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KMID : 0607520080160010038
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Korean Journal of Psychosomatic Medicine
2008 Volume.16 No. 1 p.38 ~ p.46
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Minor Stress, Coping Skill and Quality of Life in Patients with Hemodialysis
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Yang Jae-Won
Lee Moon-Soo
Ko Young-Hoon
Joe Sook-Haeng
Kwon Young-Joo
Park Sang-Uk
Oh So-Young
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Abstract
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Objectives : The purpose of this study is to investigate the minor stress in daily life related to undergoing hemodialysis and the relationship between minor stresses, coping skills, and subjective quality of life among the patients with end stage renal disease.
Methods : Seventy seven patients on hemodialysis were enrolled in this study. Minor stress was assessed with daily stress inventory-Korean version(K-DSI), ways of coping checklist identified the use of the following coping strategies:problem-focused, seek social support, emotion-focused coping and wishful thinking. Socio-demographic data were obtained and World Health Organization-Quality of Life Scale(brief form) was also administered to subjects.
Results : Participants mean age was years. The mean of the event, impact and impact/event (I/E) ratio scores of K-DSI were , and , respectively. These scores were much higher than normative data of K-DSI. Among the 5 categories of this inventory, the scores of cognitive stressors were highest. 5 categories of the inventory showed positive relationship with way of coping subscales, which showed coefficient of correlation between 0.259(p<.01) and 0.495(p<.001). However, no significant correlation was found between minor stress subscales and quality of life. Hemodialysis patients in our study used more emotional-focused coping methods, which was considered as passive way of cope than problem-orientated coping methods.
Conclusion : The main findings of this study indicated that patients on hemodialysis showed higher level of perceived minor stress than normal population. The patients treated with hemodialysis tend to use passive way of coping primarily. For assessing the stress in patients on hemodialysis, clinician has to consider both level of perceived minor stress and the ways of coping the patients primarily use.
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KEYWORD
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Minor stress, Coping, Quality of life, Hemodialysis
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