Exploration of stress and coping methods among kidney transplantation patients

• Main Authors: Hun –Jen, 張惠珍
• Other Authors: Su-Chuan Yuan
• Format: Others
• Language: zh-TW
• Published: 2009
• Online Access: http://ndltd.ncl.edu.tw/handle/42254100196212195810

碩士 === 中山醫學大學 === 護理研究所 === 97 === This study aimed at exploring the stress among patients of kidney transplantation and the method of coping with the stress in order to realize the relation and influence factors. Recruited individuals are intension-sampled from the patients of kidney transplantation from nephrologic clinic at a medical center. Eighty cases were enrolled from August 27, 2008 to September 27, 2008. The data was collected by the structured questionnaire, and was analyzed by SPSS 14.0/PC package software. The results show that the stress in these patients come from physiology and psychology, family and social activity, employment and daily activity, and body image. The highest score of stress in physiology and psychology were post-transplantation infection, another insult of the new kidney and risk of rejection. The highest score of stress in family and social activity was the management of health problems at home. The highest score of stress in employment and daily activity was repetitive hospitalizations. The highest score of stress in body image was weight gain, and body image was the leading stress of all. The major coping methods among all of these patients was problem-oriented, and the highest score of handling things one step by step was 2.11. The following was searching support、self-isolation、emotion-orientation and avoidance. The effects of the stress of kidney transplantation patients were age, economic status, religious belief, and to transplant place, transplant-related disease, and self-awareness of health status. The effect of coping stress methods were gender, economic status and the kidney origin. The stress of these patients and the methods of the stress management assumes significant relationship. We expected to provide nurses one complete nursing care of kidney transplantation. It enables these stressed patients to have proper responsive methods to cope with the stress and promote quality of life.