Morrowati Sharifabad Mohammad Ali, Ghaffari Mohtasham, Mehrabi Yadollah, Askari Jafar, Zare Samad, Alizadeh Somayeh
Aging Health Department, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
Environmental and Occupational Hazards Control Research Center, Tehran, Iran.
Saudi J Kidney Dis Transpl. 2020 Jan-Feb;31(1):150-159. doi: 10.4103/1319-2442.279935.
Today, we witness an increase in the prevalence of chronic kidney disease, which is a very stressful process. In order to cope with the stress caused by this disease, the first step is to appraise the stressful situation correctly. Therefore, the present study was conducted with the aim of investigating the effect of training on the basis of Lazarus and Folkman transactional model on stress appraisal for hemodialysis (HD) patients. The present quasi-experimental study was conducted on 116 filed HD patients in two dialysis centers in Tehran. The patients were randomly divided into two groups: experimental and control groups. The data were collected using a researcher-made questionnaire whose validity and reliability were confirmed. After performing the intervention, the primary and secondary appraisals' scores were investigated before and three months after the intervention. The data were analyzed using independent /?-test, paired /-test, and covariance at a significant level of 0.05 using software Statistical Package for the Social Sciences version 16.0. The mean age of participants in the study was 52.86 years. In this study, the difference between the mean score of the primary appraisal and substructure of perceived susceptibility, motivational relevance, self-blame (casual focus), and secondary appraisal and self-efficacy substructure after the intervention was significant in the experimental group. However, these differences were not significant in the control group. According to the study results, it can be concluded that the use of training based on Lazarus and Folkman tran- sactional model can be useful for improving the correct appraisal of individuals for stressful situations.
如今，我们目睹慢性肾脏病的患病率在上升，这是一个压力很大的过程。为了应对这种疾病所带来的压力，第一步是正确评估压力情境。因此，本研究旨在探讨基于拉扎勒斯和福克曼交互作用模型的培训对血液透析（HD）患者压力评估的影响。本准实验研究在德黑兰的两个透析中心对116名在册HD患者进行。患者被随机分为两组：实验组和对照组。数据通过研究者自编的问卷收集，该问卷的效度和信度得到了确认。在进行干预后，在干预前和干预后三个月对初级和次级评估的分数进行了调查。使用社会科学统计软件包第16.0版，在0.05的显著水平下，采用独立t检验、配对t检验和协方差分析对数据进行分析。研究参与者的平均年龄为52.86岁。在本研究中，干预后实验组在初级评估与感知易感性、动机相关性、自责（因果焦点）子结构以及次级评估与自我效能子结构的平均得分之间的差异具有统计学意义。然而，这些差异在对照组中并不显著。根据研究结果，可以得出结论，基于拉扎勒斯和福克曼交互作用模型的培训对于提高个体对压力情境的正确评估可能是有用的。
