Coping strategies and health‐related quality of life among spouses of continuous ambulatory peritoneal dialysis, haemodialysis, and transplant patients

Abstract

In the study reported here 55 spouses of patients living with end-stage renal disease (ESRD) were investigated with respect to coping strategies and health-related quality of life. Findings from the study were compared to two random samples of the Swedish general population (n = 454, and n = 1200). The study design was correlational and comparative. Coping was measured by the Jalowiec Coping Scale, and quality of life (QoL) by the Swedish Health-Related Quality of Life Survey (SWED-QUAL). Data were analysed using a number of statistical tests including Pearson's product moment correlations, Student's t-test and two way ANOVAs. The combined sample of spouses used significantly more optimistic and palliative coping than the general population, but less confrontative, self-reliant, evasive and emotive coping. In the study fatalistic, evasive and emotive coping was associated with low perceived efficiency in handling various aspects of the partners' situation. The male spouses used significantly less optimistic, supportive and palliative coping than did the female spouses. The spouses of transplant patients had better overall quality of life than the continuous ambulatory peritoneal dialysis and haemodialysis spouse groups, most likely due to the lower age of the former group. The study findings suggest that emotive, evasive and fatalistic coping are less than optimal ways to deal with problems occasioned by the partner's treatment.

Stress Coping Strategies in Hemodialysis and Kidney Transplant Patients

“…Hemodialysis and renal transplant patients have been examined more terms of psychiatric disorder [5,11e13] and quality of life [9,14,15], but studies comparing coping strategies have been limited in these patients [16]. More recently, coping has been examined as a stressor and predictor of treatment outcome in transplant [16,17] and hemodialysis populations [18,19].…”

Life Satisfaction and Burnout Among Heart, Lung, Liver, and Kidney Transplant Patients and Their Spouses

“…Previous prospective long-term studies provide evidence that quality of life after a heart, lung, liver or kidney transplant improves significantly and remains stable over a fairly long period of time (Beilby, Moss-Morris & Painter, 2003;Cameron, Whiteside, Katz & Devins, 2000;Goetzmann et al, 2006;Jofre, López-Gómez, Moreno, Sanz-Guajardo & Valderrábano, 1998;Karam et al, 2003;Lindqvist, Carlsson & Sjödén, 2000;Kugler, Strueber, Tegtbur, Niedermeyer & Haverich, 2004;Krasnoff et al, 2005;Littlefield et al, 1996;Pinson et al, 2000). The literature on caregivers of patients suffering from physical and mental illnesses is also relatively extensive: caregivers tend to suffer from depression, report a lower life satisfaction, and are prone to coming down with infections; there are even indications of an increased mortality in this group (Haley, LaMonde, Han, Burton & Schonwetter, 2003;Kiecolt-Glaser, Dura, Speicher, Trask & Glaser, 1991;Schoenmakers, Buntinx & De Lepeleire, 2009;Schulz & Beach, 1999).…”

Qualidade de vida e estratégias de enfrentamento em pacientes submetidos a transplante renal

“…Estudos sobre adaptação psicossocial ao tratamento têm comparado a qualidade de vida entre pacientes (e seus familiares) em hemodiálise, CAPD e transplante (Blake, Codd, Cassidy, & O'Meara, 2000;Keogh & Feechally, 1999;Lindqvist, Carlsson, & Sjoden, 2000;Park, Yoo, Han, Kim, Kim, & Lee, 1996;Rebollo, Ortega, Baltar, Badia, Alvarez-Ude, & Diaz-Corte, 2000;Wicks, Milstead, Hathaway, & Cetingok, 1998). O caráter crônico desses tratamentos e o estresse associado aos mesmos estão freqüentemente relacionados a sofrimento emocional e transtornos mentais, que interferem na adaptação e adesão ao tratamento e requerem intervenção multidisciplinar (Newman, Steed, & Mulligan, 2004;Olbrisch, Benedict, Ashe, & Levenson, 2000;Wainright, Fallon, & Gould, 1999).…”