Original Research Article
Year: 2019 | Month: June | Volume: 9 | Issue: 6 | Pages: 180-192
Stressors and Coping Strategies among the Patients undergoing Maintenance Haemodialysis at B.P. Koirala Institute of Health Sciences
Nisha Neupane1, Prof. Pushpa Parajuli2, Prof. Dr. Ram Sharan Mehta3, Dr. Lekh Nath Bhatta4
1Master of science in Medical Surgical Nursing, B.P. Koirala Institute of Health Sciences, Dharan, Lecturer, School of Nursing and Midwifery (Lalitpur Nursing Campus), Kathmandu
2Professor, Department of Medical Surgical Nursing, B.P. Koirala Institute of Health Sciences, Dharan
3HOD, Department of Medical Surgical Nursing, B.P. Koirala Institute of Health Sciences, Dharan
4Resident, Department of Obstetrics and Gynaecology, Tribhuwan University, Maharajgunj Medical Campus, Kathmandu
Corresponding Author: Nisha Neupane
ABSTRACT
Background: Haemodialysis patients had more problems in physical, social and psychological dimensions of life and these dimensions are the stressful factors and they use various strategies to cope with the stressors. This study aims to identify the stressors and the coping strategies among the patients undergoing maintenance haemodialysis and to determine the association between the stressors and coping strategies with the selected demographical variables of patients.
Materials and Methods: This descriptive cross-sectional study was conducted in 55 patients who were in current schedule of haemodialysis in B.P. Koirala Institute of Health Sciences. Total enumerative sampling technique was used wherein data was collected over duration of one month using semistructured interview questionnaire. Descriptive and inferential statistics were used.
Results: The mean age of the respondents was 54.40 ±13.93 and two third (65.5 %) were male. Mean score for stressors was 43.58 (SD = 16.69) and for coping strategies was 66.65 (SD = 9.17). The study revealed that there was significant association of psychosocial stressors with age and financial support with p value of 0.01. Similarly, there was significant association of educational status with coping strategies with p value 0.03. No correlation was found between stressors and coping strategies.
Conclusion: The study concluded that cost factors was stressors to cause high stress followed by loss of bodily function, fatigue, limitation on time and place for vacation. Coping strategies adopted by the patients undergoing haemodialysis were acceptance, use of emotional support, humor, use of instrumental support whereas substance use, denial , self blame were least used.
Key words: Stressors, Coping Strategies, Patients, Maintenance Haemodialysis