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Beier ME, Cockerham M, Branson S, Boss L. Aging and Burnout for Nurses in an Acute Care Setting: The First Wave of COVID-19. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:ijerph20085565. [PMID: 37107847 PMCID: PMC10138881 DOI: 10.3390/ijerph20085565] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 02/28/2023] [Revised: 03/31/2023] [Accepted: 04/13/2023] [Indexed: 05/11/2023]
Abstract
We examined the relationship between age, coping, and burnout during the peak of the COVID-19 pandemic with nurses in Texas (N = 376). Nurses were recruited through a professional association and snowball sampling methodology for the cross-sectional survey study. Framed in lifespan development theories, we expected that nurse age and experience would be positively correlated with positive coping strategies (e.g., getting emotional support from others) and negatively correlated with negative coping strategies (e.g., drinking and drug use). We also expected age to be negatively related to the emotional exhaustion and depersonalization facets of burnout and positively related to the personal accomplishment facet of burnout. Findings were largely supported in that age was positively associated with positive coping and personal accomplishment and age and experience were negatively correlated with negative coping and depersonalization. Age was not, however, associated with emotional exhaustion. Mediation models further suggest that coping explains some of the effect of age on burnout. A theoretical extension of lifespan development models into an extreme environment and practical implications for coping in these environments are discussed.
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Affiliation(s)
- Margaret E. Beier
- Department of Psychological Sciences, Rice University, Houston, TX 77005, USA
- Correspondence:
| | - Mona Cockerham
- School of Nursing, Sam Houston State University, The Woodlands, TX 77380, USA
| | - Sandy Branson
- Cizik School of Nursing, The University of Texas Health Science Center, UT-Health, Houston, TX 77355, USA
| | - Lisa Boss
- School of Nursing, Tarleton State University, Fort Worth, TX 76402, USA
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Al Sharji A, Alaloul F, Al Yazeedi B. Coping Strategies in End-Stage Renal Disease Patients on Hemodialysis in Oman: Optimistic, Supportive, Confrontive, and Prayerful. JOURNAL OF RELIGION AND HEALTH 2022; 61:2072-2082. [PMID: 35576024 DOI: 10.1007/s10943-022-01579-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 04/24/2022] [Indexed: 06/15/2023]
Abstract
Hemodialysis (HD) treatment is highly inflexible for individuals with end-stage renal disease (ESRD). Effective use of coping strategies can help to improve their performance and health outcomes. The purpose of this study was to understand the coping strategies used by patients on HD and their perceived helpfulness in Oman. A cross-sectional study was conducted to identify coping strategies among patients on HD. Participants on HD (N = 157) were enrolled from two HD centers in Oman. The results revealed that the most commonly used coping strategies were optimistic, confrontive, and supportive, and the most commonly helpful were optimistic, supportive, and confrontive. Prayer and trust in God was the most commonly used and most helpful coping strategies. The current study has identified the most common strategies used and found effective by Omani patients in coping with ESRD and HD. Identifying these coping mechanisms may help healthcare providers support this group of patients and improve their quality of care.
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Affiliation(s)
- Amal Al Sharji
- Sultan Qaboos University Hospital, Sultan Qaboos University, Muscat, Sultanate of Oman
| | - Fawwaz Alaloul
- College of Nursing, Sultan Qaboos University, PC 123, P.O. Box 66, Muscat, Sultanate of Oman.
| | - Basma Al Yazeedi
- College of Nursing, Sultan Qaboos University, PC 123, P.O. Box 66, Muscat, Sultanate of Oman
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Yildirim H, Işik K. Psychometric evaluation of the Hospitalisation-Related Stressors Questionnaire for Elderly Patients. Psychogeriatrics 2021; 21:166-174. [PMID: 33354854 DOI: 10.1111/psyg.12651] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/08/2020] [Revised: 11/26/2020] [Accepted: 12/07/2020] [Indexed: 11/29/2022]
Abstract
BACKGROUND Stress can threaten the health and recovery of patients, and determining the level of stress can be an important factor in curing illnesses. The aim was to adapt the Hospitalisation-Related Stressors Questionnaire for Elderly Patients (HRSQ-EP) and perform its psychometric evaluation. METHODS In the study, the method of developing a scale and determining the construct validity and reliability of this scale was used. The research was carried out with elderly patients who were hospitalised. The research was conducted in two main phases; in the first phase, after providing expert opinion for the language validity of the scale, the content and face validity were confirmed and then confirmatory and exploratory factor analyses were applied for content validity and reliability in the second phase. RESULTS The new scale, which was formed as a result of evaluating the construct validity, consisted of three factors and 15 items, and all factors explained 67.1% of the total variance. Kaiser-Meyer-Olkin, which determined the suitability of the measurement tool for factor analysis, was determined as 0.901 and Bartlett test 0.000. The adapted short form is a simple and easy-to-understand tool for determining the stress levels of hospitalised elderly individuals. HRSQ-EP provided evidence that it demonstrates adequate internal consistency, reliability and construct validity. CONCLUSION The results suggested that the adapted measurement tool will be useful. The scale is recommended to be evaluated in different populations to determine cultural differences.
