Influence of Major Coping Strategies on Treatment Non-adherence and Severity of Comorbid Conditions in Hemodialysis Patients.
10.3346/jkms.2018.33.e148
- Author:
Hyun Chan HWANG
1
;
Hye Ri KIM
;
Doug Hyun HAN
;
Ji Sun HONG
;
So hee JEONG
;
Jung ho SHIN
;
Su Hyun KIM
;
Jin Ho HWANG
;
Sun Mi KIM
Author Information
1. Department of Psychiatry, Chung-Ang University Hospital, Seoul, Korea. sunmikim706@gmail.com
- Publication Type:Original Article
- Keywords:
Coping strategy;
Adherence;
Comorbidity;
Hemodialysis;
Problem-focused Coping strategy
- MeSH:
Comorbidity;
Humans;
Medication Adherence;
Mortality;
Renal Dialysis*
- From:Journal of Korean Medical Science
2018;33(20):e148-
- CountryRepublic of Korea
- Language:English
-
Abstract:
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.
