Parvan Kobra, Ahangar Ronak, Hosseini Fahimeh Alsadat, Abdollahzadeh Farahnaz, Ghojazadeh Morteza, Jasemi Madineh
Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.
Saudi J Kidney Dis Transpl. 2015 Mar;26(2):255-62. doi: 10.4103/1319-2442.152409.
Dialysis patients need to deal and cope with various aspects of their disease. Identifying the adaptation methods provides valuable information for planning specific treatment and medical care delivery and improving the performance of medical teams. The present study aims to evaluate the coping strategies to stress among patients undergoing hemodialysis (HD) and peritoneal dialysis (PD) at the Imam Reza Educational-Medical Hospital, Tabriz, West Azarbaijan, Iran. This descriptive and analytical study was conducted on 70 patients in the year 2012. The subjects were selected through census method and simple random sampling method. Data were collected using a customized questionnaire and consisted of demographic information and the Jalowiec Coping Scale (JCS) through a structured interview. Descriptive and inferential statistics were used to analyze the data in SPSS (version 13). The mean score of frequency of use of the coping strategy as "sometimes used" for the HD patients was 70.94 ± 18.91 and also for PD patients as "seldom used" was 58.70 ± 12.66. The mean score of helpfulness of coping strategies in the HD group was 49.57 ± 19.42 as "slightly helpful", whereas in the PD group it was 37.21 ± 14.38 as "slightly helpful" Furthermore, both groups used the emotion-oriented coping styles more frequently than the problem-oriented methods. HD patients used coping methods more frequently than the PD patients. The majority of patients used emotion-oriented coping strategies to deal with stress factors. Use of educational, counseling and supportive programs to assist in coping techniques can facilitate the coping process with stress factors in dialysis patients.
透析患者需要应对其疾病的各个方面。确定适应方法可为规划特定治疗和医疗护理提供有价值的信息，并提高医疗团队的绩效。本研究旨在评估伊朗东阿塞拜疆省大不里士伊玛目礼萨教育医院接受血液透析（HD）和腹膜透析（PD）的患者应对压力的策略。这项描述性和分析性研究于2012年对70名患者进行。通过普查法和简单随机抽样法选取研究对象。数据通过定制问卷收集，包括人口统计学信息和通过结构化访谈获得的贾洛维茨应对量表（JCS）。使用SPSS（版本13）中的描述性和推断性统计分析数据。HD患者将应对策略的使用频率评为“有时使用”的平均得分为70.94±18.91，PD患者将其评为“很少使用”的平均得分为58.70±12.66。HD组应对策略的帮助程度平均得分为49.57±19.42，为“有点帮助”，而PD组为37.21±14.38，为“有点帮助”。此外，两组使用情感导向应对方式的频率均高于问题导向应对方式。HD患者比PD患者更频繁地使用应对方法。大多数患者使用情感导向应对策略来应对压力因素。使用教育、咨询和支持项目来辅助应对技巧可以促进透析患者应对压力因素的过程。