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Affiliation(s)
- Hilal Yildirim
- Department of Puplic Health Nursing, Faculty of Nursing, Inonu University, Malatya, Turkey
| | - Kevser Işik
- Department of Public Health Nursing, Faculty of Health Sciences, Kahramanmaraş Sütçü İmam University, Kahramanmaraş, Turkey
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Raj R, Thiruvengadam S, Ahuja KDK, Frandsen M, Jose M. Discussions during shared decision-making in older adults with advanced renal disease: a scoping review. BMJ Open 2019; 9:e031427. [PMID: 31767590 PMCID: PMC6887047 DOI: 10.1136/bmjopen-2019-031427] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/23/2022] Open
Abstract
OBJECTIVES This review summarises the information available for clinicians counselling older patients with kidney failure about treatment options, focusing on prognosis, quality of life, the lived experiences of treatment and the information needs of older adults. DESIGN We followed the Joanna Briggs Institute Methodology for Scoping Reviews. The final report conforms to the PRISMA-ScR guidelines. DATA SOURCES PubMed, PsycINFO, CINAHL, Embase, Scopus, Web of Science, TRIP and online repositories (for dissertations, guidelines and recommendations from national renal associations). ELIGIBILITY CRITERIA FOR INCLUSION Articles in English studying older adults with advanced kidney disease (estimated glomerular filtration rate <30 mL/min/1.73 m2); published between January 2000 and August 2018. Articles not addressing older patients separately or those comparing between dialysis modalities were excluded. DATA EXTRACTION AND SYNTHESIS Two independent reviewers screened articles for inclusion and grouped them by topic as per the objectives above. Quantitative data were presented as tables and charts; qualitative themes were identified and described. RESULTS 248 articles were included after screening 15 445 initial results. We summarised prognostic scores and compared dialysis and non-dialytic care. We highlighted potentially modifiable factors affecting quality of life. From reports of the lived experiences, we documented the effects of symptoms, of ageing, the feelings of disempowerment and the need for adaptation. Exploration of information needs suggested that patients want to participate in decision-making and need information, in simple terms, about survival and non-survival outcomes. CONCLUSION When discussing treatment options, validated prognostic scores are useful. Older patients with multiple comorbidities do not do well with dialysis. The modifiable factors contributing to the low quality of life in this cohort deserve attention. Older patients suffer a high symptom burden and functional deterioration; they have to cope with significant life changes and feelings of disempowerment. They desire greater involvement and more information about illness, symptoms and what to expect with treatment.
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Affiliation(s)
- Rajesh Raj
- Department of Nephrology, Launceston General Hospital, Launceston, Tasmania, Australia
- School of Medicine, University of Tasmania, Hobart, Tasmania, Australia
| | | | | | - Mai Frandsen
- Faculty of Health, University of Tasmania, Launceston, Tasmania, Australia
| | - Matthew Jose
- School of Medicine, University of Tasmania, Hobart, Tasmania, Australia
- Department of Nephrology, Royal Hobart Hospital, Hobart, Tasmania, Australia
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Han E, Shiraz F, Haldane V, Koh JJK, Quek RYC, Ozdemir S, Finkelstein EA, Jafar TH, Choong HL, Gan S, Lim LWW, Legido-Quigley H. Biopsychosocial experiences and coping strategies of elderly ESRD patients: a qualitative study to inform the development of more holistic and person-centred health services in Singapore. BMC Public Health 2019; 19:1107. [PMID: 31412824 PMCID: PMC6694659 DOI: 10.1186/s12889-019-7433-6] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2019] [Accepted: 08/01/2019] [Indexed: 12/02/2022] Open
Abstract
Background As the incidence and prevalence rates of end stage renal disease (ESRD) rise globally, a disproportionate increase has been observed in the elderly population. Singapore has the fifth highest incidence of treated ESRD worldwide, with the upward trend of ESRD being most apparent among those aged 70 years and older. Although it is well-documented that ESRD patients suffer an impaired quality of life compared to the general population, there is limited research focusing on the unique experiences and needs of elderly ESRD patients in Asian populations. To address the knowledge gap, this study seeks to explore the impact of ESRD and dialysis on the quality of life of elderly (≥70 years old) ESRD patients in Singapore and examine the coping strategies utilised by these patients. Methods This qualitative study involved semi-structured, in-depth interviews with 7 peritoneal dialysis patients, 5 haemodialysis patients, 4 patients on non-dialysis supportive care and 7 caregivers in Singapore. Interviews were conducted in English, Chinese, and Malay and fully transcribed. QSR NVivo 11 software was used for analysis. Results Participants reported that ESRD and dialysis had an impact on three highly interconnected areas of their quality of life: (a) biological/physical (general symptoms, neuromuscular problems, skin problems and poor sleep quality); (b) psychological (depressive symptoms, anxiety and fears, stress and negative self-perceptions); and (c) social (increased dependence on family and loss of social life). There were four key strategies that participants used to cope with these biopsychosocial challenges: (a) family support (financial, practical and emotional support); (b) religious/spiritual support (experiencing gratitude/contentment, the power of prayer and belonging to a faith community); (c) avoidance (cognitive avoidance and distraction techniques); and (d) acceptance (positive thinking and problem solving). Conclusions This study has provided insights into the biopsychosocial impact of ESRD and dialysis, as well as cultural and religious factors that shape the experiences and coping mechanisms of elderly ESRD patients and caregivers in Singapore, which can be used to further the development and implementation of more holistic and person-centred services to help each patient achieve a better quality of life. Electronic supplementary material The online version of this article (10.1186/s12889-019-7433-6) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Emeline Han
- Saw Swee Hock School of Public Health, National University of Singapore, 12 Science Drive 2, #10-03H, Tahir Foundation Building, Singapore, 117549, Singapore
| | - Farah Shiraz
- Saw Swee Hock School of Public Health, National University of Singapore, 12 Science Drive 2, #10-03H, Tahir Foundation Building, Singapore, 117549, Singapore.
