Korean J Adult Nurs.  2021 Dec;33(6):601-615. 10.7475/kjan.2021.33.6.601.

A Concept Analysis of Stress in Hemodialysis Patients

• Kim B
• Kim H
• Lee J

• KMID: 2524779
• DOI: http://doi.org/10.7475/kjan.2021.33.6.601

Abstract

Purpose
This concept analysis was performed to clarify “stress in hemodialysis patients”. Methods: Walker and Avant’s methodology guided the analysis. In addition, the concept was compared with stress from other perspectives. Results: Stress in hemodialysis patients was defined in terms of “Physical”, “Psychological”, “Social ‧ Economic”, and “Behavioral” dimensions. Stress in hemodialysis patients is preceded by kidney failure, fear of treatment, and uncertainty about prognosis, after which there is often negative coping such as non-compliance with treatment, or positive coping such as maintaining the status quo, relying on medical staff, conforming to treatment, and self-management. Conclusion: It is necessary to develop a stress intervention program suitable for hemodialysis patients and a tool to identify the concept of stress in hemodialysis patients suitable for domestic situations, as well as conduct further research to identify its influencing factors.

Keyword

Adaptation; Psychological; Renal dialysis; Mental health