The Journal of Korean Academic Society of Nursing Education (한국간호교육학회지)

The Korean Academic Society of Nursing Education (한국간호교육학회)
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Factors Influencing the Stress of Patients on Hemodialysis

혈액투석 환자의 스트레스와 영향 요인

  • Kim, Seoyun (Busan Veterans Hospital) ;
  • Yang, Jinhyang (Department of Nursing, Institute of Health Science, Inje University)
  • 김서윤 (부산보훈병원) ;
  • 양진향 (인제대학교 간호학과, 건강과학연구소)
  • Received : 2015.07.03
  • Accepted : 2015.07.25
  • Published : 2015.08.31
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Abstract

Purpose: Patients on hemodialysis need to manage the stress of having a life-threatening condition. The purpose of this study was to identify factors associated with stress among patients on hemodialysis. Methods: The research had a cross-sectional, descriptive design using a questionnaire. The participants were 91 adult patients on hemodialysis from four dialysis centers in a large Korean city. Data were analyzed with the SAS 9.2 program using descriptive statistics, t-tests, ANOVA, and multiple regression. Results: There were statistically significant differences in stress by age, dialysis period, and change in employment status. In hemodialysis patients, stress was significantly positive correlated with fatigue and depression, but negatively correlated with self-esteem. Stepwise multiple regression analysis for stress revealed that the most powerful predictor was depression. Depression and fatigue explained 32.5% of the variance. Conclusion: The results indicate a need to manage the stress of these patients. The findings also suggest that consideration be given to characteristics of age, dialysis period, and employment status in developing strategies to reduce depression and fatigue and developing programs to manage the stress of patients on hemodialysis.

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