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Assessing the Physiological, Psychological Stressors and Coping Strategies among Hemodialysis Patients in the Kingdom of Saudi Arabia
Chronic kidney disease became a global health problem worldwide. Therefore, in order to maintain a patient’s life and improve the survival rate, hemodialysis is essential to replace the function of their kidneys. However, those patients may complain about multiple physical and psychological stressors due to the nature of the disease and the need for frequent hemodialysis sessions. So, those patients use various strategies to cope with the stressors related to their disease and the treatment procedures. Cross-sectional, descriptive study was carried out to achieve the aim of the study. A convenient sample including all adult patients was recruited for this study. Hemodialysis Stressors Scale (HSS) and Jalowiec Coping Scale (JCS) were used to investigate the stressors and coping strategies of 89 hemodialysis patients, at a governmental hospital (King Khalid Hospital-Jeddah). Results of the study revealed that 50.7% experienced physiological stressors and 38% experienced psychosocial stressors. Also, optimistic, fatalistic, and supportive coping strategies were the most common coping strategies used by the patients with mean scores (2.88 + 0.75, 2.87 + 0.75, and 1.82 + 0.71), respectively. In conclusion, being familiar with the types of stressors and the effective coping strategies of hemodialysis patients and their families are important in order to enhance their adaptation with chronic kidney diseases.
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[1] Kharameh, Z. T & Zamanian,H., Montazeri, A., Asgarian, A., & Esbiri, R. (2016). Negative religious coping, positive religious coping, and quality of life among hemodialyasis patient. Nephrourol Mon. Journal, 8 (6): e 38009.
[2] Cinar S, Barlas, G. U, & Alpar, S. E. (2009). Stressors and Coping Strategies in Hemodialysis Patients. Pak J Med Sci. 25(3):447-452.
[3] Bruce, M. A., Griffith, D. M., & Thorpe, R. J (2016). Stress and kidney. Ournal of advanced chronic kidney diseases, 22(1); 46-53. Available in PCM 2016.
[4] Nicola, L. D., & Zoccali, C. (2016). Chronic kidney disease prevalence in the general population: heterogeneity and concerns. Nephrol Dial Transplant, 31: 331–335.
[5] Geroianni, G. K., & Babatsikou, F. P. (2013). Identification of stress in chronic haemodialysis, Health Science Journal, 7 (2).
[6] Krans, B. (2015). Dialysis. Available at:
[7] Kharameh, Z. T. (2016). The relationship between spiritual well- being and stress coping strategies in hemodialysis patients. Health, spiritality and medical ethics journal, 3(4); 24-28.
[8] Abdelghany, M. A., Elgohary, E. E., & Nienaa, Y. A. (2016). Assessment of health-related quality of life in patients receiving regular hemodialysis. Journal of nephrology and therapeutics, 6 (2) 8.
[9] Parvan K, Ahangar R, Hosseini FA, et al (2015). Coping Methods to Stress among Patients on Hemodialysis and Peritoneal Dialysis. Saudi J Kidney Dis Transpl; 26(2):255-262.
[10] Al Nazly, E. A., Ahmad, M., Musil, C., and Nabolsi, M. (2013). Hemodialysis stressors and coping strategies among Jordanian patients on hemodialysis: A qualitative study, Nephrology Nursing Journal, 40(4), 321-327.
[11] Martinez, B. B., & Custodio, R. P. (2014). Relationship between mental health and spiritual wellbeing among hemodialysis patients: a correlation study, Sao Paulo Med J, 132(1), 23-7.
[12] Cañar S, Barlas G, Alpar S. (2009). Stressors and Coping Strategies in Hemodialysis Patients. Pak J Med Sci; 25(3):447-452.
[13] Devei, U. (2011). A study on stress management and coping strategies with reference to IT companies. Journal of information and technology and economic development, 2(2); 30-48.
[14] Bruce et al. (2009). Social Environmental Stressors, Psychological Factors, and Kidney Disease, J Investig Med, 57(4), 583–589
[15] Shinde, M., & Mane. S. P. (2014). Stressors and the Coping Strategies among Patients Undergoing Hemodialysis. International Journal of Science and Research (IJSR). Volume 3 (2), 2319-7064 ISSN (Online).
[16] Dehkordi, L. M. & Nahid Shahgholian, N. (2013). An investigation of coping styles of hemodialysis patients. Iranian journal of nursing and midwifery research, 18 (1); 42-46.
[17] Niknami, M., Dehghani, F., Bouraki, S., Kazemnjad, E., & Soleimani, R. (2015). An assessment of the stressors and way of coping in Iranian medical sciences students. Iranian journal of nursing and midwifery research, 20 (4); 521- 525.
[18] Jennifer, S. C., & Chou, H. C. (2007). Coping Strategies and Stressors in Patients with Hemodialysis. Psychosomatic Medicine, 69:182–190.
[19] Wood, G. L, & Haber, J., (2014). Nursing research: Methods and critical appraisal for evidence based practice. (8th ed., P.202). The Mosby Company: USA.
[20] Baldree, KS., Murphy, SP., & Powers, MJ. (1982). Stress identification and coping patterns in patients on hemodialysis. Nurs Res, 31(2), 107-12.
[21] Jalowiec, A. (1995). Psychometric results in Issa, (2015). Stressors and Coping Strategies amongst Hemodialysis Patients in North of West Bank. Published Thesis Submitted for Partial Fulfillment of Master Degree in Community Mental Health Nursing at the Faculty of Graduate Studies at An-Najah National University, Nablus, Palestine.
[22] Issa, D. T. N. (2015). Stressors and Coping Strategies amongst Hemodialysis Patients in North of West Bank. Published Thesis Submitted for Partial Fulfillment of Master Degree in Community Mental Health Nursing at the Faculty of Graduate Studies at An-Najah National University, Nablus, Palestine.
[23] Harwood, L., Wilson, B., Sontrop, J. &. Clark, A. M. (2012). Chronic kidney disease stressors influence choice of dialysis modality. Journal of advanced nursing. 68(11), 2454–2465. doi: 10.1111/j.1365-2648.2012.05943.x.
[24] Tu, HY., Shao, JH., Wu, FJ., Chen, SH., & Chuang, YH. (2013). Stressors and coping strategies of 20–45-year-old hemodialysis patients. Australian College of Nursing,21(3),185–192.
[25] Shahrokhi Z, Rayyani M, Sabzevari S, Haghdoost A. A. (2014). Stressors and Coping strategies in dialysis patients. Iran J Crit Care Nurs, 7(3):184-193.
[26] Subramanian et al. (2017). Coping with kidney disease – qualitative findings from the Empowering Patients on Choices for Renal Replacement Therapy (EPOCH-RRT) study. BMC Nephrology 18:119.
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