Department of Aging Health, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
Environmental and Occupational Hazards Control Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Saudi J Kidney Dis Transpl. 2020 Nov-Dec;31(6):1294-1302. doi: 10.4103/1319-2442.308338.
Chronic renal failure and prolonged hospitalization for the treatment of renal disease incur immense stress and anxiety in patients. Considering the increased prevalence of renal failure, the present study aimed to explain the experiences of stress assessment in hemodialysis (HD) patients based on the transactional model of Lazarus and Folkman. The data collection method was semi-structured interview with 22 patients from dialysis centers in Tehran. Sampling was purposive and continued until data saturation. Data were analyzed using the directed content analysis method. Data analyzed to the extraction of 80 codes that were classified into two predetermined categories of appraisal structures in the transactional stress model, including primary and secondary appraisal, and also seven subcategories (perceived susceptibility, perceived severity, motivational relevance, casual focus, perceived control over outcoms, perceived control over emotions, and self-efficacy). During this study, 15 sub-subcategories were obtained for the stress appraisal in HD patients. The results showed that the subcategories of perceived susceptibility, perceived severity, and casual focus were the most effective factors in the stress appraisal in HD patients. According to the results, an arrangement should be made so that HD patients can evaluate the stressful conditions properly. patients need help to improve their evaluation in subcategories of motivational relevance, perceived control over outcomes, perceived control over emotion, and self-efficacy. In this regard, one of the best models that can be used to identify the appraisals in HD patients and design appropriate interventions for them is the transactional model.
慢性肾衰竭和因肾病而延长的住院治疗会给患者带来巨大的压力和焦虑。鉴于肾衰竭的发病率增加，本研究旨在根据 Lazarus 和 Folkman 的交易模型解释血液透析 (HD) 患者的压力评估体验。数据收集方法是对德黑兰透析中心的 22 名患者进行半结构化访谈。采用目的性抽样，持续到数据饱和。使用有方向的内容分析法进行数据分析。分析数据得出 80 个代码，这些代码被分为交易性应激模型中的两个预定评价结构类别，包括初级评价和次级评价，以及七个亚类（感知易感性、感知严重性、动机相关性、因果焦点、对结果的感知控制、对情绪的感知控制和自我效能）。在本研究中，获得了用于 HD 患者压力评估的 15 个子子类别。结果表明，感知易感性、感知严重性和因果焦点亚类是 HD 患者压力评估中最有效的因素。根据研究结果，应安排 HD 患者对压力情况进行适当评估。患者需要帮助来改善他们在动机相关性、对结果的感知控制、对情绪的感知控制和自我效能的子类别中的评估。在这方面，用于识别 HD 患者评估并为其设计适当干预措施的最佳模型之一是交易模型。