| | - Victoria Haldane
- Saw Swee Hock School of Public Health, National University of Singapore, 12 Science Drive 2, #10-03H, Tahir Foundation Building, Singapore, 117549, Singapore
| | - Joel Jun Kai Koh
- Saw Swee Hock School of Public Health, National University of Singapore, 12 Science Drive 2, #10-03H, Tahir Foundation Building, Singapore, 117549, Singapore
| | - Rina Yu Chin Quek
- Saw Swee Hock School of Public Health, National University of Singapore, 12 Science Drive 2, #10-03H, Tahir Foundation Building, Singapore, 117549, Singapore
| | - Semra Ozdemir
- Duke NUS Medical School, 8 College Road, Singapore, 169857, Singapore
| | | | | | - Hui-Lin Choong
- Department of Renal Medicine, Singapore General Hospital, Outram Road, Singapore, 169608, Singapore
| | - Sheryl Gan
- Department of Renal Medicine, Singapore General Hospital, Outram Road, Singapore, 169608, Singapore
| | - Lydia W W Lim
- Department of Renal Medicine, Singapore General Hospital, Outram Road, Singapore, 169608, Singapore
| | - Helena Legido-Quigley
- Saw Swee Hock School of Public Health, National University of Singapore, 12 Science Drive 2, #10-03H, Tahir Foundation Building, Singapore, 117549, Singapore
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van der Borg WE, Verdonk P, de Jong-Camerik JG, Schipper K, Abma TA. A continuous juggle of invisible forces: How fatigued dialysis patients manage daily life. J Health Psychol 2019; 26:917-934. [PMID: 31170828 DOI: 10.1177/1359105319853340] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Dialysis patients commonly experience severe fatigue. Fatigue is known as an intrusive symptom strongly affecting perceived quality of life. A total of 23 interviews were conducted to explore how dialysis patients respond to fatigue symptoms and its consequences in daily life. A constructivist grounded theory approach guided data analysis and conceptualization of findings. Patients find themselves within a continuous decision loop, considering ones (physical) abilities and questioning ones normative beliefs and values. This inner process interacts with the outside world, and contains various ambiguities. Improved understanding of this demanding process could help to better address fatigue and positively contribute to the quality of life of dialysis patients.
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Kristofferzon ML, Engström M, Nilsson A. Coping mediates the relationship between sense of coherence and mental quality of life in patients with chronic illness: a cross-sectional study. Qual Life Res 2018; 27:1855-1863. [PMID: 29623597 PMCID: PMC5997720 DOI: 10.1007/s11136-018-1845-0] [Citation(s) in RCA: 49] [Impact Index Per Article: 8.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/24/2018] [Indexed: 12/28/2022]
Abstract
PURPOSE The aim of the present study was to investigate relationships between sense of coherence, emotion-focused coping, problem-focused coping, coping efficiency, and mental quality of life (QoL) in patients with chronic illness. A model based on Lazarus' and Folkman's stress and coping theory tested the specific hypothesis: Sense of coherence has a direct and indirect effect on mental QoL mediated by emotion-focused coping, problem-focused coping, and coping efficiency in serial adjusted for age, gender, educational level, comorbidity, and economic status. METHODS The study used a cross-sectional and correlational design. Patients (n = 292) with chronic diseases (chronic heart failure, end-stage renal disease, multiple sclerosis, stroke, and Parkinson) completed three questionnaires and provided background data. Data were collected in 2012, and a serial multiple mediator model was tested using PROCESS macro for SPSS. RESULTS The test of the conceptual model confirmed the hypothesis. There was a significant direct and indirect effect of sense of coherence on mental QoL through the three mediators. The model explained 39% of the variance in mental QoL. CONCLUSIONS Self-perceived effective coping strategies are the most important mediating factors between sense of coherence and QoL in patients with chronic illness, which supports Lazarus' and Folkman's stress and coping theory.
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Affiliation(s)
- Marja-Leena Kristofferzon
- Department of Health and Caring Sciences, Faculty of Health and Occupational Studies, University of Gävle, Kungsbäcksvägen 47, 801 76, Gävle, Sweden.
- Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
| | - Maria Engström
- Department of Health and Caring Sciences, Faculty of Health and Occupational Studies, University of Gävle, Kungsbäcksvägen 47, 801 76, Gävle, Sweden
- Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden
- Nursing Department, Medicine and Health College, Lishui University, Lishui, China
| | - Annika Nilsson
- Department of Health and Caring Sciences, Faculty of Health and Occupational Studies, University of Gävle, Kungsbäcksvägen 47, 801 76, Gävle, Sweden
- Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden
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Ruiz de Alegría B, Basabe N, De Lorenzo E. Evolution of post-traumatic growth during the first 12 months of dialysis: A longitudinal study. J Ren Care 2017; 43:108-113. [PMID: 28296241 DOI: 10.1111/jorc.12196] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Abstract
BACKGROUND Initiating dialysis can produce psychological benefits. These positive changes, most frequently referred to as posttraumatic growth (PTG), have not previously been explored in these patients. OBJECTIVE To identify patterns in the temporal course of PTG in patients during their first 12 months of dialysis, and to relate to perceived stress. DESIGN A prospective, longitudinal, observational study. SETTING AND METHODS The sample included 98 patients, aged from 18 to 70 years, who commenced dialysis in the nine nephrology units of the Basque Country, Spain. Three assessments were carried out at 1, 6 and 12 months, using a PTG questionnaire and the Perceived Stress Scale. ANOVAs with post-hoc analysis were performed to identify significant differences between the groups. RESULTS Four groups were established based on the observed changes in PTG over time: high, increasing, decreasing and low PTG. Maintaining high PTG and decreasing PTG levels was associated with moderate levels of perceived stress. CONCLUSION Four different patterns of PTG have been identified, contributing to our understanding of the dynamics of the process of growth and enabling us to identify patients who may be more vulnerable.
