Clinical variables, lifestyle and coping in hemodialysis


  • Daniela Comelis Bertolin Nurse, Ph.D, Uniao das Faculdades dos Grandes Lagos -UNILAGO, Sao Jose do Rio Preto-SP, Brazil. email:


Psychological adaptation, chronic renal failure, hemodialysis, stress, nursing.


Objective. To verify the relationship between coping strategies of people with chronic kidney disease undergoing hemodialysis and their clinical variables and lifestyle habits.

Methods. It was developed a cross-sectional study that used the Coping Strategies Inventory of Folkman and Lazarus and a semi-structured questionnaire for collecting clinical variables and lifestyles of patients undergoing hemodialysis in the Urology and Nephrology Institute of São Jose do Rio Preto-SP (Brazil).

Results. Participants were 107 adults undergoing hemodialysis, with an average age of 51 years; 62.4% were men. The main causes of chronic kidney disease were chronic glomerulonephritis, diabetes mellitus, undetermined cause and hypertension. The most reported coping strategies were focused on emotion. There were greater coping scores among people who had diabetes, those who had leisure and those who referred religion. People who exercised and those who had undergone renal transplantation had more positive coping.

Conclusion. Clinical variables of people undergoing hemodialysis can be sources of stress, and lifestyle habits are associated with coping strategies to mitigate the effects of stress.


How to cite this article: Bertolin DC. Clinical variables, lifestyle and coping of people with hemodialysis. Invest. Educ. Enferm. 2016; 34(3): 483-491

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(1) Sociedade Brasileira de Nefrologia. Relatório do Censo Brasileiro de Diálise. [Internet]. 2013. [Cited 2015 Jan 07]. Avaliable from:

(2) Allotey P, Reidpath DD, Yain S, Chan CK, de-Graft Aikins A. Rethinking health-car systems: a focus on chronicity. Lancet. 2011; 377(9764):450-1.

(3) Nazly EA, Ahmad M, Musil C, Nabolsi M. Hemodialysis stressors and coping strategies among Jordanian patients on hemodialysis: A qualitative study. Nephrol Nurs J 2013; 40(4): 321-7.

(4) Bukhary FES, Sayied NE, Abo-El-Magd MH, Saber EH. Psychological stress and coping strategies among chronic hemodialysis patients at Elminia University Hospital. Al-Azhar Assiut Med J 2013; 11(3): 1-48.

(5) Cavalcante ES, Silva RAR da, Mendonça AE de, Costa MMN, Miranda FAN. Evoluation of the stress level of chronic kidney disease patients undergoing hemodialysis treatment. J Nurs UFPE. 2013; 7(4): 1264-70.

(6) Cinar S, Barbas GU, Alpar SE. Stressors and coping strategies in hemodialysis patients. Pak J Med Sci. 2009; 25(3):447-52.

(7) Botelho N, Lipp MEN, Manso PG, Furlanetto R, Abreu MT. Stress and Depression in Graves Disease. Pinnacle Med & Medical S. 2014; 1(3):309–14.

(8) Folkman S, Lazarus RS, Dunkel-Schetter C, DeLongis A, Gruen RJ. Dynamics of a Stressful Encounter: Cognitive Appraisal, Coping, and Encouter Outcomes.J Pers Soc Psychol.1986; 50(5):992-1003.

(9) Dehkordi LM, Shahgholian N. An inverstigation of coping styles of hemodialysis patients. Iranian J Nurs Midwifery Res. 2013; 18(1):42-6.

(10) Baykan H, Yargic I. Depression, Anxiety Disorders, Quality of life and Stress Coping Strategies in Hemodialysis an Continuous Abulatory Peritoneal Dialysis Patients. Klinik Psikofarmakol Bülteni. 2012; 22(2):167-76.

(11) Ibrahim K, Taboonpong S, Nilmanat K. Coping and Quality of life among Indonesians Undergoing Hemodialysis. Thai J Nurs Res. 2009; 13(2):109-17.

(12) Bertolin DC, Pace AE, Kusumota L, Haas V. Associação entre os modos de enfrentamento e as variáveis sociodemográficas de pessoas em hemodiálise crônica. Rev Esc Enferm USP. 2011; 45 (5): 1070-1076.

(13) Karlsen B, Oftedal B, Bru E. The relationship between clinical indicators, coping styles, perceived Support and diabetes-related distress among adults with type 2 diabetes. J Adv Nurs. 2012; 68 (2): 391-401.

(14) Damião EBC, Rossato LM, Fabri LRO, Dias VC. Inventário de estratégias de enfrentamento: um referencial teórico. Rev Esc Enferm USP. 2009; 43 Suppl 2: 1199-1203.

(15) Renata BRAF de, Basabe-Barañano N, Saracho-Rotaeche R. Coping mechanisms as a predictor for quality of life in patients on dialysis: a longitudinal and multi-centre study. Nefrologia. 2013; 33(3): 342-354.

(16) Wolf EJ, Mori DL. Avoidant coping as a predictor of mortality in veterans with end-stage renal disease. Health Psychol 2009;28(3):330-7.

(17) Das RC, Srivastava K, Tudu J, Hooda AK. Crossectional study of quality of life after renal transplant in end stage renal disease. Ind Psychiatry J. 2014; 23 (1): 40-43.

(18) Santos I, Rocha RPF, Berardinelli LMN. Necessidades de orientação de enfermagem para o autocuidado em terapia de hemodiálise. Rev Bras de Enferm. 2011; 64 (2): 335-342.

(19) Marchesan M, Rombaldi AJ. Programa de Exercícios físicos para o doente renal crônico em hemodiálise. Rev Bras Ativ Fis e Saúde. 2012; 17 (1): 75-78.



How to Cite

Comelis Bertolin, D. (2016). Clinical variables, lifestyle and coping in hemodialysis. Investigación Y Educación En Enfermería, 34(3). Retrieved from




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