Stressors, coping mechanisms and quality of life among dialysis patients in Australia
Stressors, coping mechanisms and quality of life among dialysis patients in Australia
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DOI：
10.1046/j.1365-2648.1996.00893.x
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发表时间：
1996-05-01
影响因子：
3.8
通讯作者：
Lok, P
中科院分区：
文献类型：
--
作者：
Lok, P
本研究旨在探讨影响透析患者生活品质的主要压力源及其应对方法。对悉尼两家透析中心的患者进行了一项调查。有效率为58% （n = 64）。结果显示，体力活动的限制是最令人烦恼的压力源，其次是社交生活的减少、对未来的不确定、疲劳和肌肉痉挛。虽然它们的排名与之前的研究发现的不相同，但这五种压力源被认为与之前研究中确定的高压力源兼容。在处理压力源时，问题解决方法被认为比情感措施更有效。血液透析和持续动态腹膜透析（CAPD）患者的生活质量均低于平均水平。然而，CAPD患者的生活质量高于血液透析患者。接受透析治疗的时间长短与应对行为无显著关系。本研究结果可进一步协助护理人员提供支援、资讯、替代解决方案，并协助患者更好地运用解决问题的方法，以提高透析患者的生活品质。
The aim of this study was to determine the significant stressors and coping methods which are related to quality of life in dialysis patients. A survey was conducted on patients in two dialysis centres in Sydney. The response rate was 58% (n = 64). The results revealed that limitation of physical activity was the most troublesome stressor followed by decrease in social life, uncertainty about the future, fatigue and muscle cramps. Although their ranking was not identical to that found in prior studies, these five stressors were considered to be compatible with the high stressors identified in previous studies. Problem-solving methods were considered to be more effective than affective measures in dealing with stressors. Quality of life was perceived as below average in both haemodialysis and continuous ambulatory peritoneal dialysis (CAPD) patients. However, CAPD patients were experiencing a higher quality of life than haemodialysis patients. The length of time on the dialysis programme was not significantly related to coping behaviour. The findings of this study can further facilitate nurse practitioners in providing support, information, alternative solutions and in assisting patients to better utilize problem-solving methods to enhance their quality of life on dialysis.