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Affiliation(s)
- Begoña Ruiz de Alegría
- School of Nursing Vitoria-Gasteiz, Basque Health Service-Osakidetza, University of the Basque Country, Vitoria-Gasteiz, Spain
| | - Nekane Basabe
- Department of Social Psychology and Methodology of Behaviour Sciences, University of the Basque Country, Vitoria-Gasteiz, Spain
| | - Elena De Lorenzo
- School of Nursing Vitoria-Gasteiz, Basque Health Service-Osakidetza, University of the Basque Country, Vitoria-Gasteiz, Spain
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Yodchai K, Dunning T, Savage S, Hutchinson AM. The role of religion and spirituality in coping with kidney disease and haemodialysis in Thailand. Scand J Caring Sci 2016; 31:359-367. [DOI: 10.1111/scs.12355] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2015] [Accepted: 03/19/2016] [Indexed: 01/18/2023]
Affiliation(s)
- Kantaporn Yodchai
- Medical Nursing Department; Faculty of Nursing; Prince of Songkla University; Songkla Hatyai Thailand
| | - Trisha Dunning
- School of Nursing and Midwifery; Faculty of Health and Centre for Nursing and Allied Health Barwon Health; Deakin University; Geelong Victoria Australia
| | - Sally Savage
- School of Nursing and Midwifery; Centre for Nursing and Allied Health Research, Barwon Health; Deakin University; Geelong Victoria Australia
| | - Alison M. Hutchinson
- School of Nursing and Midwifery; Deakin University; Geelong Victoria Australia
- Centre for Nursing Research; Deakin University and Monash Health Partnership, Monash Health; Clayton Victoria Australia
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Dang TL, Lai FC, Lin YK, Chou KR, Miao NF, Liao YM. Psychometric Evaluation of the Vietnamese Hemodialysis Stressor Scale. Clin Nurs Res 2016; 27:364-385. [PMID: 26912709 DOI: 10.1177/1054773816631724] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
The lack of a suitable assessment tool may limit optimal stress management and impair the health-related quality of life of patients undergoing hemodialysis. The purpose of the study was to examine latent constructs and psychometric properties of the Vietnamese Hemodialysis Stressor Scale (HSS-V). In total, 180 patients receiving hemodialysis were recruited. Psychometric properties of the HSS-V, including the construct validity, internal consistency, and test-retest reliability, were tested after the instrument translation. The exploratory factor analysis resulted in a 24-item HSS-V with four extracted factors, which explained 58.32% of the total variance. The construct validity was confirmed by significant negative correlations between scores on the HSS-V and Vietnamese-version Short Form-36. The internal consistency (Cronbach's α = .82-.91) and test-retest reliability (intra-class correlations coefficient = .91-.94) of the 24-item HSS-V were satisfactory. A simple structure and preliminary acceptable psychometric properties of the HSS-V were established and can serve as a basis for further studies.
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Affiliation(s)
- Thi Loan Dang
- 1 Faculty of Nursing and Midwifery, Hanoi Medical University, Vietnam
| | - Fu-Chih Lai
- 2 School of Nursing, College of Nursing, Taipei Medical University, Taiwan
| | - Yen-Kuang Lin
- 2 School of Nursing, College of Nursing, Taipei Medical University, Taiwan.,3 Biostatistics Center, Taipei Medical University, Taiwan
| | - Kuei-Ru Chou
- 2 School of Nursing, College of Nursing, Taipei Medical University, Taiwan.,4 Psychiatric Research Center, Taipei Medical University Hospital, Taiwan.,5 Department of Nursing, Taipei Medical University-Shuang Ho Hospital, Taiwan
| | - Nae-Fang Miao
- 2 School of Nursing, College of Nursing, Taipei Medical University, Taiwan
| | - Yuan-Mei Liao
- 2 School of Nursing, College of Nursing, Taipei Medical University, Taiwan
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Musavi Z, Alavi M, Alimohammadi N, Hosseini H. Development and initial psychometric evaluation of the hospitalization-related stressors questionnaire for elderly patients. IRANIAN JOURNAL OF NURSING AND MIDWIFERY RESEARCH 2016; 21:516-520. [PMID: 27904637 PMCID: PMC5114798 DOI: 10.4103/1735-9066.193416] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
BACKGROUND Various factors threaten the health and recovery of hospitalized elderly, including stressors in medical service centers. Therefore, the aim of the present study was to develop and preliminary validate a measurement tool to assess hospitalization-related stressors (HRS) among the elderly. MATERIALS AND METHODS This methodological research was conducted in 2015. The study was performed in two main phases. In the first phase, which was to develop the questionnaire, the data were collected through literature review, interview with few elderly patients, and calculating content validity index with the participation of 16 experts. The second phase included preliminary validation of the questionnaire in which a convenient sample of 200 hospitalized elderly patients recruited from 4 educational medical centers of the Isfahan University of Medical Sciences were studied. Principal component analysis method was used to identify the factorial structure of the questionnaire. In order to evaluate validity, Cronbach's alpha coefficient was calculated. RESULTS After evaluating the results and relocating and merging some of the items, a version of 26 items in 7 categories was prepared with acceptable internal consistency (Cronbach's alpha coefficient from 0.67 to 0.78 for the components and 0.83 for the tool). CONCLUSIONS In this study, we were able to identify a set of important components and indicators of HRS in elderly; so it can be used as a useful instrument. Future studies are recommended in order to develop and validate this tool in other communities.
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Affiliation(s)
- Zahra Musavi
- Student Research Center, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Mousa Alavi
- Nursing and Midwifery Care Research Center, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Nasrollah Alimohammadi
- Nursing and Midwifery Care Research Center, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Habibollah Hosseini
- Nursing and Midwifery Care Research Center, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
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Abstract
OBJECTIVES This study attempted to describe stressors, levels of stress, and coping strategies of 20-45-year-old Taiwanese patients undergoing chronic hemodialysis. METHODS A cross-sectional descriptive design was used. A convenience sample of 88 patients with a mean age of 38.55 years was recruited at six dialysis centers in southern Taiwan. Data were collected using the Hemodialysis Stressor Scale and the Jalowiec Coping Scale. RESULTS The results show that this group of patients had higher levels of stress than those reported in previous studies. The three most frequently reported stressors were limitations of liquids, limitations of food, and fatigue. The two most frequent coping methods were trying to find meaning in the situation and trying out different ways of solving problems to see which works the best. These patients had more physiological stressors than psychosocial stressors and used more problem-oriented coping strategies than affective-oriented ones. Additionally, the longer the patients had received hemodialysis, the lower stress level they had, and patients with jobs, with partners, or with children used significantly more coping strategies than those without jobs, partners, or children. Gender differences were not found in the total stress level or coping strategies of these patients, except that female patients had greater psychosocial stressors than male patients. CONCLUSIONS The 20-45-year-old hemodialysis patients experienced considerable levels of stress and had a unique ranking order of stressors and coping strategies. These findings will provide healthcare professionals with detailed information to identify priority areas for future intervention development.
