Relationship between severity of stressor, coping mechanisms and quality of life ‎in hemodialysis patients of Razi hospital in Rasht.‎

Introduction: Chronic hemodialysis patients are subjected to different stressors (physiological &lrm;and psychosocial) and use emotion &ndash; focused and problem &ndash; focused coping mechanisms that &lrm;can affect their quality of life.&lrm; &nbsp;Objective: This study has been performed in order to determine relationdship between &lrm;severity of stressors, coping mechanisms and quality of life in hemodialysis patients of Razi &lrm;hospital in Rasht, &lrm;&rlm;2004&rlm;&lrm;.&lrm; &nbsp;Methods: In this descriptive &ndash; correlational study, &lrm;&rlm;105&rlm;&lrm; patients were selected by census. The &lrm;means for gathering data were &lrm;&rlm;4&rlm;&lrm; questionnaires including demographic data, hemodialysis &lrm;stressors scale, Jalowiec coping scale and Padilla etal&rsquo;s quality of life index. These &lrm;questionnaires were completed by researcher through interview.&lrm; Results: Results indicated that the mean of psychosocial stressors was higher than the mean &lrm;of physiological stressors (p<&lrm;&rlm;0.0001&rlm;&lrm;) and the mean of problem-focused coping was higher &lrm;than emotion &ndash; focused coping (p<&lrm;&rlm;0.0001&rlm;&lrm;). On the other hand the results showed that there &lrm;was a significant correlation between severity of stressors and emotion- focused coping &lrm;mechanisms (p<&lrm;&rlm;0.01&rlm;&lrm;) and between severity of stressors and quality of life (p<&lrm;&rlm;0.01&rlm;&lrm;). Also there &lrm;was a significant correlation between problem &ndash; focused coping mechanisms and quality of &lrm;life (p<&lrm;&rlm;0.01&rlm;&lrm;). Finally the results showed a significant positive correlation between the severity &lrm;of treatment &ndash; related stressors and emotion- focused coping mechanisms in regard to all of &lrm;demographic variables. There was a significant negative correlation between the severity of &lrm;stressors and problem-focused coping mechanisms in regard to age, marital status, and &lrm;sufficiency of income. Also there was a significant negative correlation between the severity &lrm;of stressors and quality of life in regard to all of demographic variables. On the other hand the &lrm;results showed a significant positive correlation between problem- focused coping mechanisms &lrm;and quality of life only in regard to age.&lrm; Conclusion : Nurses have important roles in promoting QOL by planning appropriate nursing &lrm;intervention in order to eliminate or reduce severity of hemodialysis related stressors and &lrm;support problem &ndash; focused coping.&lrm;