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

Maryam Zibaei, Monir Nobahar, Raheb Ghorbani
2020 Journal of Renal Injury Prevention  
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
more » ... 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.
doi:10.34172/jrip.2020.14 fatcat:x65q2ucll5dord5wlxjv276bsy