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. 2018 Apr 26;33(20):e148.
doi: 10.3346/jkms.2018.33.e148. eCollection 2018 May 14.

Influence of Major Coping Strategies on Treatment Non-adherence and Severity of Comorbid Conditions in Hemodialysis Patients

Hyun Chan Hwang  1 , Hye Ri Kim  1 , Doug Hyun Han  1 , Ji Sun Hong  1 , So-Hee Jeong  2 , Jung-Ho Shin  2 , Su-Hyun Kim  2 , Jin Ho Hwang  2 , Sun Mi Kim  1
Affiliations

Influence of Major Coping Strategies on Treatment Non-adherence and Severity of Comorbid Conditions in Hemodialysis Patients

Hyun Chan Hwang et al. J Korean Med Sci. .

Abstract

Background: Non-adherence and comorbidities are prevalent among hemodialysis patients and are associated with increased mortality and financial burden. We aimed to investigate the influence of major coping strategies (CSs) on non-adherence and comorbidities in hemodialysis patients.

Methods: A total of 49 patients were enrolled. We collected participant data including CS measured by a Korean version of the ways of coping questionnaire (K-WCQ), comorbidities measured by age-adjusted Charlson comorbidity index (CCI), and adherence measured by the 8-item Morisky medication adherence scale (MMAS-8).

Results: Regarding major CS, 61.2% of participants reported use of support-seeking CS (SUP group), 14.3% reported use of problem-focused CS (PRO group), and 24.5% reported use of hopeful-thinking CS (HOP group). The mean MMAS-8 score was higher in the PRO group than in the HOP group (P = 0.024). The mean CCI score was lower in the PRO group than in the HOP group (P = 0.017). In the HOP group, the severity of somatic symptoms was positively correlated with the scores for the emotion-focused CS subscale (r = 0.39, P = 0.029) and the hopeful-thinking CS subscale (r = 0.38, P = 0.036) of the K-WCQ. The level of life satisfaction positively correlated with the score for the problem-focused CS subscale in the HOP group (r = 0.40, P = 0.027).

Conclusion: We should pay more attention to the CSs of hemodialysis patients and provide interventions that promote problem-focused CSs, especially for nonadherent patients with high comorbidity rates who mainly use a hopeful-thinking CS.

Keywords: Adherence; Comorbidity; Coping strategy; Hemodialysis; Problem-focused Coping strategy.

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Conflict of interest statement

Disclosure: The authors have no potential conflicts of interest to disclose.

Figures

Fig. 1
Fig. 1. Correlation analyses between psychological scale scores and the subscale score for each category of K-WCQ in the HOP group. Correlation analyses between psychological scale scores in the HOP group were conducted. The X-axis represents the relative score of each CS category of K-WCQ. (A) SCL-90R-SOM vs. Emotion-focused CS subscale: r = 0.39, P = 0.029. (B) SCL-90R-SOM vs. Hopeful-thinking CS subscale: r = 0.38, P = 0.036. (C) SWLS vs. Problem-focused CS subscale: r = 0.40, P = 0.027.
K-WCQ = Korean version of the ways of coping questionnaire, HOP = hopeful-thinking coping strategy, SCL-90R-SOM = Symptom CheckList-90-Revised-Somatization, SWLS = Satisfaction With Life Scale, CS = coping strategy.
See this image and copyright information in PMC

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