Influence of Major Coping Strategies on Treatment Non-adherence and Severity of Comorbid Conditions in Hemodialysis Patients

BACKGROUND: Non-adherence and comorbidities are prevalent among hemodialysis patients and are associated with increased mortality and financial burden. We aimed to investigate the influence of major coping strategies (CSs) on non-adherence and comorbidities in hemodialysis patients. METHODS: A total of 49 patients were enrolled. We collected participant data including CS measured by a Korean version of the ways of coping questionnaire (K-WCQ), comorbidities measured by age-adjusted Charlson comorbidity index (CCI), and adherence measured by the 8-item Morisky medication adherence scale (MMAS-8). RESULTS: Regarding major CS, 61.2% of participants reported use of support-seeking CS (SUP group), 14.3% reported use of problem-focused CS (PRO group), and 24.5% reported use of hopeful-thinking CS (HOP group). The mean MMAS-8 score was higher in the PRO group than in the HOP group (P = 0.024). The mean CCI score was lower in the PRO group than in the HOP group (P = 0.017). In the HOP group, the severity of somatic symptoms was positively correlated with the scores for the emotion-focused CS subscale (r = 0.39, P = 0.029) and the hopeful-thinking CS subscale (r = 0.38, P = 0.036) of the K-WCQ. The level of life satisfaction positively correlated with the score for the problem-focused CS subscale in the HOP group (r = 0.40, P = 0.027). CONCLUSION: We should pay more attention to the CSs of hemodialysis patients and provide interventions that promote problem-focused CSs, especially for nonadherent patients with high comorbidity rates who mainly use a hopeful-thinking CS.

The Effects of Self-esteem and Problem Focused Coping on Post-traumatic Growth among Police Officers / 한국직업건강간호학회지

PURPOSE: The objective of this study is to identify the effects of self-esteem and problem focused coping on post-traumatic growth among police officers. METHODS: The data were collected from the 137 police officers in ten police offices of G city in July 2014. The collected data were analyzed for descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient, and hierarchical regression using the SPSS/WIN 18.0 program. RESULTS: Post-traumatic growth was positively correlated with self-esteem and problem focused coping. Self-esteem and problem focused coping had a significant effects on post-traumatic growth. The explained variance for post-traumatic growth was 19.0%. CONCLUSION: To improve post-traumatic growth of police officers, strategies to increase self-esteem and problem focused coping are needed.

Fatigue and Its Association with Socio-Demographic and Clinical Variables in a Working Population / 정신신체의학

OBJECTIVES: We aimed to explore the relationship among fatigue and perceived stress, depressive mood in the working population. We also examined associations with demographic and life style factors and investigated the effect of individual coping skills on these associations. METHODS: Fatigue Severity Scale(FSS), Perceived Stress Scale(PSS), Brief Encounter Psychosocial Instrument - Korean version(BEPSI-K), Beck Depression Inventory(BDI), Stress Coping Skill Questionnaire were administered to 621 civil servants. All of above and other demographic factors are self-administered questionnaire survey and this study is cross sectional. RESULTS: Mean FSS score was 3.04 which was lower than 3.22, the severity cut off score. FSS, PSS, BEPSI-K, BDI were all higher in female. Subjects with active coping skills showed relatively low fatigue, perceived stress, depressive mood than those with passive coping skills. Logistic regression analyses indicated that the PSS, BDI, BEPSI-K in working population increase the risk of fatigue and regular exercise lowers the risk. CONCLUSIONS: Adults who were afflicted by stress, experienced depressive mood or were physically inactive were at much higher risk of feeling fatigue. Since no other large data sets are available for fatigue, the results from this study could serve a very useful purpose, to furnish a basis for comparison with future research results based on more complete data.

Effects of a Stress Management Program Providing Cognitive Behavior Therapy on Problem-focused Coping, Job Stress, and Depression in Firefighters / 정신간호학회지

PURPOSE: This study was done to investigate the effects of a Stress Management Program providing Cognitive Behavior Therapy on problem-focused coping, job stress, and depression. METHODS: The research design was a quasi-experimental research with a nonequivalent control group pre-posttest. Participants were recruited from two fire safety centers in D city, and the research was carried out from March 11 to April 2, 2011. To test the effects of the Stress Management Program participants were divided into two groups, an experimental group (21) and a control group (20). The research tools included problem-focused coping, job stress, and depression scales. The Stress Management Program was provided to the experiment group for 60 minutes/session twice a week, for 4 weeks. Data were analyzed using Fisher's exact probability test, chi2-test, t-test with the SPSS/WIN 14.0 program. RESULTS: After attending the Stress Management Program, significant differences were found in problem-focused coping scores and depression scores between the experimental group and the control group (t=4.70, p<.001; t=-3.16, p=.003). But there were no significant differences in job stress scores between the two groups. CONCLUSION: The results indicate that the Stress Management Program providing Cognitive Behavior Therapy is an effective nursing intervention for improving problem-focused coping and decreasing depression in firefighters.

Effects of Programmed Information on Coping Behavior and Emotions of Mothers of Young Children Undergoing IV Procedures / 간호학회지

PURPOSE: To determine the effects of provision of information on mother's problem focused coping ability during their child's intravenous procedure. METHODS: Data were collected from 56 mothers whose children have admitted to pediatric ward in the hospital. The participants included 27 intervention group mothers and 29 control group mothers. For the information intervention, "Programmed Information for Parental Coping before Intravenous Procedure (PIPC-IP)", video program was made based on self-regulation theory for the experimental group mothers. Mother's coping ability was measured by parental supportive behavior, parental beliefs and Profile of Mood State (POMS). RESULTS: Mothers who received PIPC-IP showed significantly higher levels of supportive behavior (t = 3.55, p = .005) and Parental Beliefs (t = 2.95, p = .005), but no significant difference in negative mood on POMS (t = .15, p = .87) compared to mothers in the control group. CONCLUSIONS: These results demonstrate that PIPC-IP is an effective intervention to increase the supportive behaviors and beliefs of mothers' problem focused coping ability but not the negative mood.