The exploration of the relationships among symptoms disturbances, stresses, stress coping and quality of life for patients with chronic kidney disease

Autor: Kuang-Huei Chen, 陳光慧
Rok vydání: 2009
Druh dokumentu: 學位論文 ; thesis
Popis: 97
The purpose of this study is to explore the relationships among symptom disturbance, stress level, distress coping, and quality of life (QOL) for the patients with chronic kidney disease. A Cross-sectional study was applied to be the research design. The samples who come from a district hospital in the middle Taiwan (N= 113). The Symptom Disturbances Scale, The Stress Scale, The Distress Coping Scale and The SF-36 Taiwan Vision were to be the reliable instruments of research. Descriptive statistics, Pearson correlation, independent t-test, oneway ANOVA, and stepwise regression were used to analyze the data. Result showed: 1.The most disturbances of symptom were “fatigue”, “Physical itch”, and “insomnia”. 2. The Total score of symptom disturbance was significantly correlated with stress level. 3. “Inactive coping” and “search support” were significantly correlated with symptom disturbance. 4. Stress level was significantly correlated with “inactive coping”, “search support” and “fatalism”. 5. The total income of family, hemodialysis and the number of other diseases were significantly different on physical element of QOL. 6. Educational level, the total income of family, and the number of other diseases were significantly different on mental element of QOL. 7. Stress level, the number of other diseases and high income of family can effectively predict the physical element of QOL, the total explained various is 40%. 8. Stress level, the number of other diseases, high income of family, and Inactive coping can effectively predict the mental element of QOL, the total explained various is 42%. This study suggests that nursing staffs can assess symptom disturbance and stress related the disease situation earsily during the nursing process, in order to improve the quality of life for patients who has chronic kidney disease.
Databáze: Networked Digital Library of Theses & Dissertations