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Korean J Adult Nurs : Korean Journal of Adult Nursing

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Original Article

The Influence of Cognitive Coping on Hope, Depression and Satisfaction with Life in Hemodialysis Patients

Jieun Cha1, Myungsun Yi2
Korean Journal of Adult Nursing 2013;25(4):389-399.
Published online: August 31, 2013

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Corresponding author: Cha, Jieun. College of Nursing, Seoul National University, 28 Yeongeon-dong, Jongro-gu, Seoul 110-744, Korea. Tel: +82-2-740-8433, Fax: +82-2-740-8829, jecha527@snu.ac.kr
• Received: April 1, 2013   • Revised: June 24, 2013   • Accepted: August 7, 2013

© 2013 Korean Society of Adult Nursing

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  • Purpose
    The purpose of the study was to examine the relationships between cognitive coping, hope, depression, and life satisfaction of hemodialysis patients based on the stress-coping model.
  • Methods
    For this cross-sectional survey, 142 participants were recruited from 10 local clinics in Seoul and Daegu during 2012-2013. The data collection instruments included the Cognitive Emotion Regulation Questionnaire, the Herth Hope Index, the Hospital Anxiety and Depression Scale, and the Satisfaction with Life Scale. The data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation analysis, and stepwise multiple regression.
  • Results
    The cognitive coping scores were significantly related to hope, depression, and life satisfaction. The coping strategies explained 80%, 37%, and 38% of the variances in hope, depression, and life satisfaction, respectively. The most powerful coping strategy was positive refocusing, explaining 73% in hope, 25% in depression, and 25% in life satisfaction.
  • Conclusion
    The results of the study indicate that cognitive coping plays an essential role for psychological adaptation of hemodialysis patients. Thus, interventions integrating positive refocusing would help instilling hope of hemodialysis patients in Korea.
  • Key Words: Cognition; Psychological adaptation; Renal dialysis; Depression; Cross-sectional study
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Figure 1

Research framework of this study based on the stress-coping model.

kjan-25-389-g001.jpg
Table 1

Hope, Depression and Satisfaction with Life by Demographic and Illness-related Characteristics (N=142)

kjan-25-389-i001.jpg

VAS=visual analogue scale.

Table 2

Scores of Cognitive Coping Strategies, Hope, Depression and Satisfaction with Life (N=142)

kjan-25-389-i002.jpg
Table 3

Correlations between Cognitive Coping Strategies, Hope, Depression and Satisfaction with Life (N=142)

kjan-25-389-i003.jpg

1=Acceptance; 2=Positive refocusing; 3=Positive reappraisal; 4=Refocus on planning; 5=Putting into perspective; 6=Rumination; 7=Self-blame; 8=Catastrophizing; 9=Other-blame.

Table 4

Influencing Factors on Hope, Depression and Satisfaction with Life (N=142)

kjan-25-389-i004.jpg

Adj. R2=Adjusted R2; β=standardized coefficients beta; NS=not significant, was not entered in the analysis by the stepwise method.

Figure & Data

References

    Citations

    Citations to this article as recorded by  
    • The Effects of Spiritual Well-being on Self-care Practices in People Undergoing Hemodialysis: The Mediating Effect of Hope
      Bu Kyung Kim, Pok-Ja Oh
      Korean Journal of Adult Nursing.2022; 34(6): 592.     CrossRef
    • Factors Influencing Resilience among Korean adolescents and young adult survivors of childhood cancer
      Yoon Jung Shin, Eui Geum Oh
      European Journal of Oncology Nursing.2021; 53: 101977.     CrossRef
    • A health‐related quality of life model for patients undergoing haemodialysis
      Hye Min Jung, Hye Young Kim
      Journal of Clinical Nursing.2020; 29(3-4): 613.     CrossRef
    • Difficulties of Treatment Adherence in Adult Patients with Hemodialysis
      Cho Rong Gil, Kyung Mi Sung
      The Korean Journal of Rehabilitation Nursing.2018; 21(2): 71.     CrossRef
    • Structural Equation Modeling of Self-Management in Patients with Hemodialysis
      Jieun Cha
      Journal of Korean Academy of Nursing.2017; 47(1): 14.     CrossRef
    • The influence of Cognitive Coping on Sick Role Behavioral Compliance and Depression, Satisfaction with Life in Hemodialysis Patients
      Ji-Hyun Kim
      Journal of the Korea Academia-Industrial cooperation Society.2015; 16(2): 1328.     CrossRef
    • Factors related to Hope and Relationships between Hope, Physical Symptoms, Depressive Mood and Quality of Life in Young Adult and Prime-aged Patients with Hemodialysis
      Jieun Cha, Dallong Han
      Journal of Korean Academy of Psychiatric and Mental Health Nursing.2014; 23(4): 250.     CrossRef

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    Korean J Adult Nurs. 2013;25(4):389-399.   Published online August 31, 2013
    DOI: https://doi.org/10.7475/kjan.2013.25.4.389
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    The Influence of Cognitive Coping on Hope, Depression and Satisfaction with Life in Hemodialysis Patients
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    DOI: https://doi.org/10.7475/kjan.2013.25.4.389
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    The Influence of Cognitive Coping on Hope, Depression and Satisfaction with Life in Hemodialysis Patients
    Image
    Figure 1 Research framework of this study based on the stress-coping model.

    Figure 1

    The Influence of Cognitive Coping on Hope, Depression and Satisfaction with Life in Hemodialysis Patients

    Hope, Depression and Satisfaction with Life by Demographic and Illness-related Characteristics (N=142)

    VAS=visual analogue scale.

    Scores of Cognitive Coping Strategies, Hope, Depression and Satisfaction with Life (N=142)

    Correlations between Cognitive Coping Strategies, Hope, Depression and Satisfaction with Life (N=142)

    1=Acceptance; 2=Positive refocusing; 3=Positive reappraisal; 4=Refocus on planning; 5=Putting into perspective; 6=Rumination; 7=Self-blame; 8=Catastrophizing; 9=Other-blame.

    Influencing Factors on Hope, Depression and Satisfaction with Life (N=142)

    Adj. R2=Adjusted R2; β=standardized coefficients beta; NS=not significant, was not entered in the analysis by the stepwise method.
    Table 1 Hope, Depression and Satisfaction with Life by Demographic and Illness-related Characteristics (N=142)

    VAS=visual analogue scale.

    Table 2 Scores of Cognitive Coping Strategies, Hope, Depression and Satisfaction with Life (N=142)

    Table 3 Correlations between Cognitive Coping Strategies, Hope, Depression and Satisfaction with Life (N=142)

    1=Acceptance; 2=Positive refocusing; 3=Positive reappraisal; 4=Refocus on planning; 5=Putting into perspective; 6=Rumination; 7=Self-blame; 8=Catastrophizing; 9=Other-blame.

    Table 4 Influencing Factors on Hope, Depression and Satisfaction with Life (N=142)

    Adj. R2=Adjusted R2; β=standardized coefficients beta; NS=not significant, was not entered in the analysis by the stepwise method.

    Table 1

    Table 2

    Table 3

    Table 4

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