The effect of coping strategies training on hemodialysis patients' quality of life

摘要

Background: The hemodialysis patients, who are able to make better use of adaptivetechniques, accept the treatment easier and will have a higher quality of life.Aim: The aim of this study was to measure the effect of training of coping methods(problem-focused and emotion-focused) on quality of life in hemodialysis patients.Methods: This was a one-group before- after quasi-experimental design, in which 38hemodialysis patients admitted at the Ali ebn Abi Talib Hospital in Rafsanjan 2010, wereincluded. Quality of life questionnaire (SF36) and Lazarus Jalowiece Coping StyleQuestionnaire were used to measure the patients' quality of life and coping styles beforeintervention. Coping strategies were then trained and quality of life and coping styles weremeasured again after intervention. Data analysis was performed with SPSS Software Version18 using paired t-test, ANOVA and Fisher's exact test.Results: Most of the subjects were female, married, with a mean (SD) age of 51.42 ± 20/50years. The mean score of quality of life was 89.03±19.35 before versus 98.89±16 afterintervention. The mean score of quality of life was increased 9.85 after training compared tothe baseline. Paired t-test showed significant difference between the scores of quality of lifebefore and after intervention (p<0.0001).Conclusion: The results indicated that coping methods training can promote the use ofproblem-based instead of emotion-focused coping strategies, which intern could enhancepatients' quality of life.