Anxiety, Social Support and Coping Strategies in Patients Undergoing Maintenance Haemodialysis.
Harun Aslan, Selda Karaveli Çakır, Ercüment Erbay
PMID 41761904WHAT IT FOUND
Haemodialysis patients who reported more social support and problem-focused coping had lower trait anxiety.
Emotion-focused coping was associated with higher trait anxiety. The study cannot show which factor came first.
Key findings
01In the sample, higher perceived social support and problem-focused coping were associated with lower trait anxiety, while emotion-focused coping was associated with higher trait anxiety.
02The combined model of social support and coping explained 9.3% of trait anxiety variance.
03Mean trait anxiety was 38.07, in the low range but close to the moderate threshold.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Convenience sample from seven private dialysis centres in Ankara, so results may not apply to other haemodialysis patients. Cross-sectional design means anxiety, social support, and coping were measured at one time, so the study cannot show which came first or whether one caused another. Self-reported questionnaires and voluntary face-to-face participation may introduce reporting or selection bias. Participants were required to have been on haemodialysis for more than one year, so findings may not apply to patients who started recently. The model explained 9.3% of trait anxiety variance, so many other factors were not captured. Eleven of 473 volunteers withdrew because of fatigue and pain during treatment.
The easy way to misread this
Do not conclude that increasing social support or teaching problem-focused coping will reduce anxiety. This was a cross-sectional survey, and the model explained only 9.3% of trait anxiety variance.