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KMID : 1155220160410020194
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Journal of the Korean Society of Health Information and Health Statistics
2016 Volume.41 No. 2 p.194 ~ p.202
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Relationships between Meaning-focused Coping, Depression and Health Status in Patients with Hemodialysis
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Cha Ji-Eun
Han Dal-Long
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Abstract
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Objectives: To offer a third type of meaning-focused coping for patients undergoing hemodialysis. The purpose of this study was to investigate meaning- focused coping among patients on hemodialysis and to examine relationships between meaning-focused coping, depression, and health status.
Methods: We based our investigation on the revised Stress and Coping Theory to explore the role of meaning-focused coping. A secondary analysis was conducted using survey data from 228 adult patients. To measure meaning-focused coping, including positive reappraisal and putting into perspective, depression, and health status, the Cognitive Emotion Regulation Questionnaire, Hospital Anxiety and Depression Scale, and Medical Outcomes Study Short Form-12 were utilized. Data were analyzed using descriptive statistics, t-tests, ANOVA, and Pearson Correlation.
Results: Mean age of the participants was 47.76 and the duration of dialysis was 9.03 years. The proportion of patients on hemodialysis for more than 10 years was 39.9%. Meaningfocused coping scored 3.50 out of 5 points on average. There were differences in scores for meaning-focused coping according to job, gender, income, and transplant waiting status. Meaning-focused coping was negatively correlated with depression (r=-0.57, p<0.001) and positively correlated with health status (r=0.35, p<0.001).
Conclusions: Meaning-focused coping seems to be a valuable coping technique along hemodialysis patients; the pursuit of which may have positive psychological and physical health effects for such patients. The results of this study demonstrate the adaptive functions of the meaning-focused coping process during chronic illness. Health care providers will gain insight into how coping promotes health and other positive outcomes.
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KEYWORD
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Coping behavior, Depression, Health, Chronic disease, Renal dialysis
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