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Aasen EM. A comparison of the discursive practices of perception of patient participation in haemodialysis units. Nurs Ethics 2014; 22:341-51. [PMID: 24934270 DOI: 10.1177/0969733014533240] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
BACKGROUND According to Norwegian law, nurses are obligated to provide an acceptable level of health assistance to patients and their family members and to allow patients and their family members to participate in the planning of patient care and treatment. AIM The aim of this study is to compare the perceptions of older patients undergoing haemodialysis treatment and of their next of kin and of nurses regarding patient participation in the context of haemodialysis treatment. RESEARCH DESIGN The study adopts an approach that is both comparative and explorative in nature by examining the narratives of patients, nurses and next of kin and by performing critical discourse analysis as outlined by Fairclough. ETHICAL CONSIDERATIONS Permission to carry out the research was granted by the Regional Committee for Medical and Health Research Ethics of Mid-Norway and by the participating hospitals. Informed consent and confidentiality were ensured. FINDINGS Two discourses were found: (a) the discourse of paternalism with the discursive practices of achieving physiological balance in patients, trusting the healthcare team and being excluded or included in the difficult end-of-life decision-making process, and (b) the discourse of patient participation, with the themes of maintaining patients' quality of life and trusting patients. CONCLUSION The participation of older patients and their next of kin was not as well integrated as social practice in dialysis units. The dominant discourse seemed to have an ideology and social practice of paternalism. However, there existed hegemonic struggles for an ideology of patient participation that involved (a) achieving physiological balance in patients versus maintaining patients' quality of life, (b) trusting the healthcare team versus trusting the patient, and (c) being excluded versus included in the difficult end-of-life decision-making process.
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Yodchai K, Dunning T, Savage S, Hutchinson AM, Oumtanee A. HOW DO THAI PATIENTS RECEIVING HAEMODIALYSIS COPE WITH PAIN? J Ren Care 2014; 40:205-15. [DOI: 10.1111/jorc.12073] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Affiliation(s)
- Kantaporn Yodchai
- School of Nursing and Midwifery, Faculty of Health; Deakin University; Victoria Australia
| | - Trisha Dunning
- Centre for Nursing and Allied Health Research; Deakin University and Barwon Health; Victoria Australia
| | - Sally Savage
- Centre for Nursing and Allied Health Research; Deakin University and Barwon Health; Victoria Australia
| | - Alison M Hutchinson
- Centre for Nursing Research - Deakin University and Monash Health Partnership, Monash Health; Clayton Victoria Australia
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Sociodemographic characteristics and prevalence of cognitive impairment in hemodialysis patients. MIDDLE EAST CURRENT PSYCHIATRY 2014. [DOI: 10.1097/01.xme.0000433326.69290.12] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
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Gorji MAH, Mahdavi A, Janati Y, Illayi E, Yazdani J, Setareh J, Panjaki SAH, Gorji AMH. Physiological and psychosocial stressors among hemodialysis patients in educational hospitals of northern iran. Indian J Palliat Care 2013; 19:166-9. [PMID: 24347907 PMCID: PMC3853395 DOI: 10.4103/0973-1075.121533] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
BACKGROUND AND AIMS The hemodialysis (HD) patients are experiencing high biopsychosocial stress on all levels. Therefore, this study was designed to survey on physiologic and psychosocial stressors among HD patients in two educational hospitals of Northern Iran. MATERIALS AND METHODS This cross-sectional study included 80 HD patients who were referred to Khomeini and Fatemeh Zahra hospitals in Mazandaran (Northern Iran) during the year 2011. Data were collected using a demographic information record sheet and Baldree Hemodialysis Stress Scale. FINDING THE FOLLOWING PHYSIOLOGIC STRESSORS WERE NOTED: Fatigue (51.25%), limited time and places for enjoyment (46.25%), and physical activation limitation (32.5%). Similarly the following psychosocial stressors were observed: Fistula (58.75%), limitation of drinking water (47.5%), low quality of life (47.5%), travelling difficulties to the dialysis center (45%), treatment cost (41.5%), and low life expectancy. The stress level was high in women who were married, younger, less dialysis vintage, and belonged to a low education level. CONCLUSION This study reports that HD patients have with significant physical and psychosocial problems and they need education, family, and social supports.
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Affiliation(s)
| | - Ali Mahdavi
- Department of Nursing, Member of Psychiatry and Behavioural Science Centre, Sari, Iran
| | - Yadollah Janati
- Department of Nursing, Member of Psychiatry and Behavioural Science Centre, Sari, Iran
| | - Ehteramossadat Illayi
- Department of Nursing, Member of Psychiatry and Behavioural Science Centre, Sari, Iran
| | - Jamshid Yazdani
- Department of Bio Statistic, Member of Psychiatry and Behavioural Science Centre, Sari, Iran
| | - Javad Setareh
- Department of Neurologists, Member of Psychiatry and Behavioural Science Centre, Sari, Iran
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Rapo C, Piot-Ziegler C. Psychological stress in transplantation: a unified concept? What is measured and how: a literature review. Prog Transplant 2013; 23:247-52. [PMID: 23996944 DOI: 10.7182/pit2013376] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
This article describes how the concept of stress is studied in the field of solid-organ transplantation. Sixty-five articles or reviews of scientific research on stress are analyzed. The question addressed was how stress is explored and defined in transplant research, as it is often referred to as affecting psychological and/or physical transplant outcomes.
