Factors Affecting Coping Mechanism Among Patients Undergoing Hemodialysis Life Long Program

Abstract

Background: Chronic kidney disease occurs due to impaired kidney function that are progressive and settled. One of the treatment is hemodialysis that performed in a long period, causing changes in the physical, psychological, social, and the economic of the patient. These changes can affect the patient's coping mechanisms. Aim: The aim of this study was to assess factors affecting coping mechanism among patients undergoing hemodialysis life long program.Design: A descriptive exploratory design was utilized in carrying out this study. Setting: The study was conducted at the hemodialysis unit in Ain shams university hospital, which affiliated to Ain shams university. Subjects: A purposive sample of 70 adult patients at ESRD undergoing hemodialysis life long program constituted the study sample. Tools: One tool was used for data collection: I- Patients' interviewing questionnaire it was includes three parts , sociodemographic characteristics, patient medical record and patients knowledge assessment. II-Assessment of factors affecting coping mechanism among patients undergoing hemodialysis life long program. III-Assessment of patients’level of coping regarding hemodialysis patients life long program. Results: The present study revealed that 52.9% of the studied patients had unsatisfactory level of knowledge about the disease, 92.9% had negative coping with disease.There was statistically significant correlation between patients' total level of knowledge and their level of coping with their disease. Conclusion: More than half of the studied patients had unsatisfactory knowledge regarding to disease,the majority of the studied patients had a negative coping with the disease. Moreover, there is a statistically significant correlation between patients' total level of knowledge and their level of coping with their disease. Recommendation:The study recommended developing health education program for hemodialysis patients about factors affecting coping mechanism related to hemodialysis treatment and coping strategies with these factors,in order to encourage patients to cope effectively in daily life.