Stress Coping Resources of Hemodialysis Patients: Mindfulness
AUTHORS
In-hee Cho,Dept. of Nursing, Hosan University, 19 Daegyeong-ro, 105gil HayangEup, Gyeongsan City, Gyeongsangbuk-Do, Republic of Korea
Soon-Rim Suh,College of Nursing,Kyungpook National University, 680 Gukchaebosang-ro, Daegue, Republic of Korea
Kyung-hwa Jang,Dongguk University,Gyeongju Campus, 123, Dongdae-ro, Gyeongju City, Gyeongsangbuk-Do, Republic of Korea
ABSTRACT
This study examined mindfulness as a psychological coping resource to reduce stress in hemodialysis patients. A primary appraisal of stress involves determining the stressfulness of the current situation. Patients primarily appraise continuous hemodialysis as threatening stress. A secondary appraisal of stress is to determine what to do with the coping resources that individuals have in stress situation. Mindfulness is an internal coping resource that accommodates stress situations and increases the ability to solve problems by inducing positive thinking. In the cognitive appraisal of stress, the perceived hemodialysis situation cannot be controlled by the patient himself, and the secondary cognitive appraisal enhancing the internal resources (mindfulness)is able to deal with the stress. Therefore, we suggest that the mindfulness program which can improve their internal resources according to the characteristics of the hemodialysis patients should be developed, and examined the effectiveness as an intervention to control the stress.
KEYWORDS
Stress, Coping, Resources, Hemodialysis, Mindfulness
REFERENCES
[1] J.J. Mansilla Francisco,F. Díez De los Ríos Cuenca, S. Cabrera Azaña, J. Cortés Torres, M.J. Macías López, J.A. González Castillo, and J.L., Ferreras Duarte, “Impact of incident comorbidity on functional loss in elderly chronic kidney disease patients undergoing hemodialysis,” CANNT Journal, vol.22, pp.25-29, (2012)
[2] S. Folkman, “Personal control and stress and coping processes: A theoretical analysis,” Journal of Personality and Social Psychology, vol.46, no.4, pp.839-852, April, (1984) DOI:10.1037/0022-3514.46.4.839(CrossRef)(Google Scholar)
[3] M.H. Jeong and O.L. Park, “Effects of dan jeon breathing on stress, sleep disturbance and self-esteem of hemodialysis patients,” Journal of the Korea Academia-Industrial Cooperation Society, vol.13, no.12, pp.5882-5892, (2012)
[4] N.S. Seo, S.J. Kang, J.H. Kim, and S.J. Kim, “Relationships between fatigue, sleep disturbance, stress, Self-efficacy and depression in hemodialysis patients,” Journal of Korean Clinical Nursing Research, vol.19, no.2, pp.285-297, (2013)
[5] S.H. Yoon and S.S. Kim, “Influence of depression, hope, and social support on suicidal ideation in renal dialysis patients,” Journal of Korean Academic Society of Adult Nursing, vol.24, no.3, pp.209-218, (2012)
[6] J.E. Cha and M.S. Yi, “The Influence of cognitive coping on hope, depression and satisfaction with life in hemodialysis patients,” Journal of Korean Academic Society of Adult Nursing, vol.25, no.4, pp.389-399, (2013)
[7] M. Muayyad, Ahmada, K. Eman, and Al Nazly, “Hemodialysis: Stressors and coping strategies,” Psychology, Health & Medicine, vol.20, no.4, pp.477-487, (2015) DOI:10.1080/13548506.2014.952239(CrossRef)(Google Scholar)
[8] Ostafin and Kassman, “Stepping out of history: Mindfulness improves insight problem solving,” Consciousness and Cognition, vol.2, pp.1031-1036, (2012) DOI:10.1016/j.concog.2012.02.014(CrossRef)(Google Scholar)
[9] E.K. Lindsay and J.D. Creswell, “Mechanisms of mindfulness training: Monitor and acceptance theory (MAT),” Clinical Psychology Review, vol.51, pp.48-59, (2017) DOI:10.1016/j.cpr.2016.10.011(CrossRef)(Google Scholar)
[10] Ostafin and Kassman, “Stepping out of history: Mindfulness improves insight problem solving,” Consciousness and Cognition, vol.2, pp.1031-1036, (2012) DOI:10.1016/j.concog.2012.02.014(CrossRef)(Google Scholar)
[11] W.S. Kim and J.S. Jun, “Effects of K-MBSR program on levels of mindfulness, psychological symptoms, and quality of life: The role of home practice and motive of participation,” Korean journal of health psychology, vol.17, no.1, pp.79-98, (2012)
[12] M. Hartmman, H.C. Friederich, S. Koff, M. Kieser, C. Kirecher, A. Bierhaus, and V. Faude-Lang, “Substained effects of a mindfulness based stress-reduction intervention in type 2 diabetic patient: Design and first results of a randomized controlled trial (the Heidelberger Diabetes and Stress-Study),” Diabetes Care, vol.35, pp.945-947, (2012)
[13] J. Kabat-Zinn, A.O. Massion, J. Kristeller, L.G. Petterson, K.E. Fletcher, L. Pbert, W.R. Lerderking, and S.F. Santorelli, “Effectiveness of a meditation - based stress reduction program in the treatment of anxiety disorders,” American Journal of Psychiatry, vol.19, pp.936-943, (1992) DOI:10.1176/ajp.149.7.936(CrossRef)(Google Scholar)
[14] H.K. Chang, J.M. Kim, and J.H. Bae, “The development of Korean version of mindfulness-based stress reduction program and the effects of the program,” The Korean Journal of Health Psychology, vol.12, no.4, pp.833-850, (2007)
[15] Y.B. Soo, M.S. Chang, and Y.G. Lee, “The effects of the Korean mindfulness-based stress reduction (K-MBSR) program on self-absorption, emotional regulation, psychological symptom and mindfulness level in defensive self-focused attention individuals,” The Korean Journal of Health Psychology, vol.3, no.18, pp.35-52, (2013)