The effect of group training implemented on hemodialysis patients for their stress management, psychosocial adjustment and self-care strength
Keywords:
Dialysis, nursing, self-care, psychosocial adjustment, stressAbstract
Purpose: The current study was made with the objective of determining the effect of group training implemented on hemodialysis patients for their stress management, psychosocial adjustment and self-care strength.
Method and Material: The single group pre-experiment model with pre-test – post-test was used. The participants were selected from a group of 100 patients who were undergoing treatment in 2011, at the Hemodialysis Units of two state hospitals in North Cyprus. The sampling composed of 90 patients who met the screening criteria and fully consented to take part in the study conducted between January 2011 and June 2011. The researcher collected data before training and 3 months after training by using the Patient Sociodemographic Characteristics Form, Psychosocial Adjustment to Illness Scale-Self-Report, Self-care Strength Evaluation Scale and the Hemodialysis Stressor Scale.
Results: It was observed that as the stressors increased in hemodialysis patients, the self-care strength and adjustment to illness decreased. Additionally, it was also found that as the self-care strength increased the adjustments to illness also increased. Furthermore, it was determined that the stressors of female patients were higher compared to male patients. The adjustment of patients working and those receiving treatment at Institution 2 were found to be lower.
Conclusions: It was concluded that there was a decrease in the stressors perceived by hemodialysis patients who had undergone the training program. Moreover, these patients also evidenced an increase in the adjustment to illness and in self-care strength after the training program had been implemented.
Downloads
Metrics
References
Adaylar, M. (1995). The Attitudes, Adaptation, Perception and Self-care Orientations to Illnesses of Individuals Who Have a Chronic Disease. PhD diss., Istanbul University, Institute of Health Sciences, İstanbul.
Ahmad, MM., & Al Nazly, EK. (2014). Hemodialysis: Stressors and Coping Strategies. Psychol Health Med, DOI: 10.1080/13548506.2014.952239.
Akça, AT., & Çınar, S.(2008). Comparison of Psychosocial Adjustment in People with Diabetes with and without Diabetic Foot Ulceration. Australian Journal of Advanced Nursing, 24(4): 87-96.
Akın., S., Taşköprü İ., Özdilli K., Yeşiltepe G., Öztürk B., & Durna Z.(2010). The Functional Performance Status, Quality of Life and Hemodialysis Stressors of Haemodialysis Patients. Hemşirelikte Eğitim ve Araştırma D. 7(3):16-25.
Akyol., AD., & Karadakovan., A. (2002). The Investigation of Influence Factors on Self-care Agency and Quality of Life on Hemodialysis Patients. Ege Tıp D. 41(2):97-102.
Bağ, E., & Mollaoğlu., M. (2010). The Evaluation of Self-care and Self-efficacy in Patients Undergoing Hemodialysis. J Eval Clin Prac . 16(3):605-10.
Bakoğlu., E., Şekerci K., Yaman., S & Çevik M. (2009). Self-care Strength in Peritoneal Dialysis Patients. Fırat Sağlık Hiz D. 4(11):65-78.
Baldree KS., Murphy S., & Powers., MJ. (1982). Stress Identification and Coping Patterns on Hemodialysis. Nurs Res. 31(2):107-12.
Bame SI., Peterson N., & Wray NP.(1993). Variation in Hemodialysis Patient Compliance According to Demographic Characteristics. Soc Sci Med. 37(8):1035-43.
Christensen AJ. (2000). Patient-by-treatment Context Interaction in Chronic Disease: A Conceptual Framework for the Study of Patient Adherence. Psychosom Med. 62:435-43.
Christensen, AJ., Moran PJ., Wiebe JS., Ehlers SL., & Lawton WJ. (2002). Effect of Behavioral Self-Regulation Intervention on Patient Adherence in Hemodialysis. Health Psychol . 21(4):393-7.
Courts Flemin, N. (2000). Psychosocial Adjustment of Patients on Home Hemodialysis and Their Dialysis Partners. Clin Nurs Res. 9(2):177-90.
Cvengros, JA., Christensen, AJ., & Lawton WJ. (2004). The Role of Perceived Control and Preference for Control in Adherence to a Chronic Medical Regimen. Ann Behav Med 27:155-61
Çınar, S., Barlas, GU., & Alpar, SE. (2009). Stressors and Coping Strategies in Hemodialysis Patients. Pak J Med Sci. 25(3):447-52.
Denyes, MJ., Orem, DE., & SozWiss, GB., (2001). Self-care: A Foundational Science. Nurs Sci Q. 14(1):48-54.
Derogatis, LR. (1986). The Psychosocial Adjustment to Illness Scale (PAIS). J Psychosom Res. 30(1):77-91.
Durna, Z., Özcan Ş., Erdoğan., N. & Yeşiltepe, G.(2000). Quality of Life and Levels of Social Support of Patients Receiving Regular Hemodialysis Therapy. Hemşirelik Forumu. 3(2):6-14.
Fırat H., (2010). Training Guide for Hemodialysis Patients. Turkish Republic of Northern Cyprus.
Gallegos, EC., Ovalle-Berumen, F., & Gomez-Meza, MV. (2006). Metabolic Control of Adults with Type 2 Diabetes Mellitus through Education and Counseling. J Nurs Scholars 38(4):344-51.
Hiçdurmaz, D., & Öz, F. (2009). Coping Styles of Patients Taking Hemodialysis and Continuous Ambulatory Peritoneal Dialysis Treatment. Hacettepe Üniversitesi Sağlık Bilimleri Fakültesi Hemşirelik D. 1-16.
Huang, ES., Gorawara-Bhat, R., & Chin, MH. (2005). Self-reported Goals of Older Patients with Type 2 Diabetes Mellitus. J Am Geriatr Soc. 53:306-11.
