Coping among hemodialysis patients.
Item
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Title
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Coping among hemodialysis patients.
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Identifier
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AAI9530906
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identifier
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9530906
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Creator
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Nelson, Patrice Judith.
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Contributor
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Adviser: Vera Paster
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Date
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1995
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Language
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English
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Publisher
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City University of New York.
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Subject
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Psychology, Clinical | Health Sciences, Medicine and Surgery
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Abstract
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The objective of this study was to examine the coping patterns of inner-city hemodialysis patients in regard to the stressors presented by the chronic illness of End Stage Renal Disease necessitating treatment by hemodialysis. The hospitals that serve the subjects for this study are set in the most distressed areas of the city, where poverty is endemic, and where crime, alcoholism and narcotics addiction are rampant. Thus the rigors presented by the hemodialysis regimen is but one of the stresses of daily survival for these patients.;Adult patients who receive in-center hemodialysis treatment, and with no major medical or surgical events in the preceeding three months were asked to participate in the study.;Within the context of physical illness, little attention has been paid to the mechanisms by which individual coping efforts affect psychological well-being, and how increased psychological well-being can then contribute to resolving problems, preventing future difficulties, relieving emotional distress and promoting adjustment to a chronic illness. Far less attention has been paid to how these mechanisms apply to minority populations in inner city settings.;This study explored the types and severity of stressors associated with hemodialysis treatment, as perceived by the patient, using the Hemodialysis Stressor Scale. Coping was measured using the Ways of Coping Questionnaire. The role of social support in adjustment to the stressors of hemodialysis was evaluated using a Perceived Social Support Scale. Pearsons Correlation Coefficients were computed to determine the relationship between stressor scores and coping scores, and level of perceived social support.;The study yielded valuable information regarding both the stressors associated with hemodialysis and the coping strategies employed by patients to mitigate the stressfulness of the dialysis regimen.
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Type
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dissertation
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Source
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PQT Legacy CUNY.xlsx
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degree
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Ph.D.
