Perceived Stress in Relation to Quality of Life and Resilience in Patients with Advanced Chronic Kidney Disease Undergoing Hemodialysis

Pedro García-Martínez, Rafael Ballester-Arnal, Kavita Gandhi-Morar, Jesús Castro-Calvo, Vicente Gea-Caballero, Raúl Juárez-Vela, Carlos Saus-Ortega, Raimunda Montejano-Lozoya, Eva María Sosa-Palanca, María del Rosario Gómez-Romero and Eladio Collado-Boira
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Pedro García-Martínez: Nursing School La Fe, Adscript Center of Universidad de Valencia, 46026 Valencia, Spain
Rafael Ballester-Arnal: Faculty of Health Sciences, University Jaume I, 12071 Castellon, Spain
Kavita Gandhi-Morar: Faculty of Health Sciences, University Jaume I, 12071 Castellon, Spain
Jesús Castro-Calvo: Department of Personality, Assessment, and Psychological Treatments, University of Valencia, 46010 Valencia, Spain
Vicente Gea-Caballero: Nursing School La Fe, Adscript Center of Universidad de Valencia, 46026 Valencia, Spain
Raúl Juárez-Vela: Department of Nursing, University of La Rioja, 26006 Logroño, La Rioja, Spain
Carlos Saus-Ortega: Nursing School La Fe, Adscript Center of Universidad de Valencia, 46026 Valencia, Spain
Raimunda Montejano-Lozoya: Nursing School La Fe, Adscript Center of Universidad de Valencia, 46026 Valencia, Spain
Eva María Sosa-Palanca: Nursing School La Fe, Adscript Center of Universidad de Valencia, 46026 Valencia, Spain
María del Rosario Gómez-Romero: Nursing School La Fe, Adscript Center of Universidad de Valencia, 46026 Valencia, Spain
Eladio Collado-Boira: Faculty of Health Sciences, University Jaume I, 12071 Castellon, Spain

IJERPH, 2021, vol. 18, issue 2, 1-10

Abstract: Background : Patients with chronic kidney disease undergo various stages of therapeutic adaptation which involve lifestyle modifications, physical changes, and adjustment to renal replacement therapy. This process produces adaptive stress. Objective: To identify how resilience, health- related quality of life, and sociodemographic, clinical, and hemodialysis routine-related variables are related to perceived stress in patients with chronic kidney disease receiving hemodialysis for more than six months. Methods: This was a multicenter and cross-sectional study involving 144 patients from the Valencian Community (Spain). The assessment scales used for the study were the Perceived Stress Scale 10, the Kidney Disease Quality of Life 36, and the Connors–Davidson Resilience Scale. To identify variables with predictive power over Perceived Stress Scale 10 scores, multiple regression analyses were performed. Results: Employment status ( p = 0.003), resilience ( p < 0.001), and quality of life ( p < 0.001) were shown to be significantly related to perceived stress. The regression models determined that health-related quality of life and resilience explained up to 27.1% of the variance of total PSS10 scores. Conclusions: Resilience was identified as one of the most important predictors of Perceived Stress Scale 10 scores. Thus, the development of interventions to promote resilience may have a positive impact on perceived stress in patients with chronic kidney disease.

Keywords: chronic kidney disease; perceived stress; resilience; quality of life (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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