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http://dx.doi.org/10.5977/jkasne.2015.21.3.340

Factors Influencing the Stress of Patients on Hemodialysis  

Kim, Seoyun (Busan Veterans Hospital)
Yang, Jinhyang (Department of Nursing, Institute of Health Science, Inje University)
Publication Information
The Journal of Korean Academic Society of Nursing Education / v.21, no.3, 2015 , pp. 340-349 More about this Journal
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.
Keywords
Hemodialysis; Stress; Fatigue; Depression; Self-esteem;
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Times Cited By KSCI : 4  (Citation Analysis)
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1 Baldree, K. S., Murphy, S. P., & Powers, M. J. (1982). Stress identification and coping patterns in patients on hemodialysis. Nursing Research, 31(2), 107-112.
2 Bossola, M., Vulpio, C., & Tazza, L. (2011). Fatigue in chronic dialysis patients. Seminars in Dialysis, 24(5), 550-555.
3 Chen, C. K., Tsai, Y. C., Hsu, H. J., Wu, I. W., Sun, C. Y., Chou, C. C., et al. (2010). Depression and suicide risk in hemodialysis patients with chronic renal failure. Psychosomatics, 51(6), 528-528.   DOI   ScienceOn
4 Dumitrescu, A. L., Garneata, L., & Guzun, O. (2009). Anxiety, stress, depression, oral health status and behaviours in Romanian hemodialysis patients. Romanian Journal of Internal Medicine, 47(2), 161-168.
5 Gorji, M. A., Mahdavi, A., Janati, Y., Illayi, E., Yazdani, J., Setareh, J., et al. (2013). Physiological and psychosocial stressors among hemodialysis patients in educational hospitals of northern Iran. Indian Journal of Palliative Care, 19(3), 166-169.   DOI
6 Gurkan, A., Pakyuz, S. C., & Demir, T. (2015). Stress coping strategies in hemodialysis and kidney transplant patients. Transplantation Proceedings, 47(5), 1392-1397.   DOI
7 Hur, J. (2005). A study of the treatment related-stressors and stress coping methods of hemodialysis noncompliant patients. The Journal of Korean Nursing Administration Academic Society, 11(4), 439-448.
8 Jon, B. J. (1974). Self-esteem: a test of its measurability. Yonsei Nonchong, 11(1), 107-130.
9 Kim, H. R. (1996). Fatigue and its related factors in patients on hemodialysis. Journal of Korean Academy of Nursing, 26(1), 53-72.
10 Kim, S. R. (2010). Depression and anxiety in maintenance hemodialysis patients: a single center study. Kidney Research and Clinical Practice, 29(6), 733-741.
11 Kim, Y. O. (1993). Effect of therapy on stress and quality of life in patients undergoing hemodialysis. Journal of Korean Academy of Nursing, 23(3), 431-452.
12 Korean Society of Nephology. (2015). Current renal replacement therapy in Korea. Retrieved Jun 15, 2015, from http://www.ksn.or.kr/journal/2015/index.html
13 Lee, K. A., Hicks, G., & Nino-Mucria, G. (1991). Validity and reliability of a scale to assess fatigue. Psychiatry Research, 36(3), 291-298.   DOI
14 Ministry of Health & Welfare. (2007). Improving payment system for medical aid patients who get hemodialysis treatment. Gwacheon: Ministry of Health & Welfare.
15 Oyekcin, D. G., Gulpek, D., Sahin, E. M., & Mete, L. (2012). Depression, anxiety, body image, sexual functioning, and dyadic adjustment associated with dialysis type in chronic renal failure. International Journal of Psychiatry in Medicine, 43(3), 227-241.   DOI
16 Perales-Montilla, C. M., Duschek, S., & Reyes-Del Paso, G. A. (2013). The influence of emotional factors on the report of somatic symptoms in patients on chronic haemodialysis: the importance of anxiety. Nefrología, 33(6), 816-825.
17 Rogenberg, M. (1965). Society and the adolescent self-image. Princeton. NJ: Princeton University Press.
18 Suh, S. R., & Cho, I. H. (2014). Influence of hemodialysis patient's stress and acceptance on their psychosocial adaptation and quality of life. The Korea Contents Society, 14(11), 829-837.
19 Seo, N. S., Kang, S. J., Kim, J. H., & Kim, S. J. (2013). Relationships between fatigue, sleep disturbance, stress, self-efficacy and depression in hemodialysis patients. Journal of Korean Clinical Nursing Research, 19(2), 285-297.   DOI
20 Shim, O. S. (2010). Effects of stress on health-related quality of life and moderating effect of self-esteem in patients on renal dialysis. Journal of Korean Gerontological Nursing, 12(2), 95-107.
21 Takaki, J., & Yano, E. (2006). The relationship between coping with stress and employment in patients receiving maintenance hemodialysis. Journal of Occupational Health, 48(4), 276-283.   DOI
22 Takaki, J., Nishi, T., Shimoyama, H., Inada, T., Matsuyama, N., Kumano, H., et al. (2005). Possible interactive effects of demographic factors and stress coping mechanisms on depression and anxiety in maintenance hemodialysis patients. Journal of Psychosomatic Research, 58(3), 217-223.   DOI
23 Theofilou, P. (2012). Self-esteem in Greek dialysis patients: the contribution of health locus of control. Iranian Journal of Kidney Diseases, 6(2), 136-140.
24 Tu, H. Y., Shao, J. H., Wu, F. J., Chen, S. H., & Chuang, Y. H. (2014). Stressors and coping strategies of 20-45-year-old hemodialysis patients. Collegian, 21(3), 185-192.   DOI
25 Yoon, S. K., & Tak, Y. R. (2014). Burden, social support and quality of life of the family caregiver's of hemodialysis patients. Journal of Korean Clinical Nursing Research, 20(3), 395-405.   DOI
26 Zung, W., Richards, C. B., & Short, M. J. (1965). Self-rating depression scale in an outpatient clinic further validation of the SDS. Archives of General Psychiatry, 13(6), 508-515.   DOI