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KMID : 0614820050110040439
Journal of Korean Academy of Nursing Administration
2005 Volume.11 No. 4 p.439 ~ p.448
A Study of The Treatment Related-Stressors and Stress Coping Methods of Hemodialysis Noncompliant
Hur Jung

Abstract
Purpose: Purpose of the this study is to define the hemodialysis treatment-related stressors and stress coping methods in hemodialysis noncompliant patients.

Method: Hemodialysis treatment-related stressors scale and stress coping style scale were used with 178 patients that received continuous hemodialysis treatment, met the noncompliance criteria. Collected data were analyzed by using the SPSS 12.0 program.

Result: In hemodialysis noncompliant patients, Psychosocial stress were higher than physical stress, ¡¯aesthetic thinking¡¯ was the most used. As recognition of health status was lower, hemodialysis treatment-related stressors were higher. In terms of causative disease, ¡¯hypertension¡¯ pt used more ¡¯problem-focus coping¡¯ and ¡¯social support pursuit¡¯ than the other groups. As subjective recognition level of health status was higher, ¡¯problem-focus coping¡¯ and ¡¯social support pursuit¡¯ were more used. It was showed positive correlation between psychosocial stressors and ¡¯aesthetic thinking¡¯.

Conclusion: Hemodialysis noncompliant patients had high psychosocial stress, accordingly, used ¡¯aesthetic coping¡¯. It means that they has negative coping to disease and hemodialysis treatment. Therefore, Nurses need to manage psychosocial aspects, which influence on noncompliant behaviors.
KEYWORD
Noncompliance, hemodialysis, treatment related-stressors, stress coping method
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