Tools

LEADER 04252cam 2200577Ii 4500

001 on1021186454;

003 OCoLC;

005 20180511101000.0;

006 m o d ;

007 cr unu||||||||;

008 180201s2017 ncu obm 000 0 eng d;

035 a| (Sirsi) o1021186454;

035 a| (OCoLC)1021186454;

049 a| EREE;

100 1 a| Johnson, Sharona,e| author.?| UNAUTHORIZED;

245 10 a| Cognitive appraisal of stress and coping of intradialytic events in persons on hemodialysis /c| by Sharona Johnson.;

264 1 a| [Greenville, N.C.] :b| [East Carolina University],c| 2017.;

300 a| 164 pages.;

336 a| textb| txt2| rdacontent;

337 a| computerb| c2| rdamedia;

338 a| online resourceb| cr2| rdacarrier;

347 a| text fileb| PDFc| 4.795 MB2| rda;

490 1 a| ECU College of Nursing dissertation;

538 a| System requirements: Adobe Reader.;

538 a| Mode of access: World Wide Web.;

502 b| Ph.D.c| East Carolina Universityd| 2017.;

500 a| Presented to the faculty of the Department of College of Nursing;

500 a| Advisor: Patricia B. Crane;

500 a| Title from PDF t.p. (viewed March 28, 2018).;

520 3 a| Although hemodialysis (HD) has the propensity to preserve and maintain life, the person on HD is at risk for adverse intradialytic events (IDEs) during the treatment such as cramping, loss of consciousness, and death. A few studies have explored stressors and coping strategies of persons on HD, yet none have specifically focused on stress appraisal and coping strategies related to IDEs. Thus, the purposes of this study were to: a) describe the types and associations of IDEs to stress and examine primary cognitive appraisals of IDEs on stress towards HD; and b) examine the association between coping strategies and HD stress. A cross sectional correlational design was used. A convenience sample of persons (N = 73) on HD consented to participate in the study and completed the Hemodialysis Demographic Form, the Dialysis Symptom Index, the Cognitive Appraisal of Health Scale, the Ways of Coping Questionnaire, and the Hemodialysis Stress Visual Analog Scale. The majority of the sample was African American (95%) and male (52%). The mean age was 57 (SD = 11.98) years and participants averaged 41 (SD = 31.55) months on HD. Frequently reported IDEs were lack of energy (70%), followed by dry skin (64%), and itching (54%). Women reported higher stress towards HD and were more bothered by IDEs than men. Additionally, women used more emotion focused coping and younger aged participants used confrontive coping compared to older participants. When controlling for age, sex, and months on HD, primary cognitive appraisal explained 22% of the variance in stress towards HD related to an IDE (F (7, 65) = 2.58; p = .021) and coping strategies explained 34% of the variance in stress towards HD (F (11, 61) = 2.89; p = .004) with escape avoidance (p = .37), sex (p = .03), and planful problem solving (p = .02) contributing to the model. Understanding coping strategies associated with IDE stress will allow the healthcare team to formulate interventions to support the physiological and psychological wellbeing of persons undergoing HD, thus improving their quality of life.;

504 a| Includes bibliographical references.;

650 2 a| Adaptation, Psychological.=| ^A918807;

650 2 a| Renal Dialysis.=| ^A935371;

650 2 a| Cognition.=| ^A918219;

653 a| Hemodialysis;

653 a| Intradialytic;

653 a| Complications;

653 a| Coping;

653 a| Stress;

700 1 a| Crane, Patricia B.,e| degree supervisor.?| UNAUTHORIZED;

710 2 a| East Carolina University.b| College of Nursing.=| ^A1134029;

830 0 a| ECU College of Nursing dissertation.?| UNAUTHORIZED;

856 40 z| Access via ScholarShipu| http://hdl.handle.net/10342/6510;

949 o| wjh;

994 a| C0b| ERE;

096 a| WM 172.4;

596 a| 1 4;

998 a| 4814955;

999 a| CLICK ON WEB ADDRESSw| ASISc| 1i| 4814955-1001l| JNETm| JOYNERr| Ys| Yt| JNE3ETDu| 2/1/2018x| ETDz| JERESOURCE;

999 a| CLICK ON WEB ADDRESSw| ASISc| 1i| 4814955-2001l| HSLELECm| HSLr| Ys| Yt| HEETDu| 2/1/2018x| ETDz| HERESOURCE;

Cognitive appraisal of stress and coping of intradialytic events in persons on hemodialysis / by Sharona Johnson.

Author/creator	Johnson, Sharona author.
Other author	Crane, Patricia B., degree supervisor.
Other author	East Carolina University. College of Nursing.
Format	Theses and dissertations
Publication	[Greenville, N.C.] : [East Carolina University], 2017.
Description	164 pages.
Supplemental Content	Access via ScholarShip
Subjects	Adaptation, Psychological. Renal Dialysis. Cognition.

Series	ECU College of Nursing dissertation ECU College of Nursing dissertation. UNAUTHORIZED
Summary	Although hemodialysis (HD) has the propensity to preserve and maintain life, the person on HD is at risk for adverse intradialytic events (IDEs) during the treatment such as cramping, loss of consciousness, and death. A few studies have explored stressors and coping strategies of persons on HD, yet none have specifically focused on stress appraisal and coping strategies related to IDEs. Thus, the purposes of this study were to: a) describe the types and associations of IDEs to stress and examine primary cognitive appraisals of IDEs on stress towards HD; and b) examine the association between coping strategies and HD stress. A cross sectional correlational design was used. A convenience sample of persons (N = 73) on HD consented to participate in the study and completed the Hemodialysis Demographic Form, the Dialysis Symptom Index, the Cognitive Appraisal of Health Scale, the Ways of Coping Questionnaire, and the Hemodialysis Stress Visual Analog Scale. The majority of the sample was African American (95%) and male (52%). The mean age was 57 (SD = 11.98) years and participants averaged 41 (SD = 31.55) months on HD. Frequently reported IDEs were lack of energy (70%), followed by dry skin (64%), and itching (54%). Women reported higher stress towards HD and were more bothered by IDEs than men. Additionally, women used more emotion focused coping and younger aged participants used confrontive coping compared to older participants. When controlling for age, sex, and months on HD, primary cognitive appraisal explained 22% of the variance in stress towards HD related to an IDE (F (7, 65) = 2.58; p = .021) and coping strategies explained 34% of the variance in stress towards HD (F (11, 61) = 2.89; p = .004) with escape avoidance (p = .37), sex (p = .03), and planful problem solving (p = .02) contributing to the model. Understanding coping strategies associated with IDE stress will allow the healthcare team to formulate interventions to support the physiological and psychological wellbeing of persons undergoing HD, thus improving their quality of life.
General note	Presented to the faculty of the Department of College of Nursing
General note	Advisor: Patricia B. Crane
General note	Title from PDF t.p. (viewed March 28, 2018).
Dissertation note	Ph.D. East Carolina University 2017.
Bibliography note	Includes bibliographical references.
Technical details	System requirements: Adobe Reader.
Technical details	Mode of access: World Wide Web.

Availability

Library	Location	Call Number	Status	Item Actions
	Electronic Resources	Access Content Online	✔ Available

Cognitive appraisal of stress and coping of intradialytic events in persons on hemodialysis / by Sharona Johnson.

Click here for more information about this title

Availability