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Stressors and coping of in-hospital haemodialysis patients aged 65 years and over.
J Adv Nurs. 2006 Nov; 56(4):382-91.JA

Abstract

AIMS

This paper reports a study to identify the types of stressors experienced by in-hospital haemodialysis patients aged 65 years and older, and the use and perceived helpfulness of coping strategies to manage these stressors.

BACKGROUND

Chronic renal failure and its treatments impose a variety of physical and psychosocial stressors, which challenge patients. Although the stressors and coping strategies of patients having dialysis treatment have been investigated, no study has specifically focused on older adults. Such investigation is important as the incidence of chronic kidney disease is increasing in this age group.

METHOD

In this descriptive, correlational study, the Haemodialysis Stressor Scale and Jalowiec Coping Scale were used to investigate stressors and coping strategies reported by 50 in-hospital haemodialysis patients aged 65 years and older. The data were collected in Canada in 2004.

RESULTS

Similar to previous research, the stressors of fatigue and fluid restrictions ranked highly as stressors in this sample. However, interference with social and recreational activities were stressors unique to this group. Findings challenge some common beliefs about haemodialysis patients. It is commonly believed that these patients 'get used to' haemodialysis, and therefore the number and troublesomeness of stressors decrease over time. This belief was not supported because length of time on haemodialysis did not affect participants' appraisal of stressors. Another major finding was that older participants in this sample reported the use of fewer coping strategies and found them less helpful.

CONCLUSION

Further research is needed to investigate factors affecting the stressors and coping responses of older haemodialysis patients and to determine their impact on health outcomes. Such knowledge will assist nurses in developing age-appropriate strategies for promoting optimum wellness for these patients who will likely spend the remainder of their life adhering to the regimen of haemodialysis.

Authors+Show Affiliations

Extra Mural Program, Atlantic Health Sciences Corporation, Saint John, New Brunswick, Canada. logsu@reg2.health.nb.caNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

17042818

Citation

Logan, Susan M., et al. "Stressors and Coping of In-hospital Haemodialysis Patients Aged 65 Years and Over." Journal of Advanced Nursing, vol. 56, no. 4, 2006, pp. 382-91.
Logan SM, Pelletier-Hibbert M, Hodgins M. Stressors and coping of in-hospital haemodialysis patients aged 65 years and over. J Adv Nurs. 2006;56(4):382-91.
Logan, S. M., Pelletier-Hibbert, M., & Hodgins, M. (2006). Stressors and coping of in-hospital haemodialysis patients aged 65 years and over. Journal of Advanced Nursing, 56(4), 382-91.
Logan SM, Pelletier-Hibbert M, Hodgins M. Stressors and Coping of In-hospital Haemodialysis Patients Aged 65 Years and Over. J Adv Nurs. 2006;56(4):382-91. PubMed PMID: 17042818.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Stressors and coping of in-hospital haemodialysis patients aged 65 years and over. AU - Logan,Susan M, AU - Pelletier-Hibbert,Maryse, AU - Hodgins,Marilyn, PY - 2006/10/18/pubmed PY - 2007/7/27/medline PY - 2006/10/18/entrez SP - 382 EP - 91 JF - Journal of advanced nursing JO - J Adv Nurs VL - 56 IS - 4 N2 - AIMS: This paper reports a study to identify the types of stressors experienced by in-hospital haemodialysis patients aged 65 years and older, and the use and perceived helpfulness of coping strategies to manage these stressors. BACKGROUND: Chronic renal failure and its treatments impose a variety of physical and psychosocial stressors, which challenge patients. Although the stressors and coping strategies of patients having dialysis treatment have been investigated, no study has specifically focused on older adults. Such investigation is important as the incidence of chronic kidney disease is increasing in this age group. METHOD: In this descriptive, correlational study, the Haemodialysis Stressor Scale and Jalowiec Coping Scale were used to investigate stressors and coping strategies reported by 50 in-hospital haemodialysis patients aged 65 years and older. The data were collected in Canada in 2004. RESULTS: Similar to previous research, the stressors of fatigue and fluid restrictions ranked highly as stressors in this sample. However, interference with social and recreational activities were stressors unique to this group. Findings challenge some common beliefs about haemodialysis patients. It is commonly believed that these patients 'get used to' haemodialysis, and therefore the number and troublesomeness of stressors decrease over time. This belief was not supported because length of time on haemodialysis did not affect participants' appraisal of stressors. Another major finding was that older participants in this sample reported the use of fewer coping strategies and found them less helpful. CONCLUSION: Further research is needed to investigate factors affecting the stressors and coping responses of older haemodialysis patients and to determine their impact on health outcomes. Such knowledge will assist nurses in developing age-appropriate strategies for promoting optimum wellness for these patients who will likely spend the remainder of their life adhering to the regimen of haemodialysis. SN - 0309-2402 UR - https://www.unboundmedicine.com/medline/citation/17042818/Stressors_and_coping_of_in_hospital_haemodialysis_patients_aged_65_years_and_over_ L2 - https://doi.org/10.1111/j.1365-2648.2006.04015.x DB - PRIME DP - Unbound Medicine ER -