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Submitted: 09 May 2019
Accepted: 10 Nov 2019
ePublished: 06 Jan 2020
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J Renal Inj Prev. 2020;9(2): e14.
doi: 10.34172/jrip.2020.14
  Abstract View: 823
  PDF Download: 618

Original

Association of stress and anxiety with self-care in hemodialysis patients

Maryam Zibaei 1 ORCID logo, Monir Nobahar 2,3,4 * ORCID logo, Raheb Ghorbani 2,5 ORCID logo

1 Semnan University of Medical Sciences, Semnan, Iran
2 Social Determinants of Health Research Center, Semnan University of Medical Sciences, Semnan, Iran
3 Nursing Care Research Center, Semnan University of Medical Sciences, Semnan, Iran
4 Faculty of Nursing and Midwifery, Semnan University of Medical Sciences, Semnan, Iran
5 Department of Epidemiology and Biostatistics, Faculty of Medicine, Semnan University of Medical Sciences, Semnan, Iran
*Corresponding author: Monir Nobahar, Ph.D, Email: Nobahar43@Semums.ac.ir, nobahar43@yahoo.com

Abstract

Introduction: It is generally accepted that stress and anxiety are of the most common psychiatric complications of hemodialysis. Self-care is considered as one of the health promotion behaviors. Self-care reduction increases the risk of mortality and morbidity too.

Objectives: The purpose of this study was to determine the correlation between stress and anxiety with self-care in hemodialysis patients.

Patients and Methods: The present cross-sectional study was conducted on 80 hemodialysis patients, selected by convenience sampling method. The perceived stress was measured by a perceived stress scale (PSS) questionnaire, since the anxiety assessed by the Spielberger StateTrait Anxiety Inventory (STAI), accordingly, self-care assessed by hemodialysis patients’ selfcare measurement scale.

Results: In this study, no patient had poor self-care. The self-care was moderate in 75% of patients and good in 25% of patients. The anxiety was mild in 46.2% of patients, moderate in 50% and severe in 3.8%. The perceived stress was low in 62.5% of patients and high in 37.5% of patients. There was a significant negative correlation between the perceived stress score and the self-care score (P=0.001, r=-0.376), however, no correlation was observed between anxiety and self-care score (P=0.089, r=-0.193).

Conclusion: The results showed that stress of hemodialysis patients had a negative effect on their self-care, while anxiety had no significant effect on self-care. Therefore, it is suggested to identify and resolve the factors affecting stress of these patients, and to conduct further research regarding this subject.

Keywords: Stress, Anxiety, Self-Care, Hemodialysis, End-stage renal disease, Chronic renal failure, End-stage kidney disease

Implication for health policy/practice/research/medical education:

Stress and anxiety are the most common psychiatric complications of hemodialysis. There is a correlation between perceived stress and self-care, which can be effective in improving general health of patients.

Please cite this paper as: Zibaei M, Nobaha M, Ghorbani R. Association of stress and anxiety with self-care in hemodialysis patients. J Renal Inj Prev. 2020; 9(2): e14. doi: 10.34172/jrip.2020.14.

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