What Are the Hemodialysis Patients' Style in Coping with Stress? A Directed Content Analysis.
Mohtasham Ghaffari, Mohammad Ali Morowatisharifabad, Yadolah Mehrabi and 3 others
PMID 31641680WHAT IT FOUND
Hemodialysis patients described calming emotions, finding meaning, spiritual beliefs and social support as central to managing dialysis stress.
Many felt unable to solve the illness itself, so they focused on emotional relief and relying on family, faith and seeing the good.
Key findings
01Many patients tried to change their mood rather than solve the stressful situation because they felt unable to resolve it.
02Patients' coping included positive reappraisal, revised goals, spiritual beliefs and positive events as meaning-based coping.
03Social support was described as informational, emotional, appraisal, and financial or instrumental help from others.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study reports experiences, not measured health outcomes, so it cannot show that any coping style improves dialysis adjustment. Participants were 22 hemodialysis patients from dialysis centres in Tehran, which limits transferability to other settings. The study included only hemodialysis patients, not patients receiving peritoneal dialysis. Member checking involved only two participants. All interviews were conducted by the corresponding author.
The easy way to misread this
Do not read these coping patterns as evidence that a training programme improves dialysis outcomes. The study reports themes from 22 hemodialysis patients, not a tested intervention or measured effect.