Association of stress and anxiety with self-care in hemodialysis patients

Abstract

Introduction: It is generally accepted that stress and anxiety are of the most common psychiatric complications of hemodialysis. Self-care is considered as one of the health promotion behaviors. Self-care reduction increases the risk of mortality and morbidity too. Objectives: The purpose of this study was to determine the correlation between stress and anxiety with self-care in hemodialysis patients. Patients and Methods: The present cross-sectional study was conducted on 80 hemodialysis patients, selected by convenience sampling method. The perceived stress was measured by a perceived stress scale (PSS) questionnaire, since the anxiety assessed by the Spielberger StateTrait Anxiety Inventory (STAI), accordingly, self-care assessed by hemodialysis patients’ selfcare measurement scale. Results: In this study, no patient had poor self-care. The self-care was moderate in 75% of patients and good in 25% of patients. The anxiety was mild in 46.2% of patients, moderate in 50% and severe in 3.8%. The perceived stress was low in 62.5% of patients and high in 37.5% of patients. There was a significant negative correlation between the perceived stress score and the self-care score (P=0.001, r=-0.376), however, no correlation was observed between anxiety and self-care score (P=0.089, r=-0.193). Conclusion: The results showed that stress of hemodialysis patients had a negative effect on their self-care, while anxiety had no significant effect on self-care. Therefore, it is suggested to identify and resolve the factors affecting stress of these patients, and to conduct further research regarding this subject.

Investigation of the Relationship Between COVID-19 Anxiety and Perception of Risk in Pregnancy, Fears of Death and Losing Their Baby in the Pandemic

“…It has been suggested that psychological distress impairs the self-care function of individuals (Katon, 2011). Contrary to these findings, there are also research results reporting that self-care function is not associated with anxiety (Hu et al, 2015;Zibaei et al, 2020). In our study, on the other hand, no relationship was found between anxiety about COVID-19 and self-care agency.…”

The Effectiveness of Benson’s Relaxation Technique on Pain and Perceived Stress Among Patients Undergoing Hemodialysis: A Double-Blind, Cluster-Randomized, Active Control Clinical Trial

“…Concerning PS, this study revealed that PUH experienced high PS. In consonant with our findings, a cross-sectional study reported that 37.5% of PUH had high PS (Zibaei et al., 2020). Three RCTs revealed that PUH experiences average stress levels (Heidari Gorji et al., 2014; Mahdavi et al., 2013; Otaghi et al., 2016).…”

“…The prevalence rate of severe to extremely severe stress was 77.3% among PUH (Senmar et al., 2020). The mean PS among the whole group of PUH was 24.6 ± 9.4, and 37.5% of them had high PS (Zibaei et al., 2020).…”

The effectiveness of acceptance and commitment therapy on clinical symptoms and treatment adherence in dialysis patients

“…Patients who have higher social support and lower levels of anxiety have higher levels of self-care. [ 10 ] The result’s study of Tayebi et al ., showed that there was a significant relationship between depression, anxiety, and stress and noncompliance of hemodialysis patients with the recommended diet and even necessary treatments, and this can endanger the patient’s health and accelerate his/her death, so maintaining mental health and controlling depression, anxiety, and stress are very important in these patients. [ 11 ]…”