, and Coping, Psychology, Health Psychology, Social Psychology; retrieved from 10.1093/oxford hb/9780195375343.013.0022.
Folkman, S., & Lazarus, R. (1988). Coping as a mediator of emotion. Journal of Personal and Social Psychology, 54, 466-475.
Jalowieic, A., & Powers, M. (1981). Stress and coping in hypertensive and emergency room patients. Journal of Nursing Research, 30, 10-15.
Khan, S., & Ahmad, I. (2020). Impact of hemodialysis on the wellbeing of chronic kidney diseases patients: a pre-post analysis. Middle East Current Psychiatry, 27(1), 1-5
 
Lazarus, R., & Folkman, S. (1984). Stress, appraisal, and coping. New York: Springer publishing Company.
Linda, M., & Robynn, F. (2014). Neeb’s Fundamentals of Mental Health Nursing, (4th ed.).  F.A. Davis Company, Philadelphia.
Lorig KR, Sobel, DS, Ritter PL, Laurent, D, Hobbs, M (2001). Effect of a self-management program for patients with chronic disease. Effective Clinical Practice, 4, pp. 256-262.
Neirynck, N., Glorieux, G., Schepers, E., Verbeke, F., & Vanholder, R. (2015).  Soluble tumor necrosis factor receptor 1 and 2 predict outcomes in advanced chronic kidney disease: A prospective cohort study; retrieved from PLOS ONE, 10, e0122073.
 Parvan, K., Ahangar, R., Hosseini, F., Abdollahzadeh, F., Ghojazadeh, M., & Jasemi, M. (2015). Coping methods to stress among patients on hemodialysis and peritoneal dialysis. Saudi Journal of Kidney Disease Transplantation, 26 (2), 255-262.
Patel, S., Shah, S., Peterson, A., & Kimmel, L. (2002). Psychosocial variables, quality of life, and religious beliefs in ESRD patients treated with hemodialysis. American Journal of Kidney Diseases, 40 (5), 1013–1022.
Royani, Z.,  Rayyani, I.,  Vatanparast, M.,  Mahdavifar, M., &  Goleij, J. (2015). The relationship between self-care and self-efficacy with empowerment in patients undergoing hemodialysis. Military Caring Sciences, 1 (2),
Salomonsson, B., Gullberg, M., Alehagen, S., & Wijma, K. (2013). Self-efficacy beliefs and fear of childbirth in nulliparous women. Journal of Psychosomatic Obstetrics, 34 (3), 116-121. 
Schunk, D., & Usher, E (2011).  Assessing self-efficacy for self-regulated learning. Handbook of self-regulation of learning and performance, 282-297.
Silva, R., Neto, V., Oliveira, G., Silva, B., Rocha, C., & Holanda, J. (2016). Coping strategies used by chronic renal failure patients on hemodialysis. Escola Anna Nery Esc, 20, 111-118.
Sorait, W. (2018). The association of self-efficacy and self-management behavior in adult patients with chronic kidney disease: An integrative review. Journal of Kidney Treatment and Diagnosis, 1(1), 33-40.
Tchape, O.,  Tchapoga, Y.,  Atuhaire, C.,   Priebe, G., & Cumber, S. (2018). Physiological and psychosocial stressors among hemodialysis patients in the Buea Regional Hospital, Cameroon Article: 30: 49. Tennant, C., Langeluddecke, p & Byrne, D. (2009). The Concept of Stress; retrieved from 176:404–10.10.2020/j.schres.2016.05.024.
  Yeh, S., & Chou, H. (2007). Coping strategies and stressors in patients with hemodialysis. Psychosomatic Medicine, 69 (2), 182-190.
 

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