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Welch JL, Astroth KS, Perkins SM, Johnson CS, Connelly K, Siek KA, Jones J, Scott LL. Using a mobile application to self-monitor diet and fluid intake among adults receiving hemodialysis. Res Nurs Health 2013; 36:284-98. [PMID: 23512869 DOI: 10.1002/nur.21539] [Citation(s) in RCA: 43] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/17/2013] [Indexed: 11/09/2022]
Abstract
Hemodialysis patients have difficulty self-managing a complex dietary and fluid regimen. The purpose of this feasibility study was to pilot test an electronic self-monitoring intervention based on social cognitive theory. During a 6-week intervention, 24 participants self-monitored diet and fluid intake using the Dietary Intake Monitoring Application (DIMA), and 20 participants served as controls by monitoring their activity using the Daily Activity Monitor Application (DAMA). Results from this pilot study suggest the intervention is feasible and acceptable, although few significant effects on outcomes were found in this small sample. The DIMA has potential to facilitate dietary and fluid self-monitoring but requires additional refinement and further testing.
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Affiliation(s)
- Janet L Welch
- Indiana University School of Nursing, 1111 Middle Drive, NU E403, Indianapolis, IN, USA.
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Lin J, Guo Q, Ye X, Li J, Yi C, Zhang X, Wu X, Cao P, Yu X, Zhu L, Lin X, Yang X, Yu X. The effect of social support and coping style on depression in patients with continuous ambulatory peritoneal dialysis in southern China. Int Urol Nephrol 2012; 45:527-35. [PMID: 23054324 DOI: 10.1007/s11255-012-0309-7] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/20/2012] [Accepted: 09/27/2012] [Indexed: 10/27/2022]
Abstract
PURPOSE To explore the effect of social support and coping style on depression in patients on CAPD in Southern China. METHODS The patients undergoing CAPD therapy for more than 3 months were recruited from Jan 1 to May 31, 2009. The Beck Depression Inventory-II (BDI-II), Social Support Rating Scale, Medical Coping Modes Questionnaire, and Medical Outcomes Study Short Form (SF-36) were used to evaluate depression, social support, coping style, and quality of life (QoL), respectively. RESULTS Of the 191 recruited patients, 65 patients (34.0 %) suffered from depression, with a BDI-II score of 23.8 ± 8.4. The average score of QoL (44.9 ± 13.9 vs. 64.7 ± 14.2, p < 0.001), social support (37.9 ± 7.2 vs. 42.1 ± 7.3, p < 0.001), and "confrontation" coping style (17.2 ± 3.9 vs. 18.8 ± 3.8, p = 0.006) in depressed patients was significantly lower than those in non-depressed patients, respectively. While the depressed patients had significantly higher score of "acceptance-resignation" coping style (12.9 ± 2.5 vs. 10.4 ± 3.5, p < 0.001) compared with those of non-depressed patients. Univariate analysis showed that the BDI-II score was negatively associated with social support (r = -0.284, p < 0.001) and "confrontation" (r = -0.180, p = 0.013), but positively associated with "acceptance-resignation" (r = 0.482, p < 0.001). Logistic regression analysis revealed that age (OR = 0.971, p = 0.038), female sex (OR = 2.211, p = 0.039), diabetes mellitus (OR = 3.046, p = 0.015), long PD duration (OR = 1.021, p = 0.020), fatigue (OR = 2.500, p = 0.032), high Pittsburgh Sleep Quality Index (PSQI) score (OR = 1.143, p = 0.001), low social support (OR = 0.945, p = 0.046), and high "acceptance-resignation" (OR = 1.096, p = 0.020) were independently associated with depression. CONCLUSION There was a high prevalence of depression in CAPD patients. Age, female sex, diabetes mellitus, long PD duration, fatigue, sleep disturbance, low social support, and high "acceptance-resignation" coping style were independently associated with depression.
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Affiliation(s)
- Jianxiong Lin
- Department of Nephrology, The First Affiliated Hospital, Sun Yat-sen University, 58th, Zhongshan Road II, Guangzhou 510080, China
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Kamiya C, Honda I, Kasaoka K, Egawa T, Yada M, Miyawaki I. Cues for Nursing Diagnosis of Ineffective Self-management of Fluid and Dietary Restrictions in Dialysis Therapy in Japan. Int J Nurs Knowl 2012; 23:45-59. [DOI: 10.1111/j.2047-3095.2011.01200.x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Aasen EM, Kvangarsnes M, Heggen K. Nurses’ perceptions of patient participation in hemodialysis treatment. Nurs Ethics 2012; 19:419-30. [DOI: 10.1177/0969733011429015] [Citation(s) in RCA: 31] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
The aim of this study is to explore how nurses perceive patient participations of patients over 75 years old undergoing hemodialysis treatment in dialysis units, and of their next of kin. Ten nurses told stories about what happened in the dialysis units. These stories were analyzed with critical discourse analysis. Three discursive practices are found: (1) the nurses’ power and control; (2) sharing power with the patient; and (3) transferring power to the next of kin. The first and the predominant discursive practice can be explained with an ideology of paternalism, in which the nurses used biomedical explanations and the ethical principle of benefice to justify their actions. The second can be explained with an ideology of participation, in which the nurses used ethical narratives as a way to let the patients participate in the treatment. The third seemed to involve autonomous decision-making and the ethical principle of autonomy for the next of kin in the difficult end-of-life decisions.
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Aasen EM, Kvangarsnes M, Wold B, Heggen K. The next of kin of older people undergoing haemodialysis: a discursive perspective on perceptions of participation. J Adv Nurs 2011; 68:1716-25. [PMID: 21999460 DOI: 10.1111/j.1365-2648.2011.05854.x] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
AIM This paper is a report of a study conducted to explore how the family members of older people who will undergo haemodialysis treatment for the rest of their lives perceive participation. BACKGROUND The rights of families to participate in treatment and health care are supported by international law, and by national law in Norway since 1999. METHOD This study, which employed an explorative qualitative approach, was carried out in Norway in 2008. Data were derived from transcribed interviews with seven family members underwent critical discourse analysis. FINDINGS Three discourse practices about the next of kin perception of participation were found: (1) to care and take control, (2) to struggle for involvement, and (3) to be forgotten and powerless. The next of kin said that they had no dialogue with the healthcare team, and some fought to be included in the decision-making process. CONCLUSION The dominant part of the discourse as expressed by the next of kin seems to be a paternalistic ideology. Thus, finding ways to enable the next of kin to participate in the decision-making process seems to be a major challenge for the healthcare team in the dialysis units.
