Depression & Coping strategies among Chronic Kidney Disease Patients undergoing Hemodialysis in Punjab
Journal Title: Journal of Advanced Medical and Dental Sciences Research - Year 2017, Vol 5, Issue 10
Abstract
Introduction- Anxiety and depression are also common among patients who undergo chronic hemodialysis. Anxiety and depression are associated with higher morbidity in multiple domains of well-being of the CKD patients. The present study was conducted assess coping strategies among CKD undergoing hemodialysis. Materials & Methods- The present study comprised of 128 patients with CKD of both genders. The eight ways of coping subscales were confrontive coping, distancing, self-controlling, seeking social support, accepting responsibility, escape-avoidance, planful problem-solving, positive reappraisal. Results- Out of 128 patients, males were 70 and females were 58. The difference was non- significant (P- 0.17). Education was primary (males- 20, females- 17), high (males- 40, females- 28), secondary (males- 10, females- 13). The difference was significant (P- 0.01). Males were married (60) and females were married (56). Income was acceptable in males (55) and females (50). The difference was significant (P- 0.01). There was no significant association between hemodialysis stressors and gender. In regard to the use of coping strategies, younger participants tended to use self-controlling and escape-avoidance strategies more than the older participants. Both coping subscales had significant negative correlation with age (r = −.26) and (r = −.19). Conclusion- Attention should be focused towards the psychosocial stressors of patients on hemodialysis and also helping patients utilize the coping strategies that help to alleviate the stressors.
Authors and Affiliations
Hemant Kumar Saini, Narendra Kumar Sumeriya
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