Coping with chronic renal failure in Hong Kong.
The purpose of the study was to investigate the coping behaviours of Chinese patients with chronic renal failure. The study, based on Lazarus and Folkman (Stress, Appraisal and Coping, Springer, New York, 1984) model of coping, was conducted to identify the process by which 11 chronic renal failure patients cope with their disease. The identified themes are coping with fluctuating feelings and concerns, motivation to cope, interdependent relationships between patients and their family members and modes of coping strategies. The significance of the results indicates that coping is the consequence not only of situational demands but also of life goals. Meaning in life is an important motivator in the coping process. Besides problem-focused coping and emotion-focused coping, another important element is relationship-focused coping. The interdependent influences of families on patients and patients on families are also important factors. The role of family and cultural factors is discussed as it affects how patients with chronic renal failure cope with their illness.
Mok
Esther
E
Department of Nursing and Health Sciences, The Hong Kong Polytechnic University, Kowloon, Hong Kong. hsemok@inet.polyu.edu.hk
Lai
Claudia
C
Zhang
Zhi-Xue
ZX
D000203:Activities of Daily Living; D000223:Adaptation, Psychological; D000328:Adult; D001294:Attitude to Health / Q000208:ethnology*; D004644:Emotions; D005190:Family / Q000523:psychology; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006723:Hong Kong; D006801:Humans; D007676:Kidney Failure, Chronic / Q000208:ethnology* / Q000517:prevention & control; D008297:Male; D008875:Middle Aged; D008960:Models, Psychological; D009042:Motivation; D015404:Nursing Methodology Research; D011340:Problem Solving; D036301:Qualitative Research; D011788:Quality of Life; D012648:Self Care / Q000379:methods* / Q000523:psychology*; D012649:Self Concept; D012803:Sick Role; D012944:Social Support; D011795:Surveys and Questionnaires