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Aasen EM, Kvangarsnes M, Heggen K. Perceptions of patient participation amongst elderly patients with end-stage renal disease in a dialysis unit. Scand J Caring Sci 2011; 26:61-9. [PMID: 21718340 DOI: 10.1111/j.1471-6712.2011.00904.x] [Citation(s) in RCA: 65] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
AIM A patient's right to influence treatment and health care has been guaranteed by Norwegian law since 1999. The aim of this study was to explore how elderly patients with end-stage renal disease who are undergoing treatment with haemodialysis for the rest of their lives perceive patient participation in a dialysis unit. METHODS This study, which was inspired by critical discourse analysis, drew on data derived from transcribed interviews with 11 patients. FINDINGS Two discourses related to patient participation were identified. The first and dominant discourse was called the health-care team's power and dominance. Both environmental conditions and the team's practice exercised power and control over the patients. The patients trusted the health-care team, but some felt powerless and were afraid of what might happen if they refused to follow the instructions. The health-care team owned the knowledge and decided what the patients needed to know. Most of all the patients wanted dialogue about the future. After years of treatment, patient identity seemed to be threatened by this situation. The second discourse is called the patients struggling for shared decision-making. Some patients struggled to be involved in decision-making about 'dry weight', diet, blood access and time of treatment when these factors threatened their well-being and the quality of their daily lives. CONCLUSIONS The elderly patients' right to participate in their haemodialysis treatment did not seem to be well incorporated into the social practices of haemodialysis units. Changing the social practices in the dialysis units from a paternalistic ideology to an ideology of participation will require consideration of the context, the dialogue and the process of shared decision-making with the patient.
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Kohli S, Batra P, Aggarwal HK. Anxiety, locus of control, and coping strategies among end-stage renal disease patients undergoing maintenance hemodialysis. Indian J Nephrol 2011; 21:177-81. [PMID: 21886977 PMCID: PMC3161435 DOI: 10.4103/0971-4065.83729] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
End-stage kidney disease (ESKD) patients on maintenance hemodialysis (MHD) have a lot of anxiety. Anxiety and coping are associated with the locus of control; the present investigation aimed to study the state and trait anxiety, locus of control, and active and passive coping among patients on MHD. Thirty MHD patients and 30 controls were administered State-Trait Anxiety Inventory, Rotter's Locus of Control Scale, and Coping Responses Inventory. There were significantly higher scores on state and trait anxiety, respectively (67.53 ± 10.89 vs. 59.40 ± 6.97, P < 0.01, and 62.97 ± 8.45 vs. 58.07 ± 7.06, P < 0.05), and locus of control (11.27 ± 3.55 vs. 9.04 ± 1.86, P < 0.01) in patients as compared to controls. On coping responses, patients and controls differed on positive reappraisal (54.33 ± 4.67 vs. 51.17 ± 3.12, P < 0.01), seeking guidance and support (58.07 ± 5.51 vs. 53.27 ± 4.22, P < 0.01), problem solving (51.03 ± 4.70 vs. 47.57 ± 4.73, P < 0.01), cognitive avoidance (60.27 ± 6.76 vs. 56.80 ± 4.08, P < 0.05), acceptance or resignation (61.67 ± 6.30 vs. 58.83 ± 4.23, P < 0.01), emotional discharge (68.07 ± 6.78 vs. 64.30 ± 4.50, P < 0.05), approach coping (205.57 ± 10.55 vs. 189.70 ± 11.37, P < 0.01), and avoidance coping (255.30 ± 16.45 vs. 241.10 ± 10.50, P < 0.01). A higher prevalence of anxiety trait could be the cause of anxiety in MHD patients besides the medical problems. The locus of control among patients though a mixed one was significantly more toward externalism. Thus, there is a need to identify this group well in advance and prepared not only medically but also psychologically for MHD.
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Affiliation(s)
- S. Kohli
- Department of Psychology, MD University, Rohtak, Haryana, India
| | - P. Batra
- Department of Psychology, MD University, Rohtak, Haryana, India
| | - H. K. Aggarwal
- Department of Medicine, Division of Nephrology, PGIMS, Rohtak, Haryana, India
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Lindberg M, Fernandes MAM. Self-efficacy in relation to limited fluid intake amongst Portuguese haemodialysis patients. J Ren Care 2011; 36:133-8. [PMID: 20690965 DOI: 10.1111/j.1755-6686.2010.00182.x] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
Self-efficacy is a temporary and influenceable characteristic, related to situations and tasks, mediating health-promoting behaviours. This study aimed to evaluate psychometric properties of a Portuguese version of the Fluid Intake Appraisal Inventory, and to describe self-efficacy in relation to limited fluid intake amongst Portuguese haemodialysis patients. Respondents were recruited from three dialysis units, and 113 of 155 eligible patients gave their informed consent. The translated scale was distributed and collected by the head nurses. Interdialytic weight gain was calculated as percentage of dry weight. Satisfactory psychometric properties were estimated in the Portuguese context. The participants' self-efficacy in relation to low fluid intake was asymmetrically distributed; the majority had moderately to high self-efficacy while some patients had very low self-efficacy to limited fluid intake. There was a significant difference in self-efficacy to fluid restrictions; patients with a weight gain of 3.5% or less presented higher self-efficacy scores than did patients exceeding the cutoff point.
