Stressors and coping methods among chronic haemodialysis patients in Hong Kong

Abstract

The purpose of the study was to determine the stressors and coping methods of chronic haemodialysis patients in Hong Kong. Relationships among treatment-related stressors, coping methods and length of time on haemodialysis were explored. Fifty subjects completed the Haemodialysis Stressor Scale (HSS) and Jalowiec Coping Scale (JCS). Results revealed that limitation of fluid was the most frequently identified stressor, followed by limitation of food, itching, fatigue and cost. The most common coping methods are 'accepted the situation because very little could be done', followed by 'told oneself not to worry because everything would work out fine' and 'told oneself that the problem was really not that important.' It was found that the traditional philosophies of the Chinese--Confucianism, Buddhism, and Taoism--share an approach to the understanding and management of life stressors as different from that adopted by Western philosophies. The findings of this study can further facilitate nurse practitioners in providing support, information, and alternative solutions when assisting patients in coping with long-term haemodialysis.

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

“…Also, similar to our study, in the study made by Ahmad and Nazly, a significant relationship was not found between stress and age ( Ahmad & Nazly, 2014). The study made on HD patients by Mok, while there was not a difference between the stress levels and the marital status and educational status, it was found that the physiological stressors subscale points of those 55 years of age and older were found to be higher compared to those 55 years of age and younger (Mok E & Tam, 2001). The findings of our study show that the stressors of female patients are greater (p<.05).…”

Modos de enfrentamento dos estressores de pessoas em tratamento hemodiálitico: revisão integrativa da literatura

“…Among the 12 articles presented, eight were written by nurses and the others by physicians (7,(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23) .…”

The effectiveness of Practical Guides on Burden's Coping Strategies among Caregiver of Children Undergoing Hemodialysis

“…Stapleton categorized stressors faced by patients with ESRD as being related to physiological need, psychological need, role disturbance, and daily activity [14]. Mok and Tam studied 50 patients with ESRD in Hong Kong to determine the stressors encountered and the coping methods used; they found fluid limitation to be the most frequently identified stressor, followed by food limitation, itching, fatigue, and cost [15]. Moreover, [16], using the Hemodialysis Stressor Scale (HSS) to assess 57 patients with ESRD in Taiwan, found the major stressors to be limitations on time and place related to employment, limitations on fluid intake, transportation difficulties, loss of bodily function, length of dialysis of treatment, and limitation physical activities [16].…”

“…The kind of coping strategies they use also depends on their personal experience, social support system, individual beliefs, and availability of resources [16]. [15] reported that the most common coping methods used by patients with ESRD include "accepting the situation because very little could be done," followed by "telling oneself not to worry because everything would work out fine" and "telling oneself that the problem was really not that important [15]. In addition to identifying the coping mechanisms that patients with ESRD use when facing various stressors related to HD, research should also clarify caregiver's burden and coping strategies.…”