Jaarsma, T., Halfens, R., Tan, F., Abu-Saad, HH., Dracup, K., & Diederiks, J.(2000). Self-care and Quality of Life in Patients with Advanced Heart Failure: The Effect of a Supportive Educational Intervention. Heart Lung. 29(5):319-30.
Jansen, DL., Rijken, M., Heijmans, M., & Boeschoten, EW.(2010). Perceived Autonomy and Self-esteem in Dutch Dialysis Patients: The Importance of Illness and Treatment Perceptions. Psychol Health. 25(6):733-49.
Kara, B. (2006). Validity and Reliability Study of the Hemodialysis Stressor Scale. Zonguldak Karaelmas Üniv Zonguldak Sağlık YO Sağlık Eğitim Araş D. 2(2):64-71.
Kara, B. (2007). Adjustment to Treatment in Hemodialysis Patients: A Multi-faceted Approach. Gülhane Tıp D . 49(2):132-6.
Kara, B. & İşcan, B. (2006). The Stressors Perceived in Hemodialysis Patients by Nurses. Nefroloji Hemşireliği D. Kasım-Şubat:57-64.
Klang, B,. Björvell, H., Berglund, J., Sundstedt, C., & Clyne, N. (1998). Predialysis Patient Education: Effects on Functioning and Well-being in Uraemic Patients. J Adv Nurs. 28(1):36-44.
Kutner, NG., Zhang, R., McClellan, WM., & Cole, SA. (2002). Psychosocial Predictors of Non-compliance in Haemodialysis and Peritoneal Dialysis Patients. Nephrol Dial Transplant. 17(1):93-9.
Lev, EL,. & Owen, SV. (1998). A Prospective Study of Adjustment to Hemodialysis. ANNA J. 25(5):495-503.
Manns, BJ., Taub. K., Vanderstraeten, C., Jones, H., Mills, C., Visser, M et al.(2005). The Impact of Education on Chronic Kidney Disease Patients' Plans to Initiate Dialysis with Self-care Dialysis: A Randomized Trial. Kidney Int. 68(4):1777-83.
Mok, E., & Tam, B.(2001). Stressors and Coping Methods Among Chronic Haemodialysis Patients in Hong Kong. J Clin Nurs . 10(4):503-11.
Molaison, EF., & Yadrick, MK. (2003) Stages of Change and Fluid Intake in Dialysis Patients. Patient Educ Couns . 49(1):5-12.
Mollaoğlu, M.(2005). Self-care Strength and Depression in Patients on which Hemodialysis was Implemented. Nefroloji Hemşireliği D . 12:55-60.
Mollaoğlu, M. (2011). Disability, Activities of Daily Living and Self-Efficacy in Dialysis Patients. TAF Prev Med Bull, 10(2):181-6.
Ören, B. (2010). Investigation of the Factors that Effect the Quality of Life and Self-care Strength of Hemodialysis and Peritoneal Dialysis Patients. PhD diss., Istanbul University, Institute of Health Sciences, Istanbul.
Ören, B., & Enç, N. (2013). Quality of Life in Chronic Haemodialysis and Peritoneal Dialysis Patients in Turkey and Related Factors. Int J Nurs Prac. 19(6):547-556.
Özçürümez, G., Tanrıverdi, N., & Zileli. L. (2003). The Psychiatric and Psychosocial Aspects of Chronic Renal Insufficiency. Türk Psikiyatri Dergisi, 14(1):72-80.
Parvan, K., Ahangar, R., Hosseini, FA., Abdollahzadeh, F., Ghojazadeh, M, & Jasemi, M. (2015). Coping methods to stress among patients on hemodialysis and peritoneal dialysis. Saudi J Kidney Dis Transpl. 26(2):255-62.
Rosner, F. (2006). Patient Noncompliance: Causes and Solutions. Mt Sinai J Med . 73:553-9.
Suet-Ching, WL.(2001). The Quality of Life for Hong-Kong Dialysis Patients. J Adv Nurs 35(2):218-27.
Takaki, J., & Yano, E. (2006). Possible Gender Differences in the Relationships of Self-efficacy and the Internal Locus of Control with Compliance in Hemodialysis Patients. Behav Med. 32:5-11.
Tsay, SL., & Healstead, M.(2001). Self-care, Self-efficacy, Depression and Quality of Life Among Patients Receiving Hemodialysis in Taiwan. Int J Nurs Stud. 39(3): 245-51.
Tsay, SL., & Lee, YC. (2005). Effects of an Adaptation Training Programme for Patients with End-stage Renal Disease. J Adv Nurs , 50(1):39-46.
Türkmen, SN., & Çam., MO. (2012). Evaluation of the Impact of Psychological Therapy/Education on the Psychosocial Adaptation of Patients with Myocardial Infarction. J Psychiatr Nurs. 3(3):105-15.
Vicdan, AK., & Karabacak., BG. (2014). The Use of Patient Education Roy Adaptation Model Haemodialysis. Int J Human Sci. 11(2):209-20. doi: 10.14687/ijhs.v11i2.2729
Yurtsever, S., & Kuyurtar, F.(2005). Exhaustion and Self care in Hemodialysis Patients. Nefroloji Hemşireliği. 18:26-32.
Downloads
Published
How to Cite
Issue
Section
License
Authors can retain copyright, while granting the journal right of first publication. Alternatively, authors can transfer copyright to the journal, which then permits authors non-commercial use of the work, including the right to place it in an open access archive. In addition, Creative Commons can be consulted for flexible copyright licenses.
©1999 Creative Commons Attribution-ShareAlike 4.0 International License.