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Affiliation(s)
- Magnus Lindberg
- Centre for Research and Development, Uppsala University/County Council of Gävleborg, SE 801 88 Gävle, Sweden.
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Harwood L, Wilson B, Sontrop J. Sociodemographic differences in stressful experience and coping amongst adults with chronic kidney disease. J Adv Nurs 2011; 67:1779-89. [PMID: 21375575 DOI: 10.1111/j.1365-2648.2010.05605.x] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
AIM This secondary data analysis aims to determine whether stressful experiences and coping behaviours differ across age, gender and education level and if sociodemographic factors are independently associated with coping behaviour after controlling for stress. BACKGROUND Chronic kidney disease is stressful for individuals and their families; however, little research is available on this topic. METHODS In this cross-sectional quantitative study, information on stress and coping was obtained using the Chronic Kidney Disease Stress Inventory and the Jalowiec Coping Scale in 226 non-dialysis chronic kidney disease patients. The data were collected in Canada between 2005 and 2007. The independent effects of age, gender and education on coping behaviour were analysed in four multivariable regression models that adjusted for the three Chronic Kidney Disease Stress Inventory subscales separately, the total 34-item Chronic Kidney Disease Stress Inventory, and chronic kidney disease stage. RESULTS Stressful experience did not differ between the genders; however, women were more likely than men to report greater use of coping strategies. This relationship remained significant in each multivariable regression model. An inverse relationship between age and total coping use was significant in the multivariable model that adjusted for physiological stressors, but not in the models adjusting for psychosocial, logistic or total stressors. Significant relationships were observed between higher education and greater coping in bivariable analysis, but not multivariable analysis. CONCLUSION Knowledge of the relationships between sociodemographic factors, stressful experience and coping behaviour is necessary to develop and implement educative and supportive interventions further for chronic kidney disease patients and to provide the foundation for interventional and outcome investigations.
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Affiliation(s)
- Lori Harwood
- London Health Sciences Centre, Victoria Hospital, London, Ontario, Canada.
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Bonner A, Wellard S, Caltabiano M. The impact of fatigue on daily activity in people with chronic kidney disease. J Clin Nurs 2010; 19:3006-15. [DOI: 10.1111/j.1365-2702.2010.03381.x] [Citation(s) in RCA: 57] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Lindberg M, Wikström B, Lindberg P. Subgroups of haemodialysis patients in relation to fluid intake restrictions: a cluster analytical approach. J Clin Nurs 2010; 19:2997-3005. [DOI: 10.1111/j.1365-2702.2010.03372.x] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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Shafipour V, Jafari H, Shafipour L, Nasiri E. Assessment of the relationship between quality of life and stress in the hemodialysis patients in 2008. Pak J Biol Sci 2010; 13:375-9. [PMID: 20836297 DOI: 10.3923/pjbs.2010.375.379] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
The aim of this study was to determine the relationship between quality of life with stress in the haemodialysis patients. This descriptive correlation study was done on 100 haemodialysis patients selected by consent method from Imam Khomeini and Fatemeh Zahra Hospitals in Sari/Iran from March 2008 to February 2009. Data were collected in questionnaire consisting of 3 sections (demographic feature, quality of life and stress) in three months. In the questionnaire, first, quality of life then stress in the patients was studied and the variables described. Then the relation between them was determined by statistical analysis. From the total number of 100 patients (53 men and 47 women) under study, 42% with partial comfortable life had moderate tension. Pearson correlation coefficient showed that there is a significant linear relationship with quality of life and degree of tension, (r = 0.802). That is with increase of tension, quality of life declines (p < 0.001). Also Pearson correlation coefficient indicated that there is positive correlation between the number of hemodialysis per week and the history of dialysis (p = 0.001). History of dialysis in 69% of the patients was 1-5 years and 74% of them were dialyzed in the morning trice a week. Findings showed that, with increase of stress, quality of such patients' life decreases. Therefore, the nurses and the other members of medication team should know to reduce the patient's stress using the supportive procedures and adaptation techniques, help improve quality of life by proper intervention method.
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Affiliation(s)
- Vida Shafipour
- Department of Medical Surgical Nursing, Azad University Nursing College, Sari, Iran
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Namiki S, Rowe J, Cooke M. Living with home-based haemodialysis: insights from older people. J Clin Nurs 2010; 19:547-55. [DOI: 10.1111/j.1365-2702.2009.02901.x] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022]
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Kutner NG. Promoting functioning and well-being in older CKD patients: review of recent evidence. Int Urol Nephrol 2008; 40:1151-8. [DOI: 10.1007/s11255-008-9469-x] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2008] [Accepted: 08/26/2008] [Indexed: 10/21/2022]
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Yeh SCJ, Huang CH, Chou HC. Relationships among coping, comorbidity and stress in patients having haemodialysis. J Adv Nurs 2008; 63:166-74. [DOI: 10.1111/j.1365-2648.2008.04659.x] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Abstract
Although coping has been shown to influence physical health in younger populations, whether coping affects health in older adults appears to depend upon how coping and health are conceptualized. This article reviews recent literature on coping and health in older adults in three areas. First, we discuss coping's distinct relevance to health in older adults. Second, we describe ways in which coping may differ between older and younger populations. Third, we detail recent and notable findings of coping's specific effects on biomedical health and health in general. The recent literature suggests that coping may be a developmental and multifaceted process. Positive coping strategies may have positive and even protective effects on health, whereas negative strategies may have negative effects.
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Affiliation(s)
- Loriena A Yancura
- Department of Family and Consumer Sciences, University of Hawaii at Manoa, 2515 Campus Road, Miller Hall #201C, Honolulu, HI 96822, USA.
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Ann B, Wellard S, Caltabiano M. Levels of fatigue in people with ESRD living in far North Queensland. J Clin Nurs 2007; 17:90-8. [DOI: 10.1111/j.1365-2702.2007.02042.x] [Citation(s) in RCA: 15] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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