Relationship between Stress Level and Meaning-based Coping Style in Hemodialysis Patients in Kerman in 2023

Hemodialysis patients face multiple physical, psychological, and social stressors that adversely affect quality of life. Coping strategies, especially meaning-based coping, are thought to play a vital role in managing these stressors. This study examined the relationship between stress level and meaning-based coping style among hemodialysis patients in Kerman, Iran.

A cross-sectional study was conducted from July to September 2023 across four hospitals. A total of 334 patients undergoing maintenance hemodialysis were recruited through convenience sampling. Data were collected using a demographic questionnaire, the Baldree Hemodialysis Stress Questionnaire, and the Meaning-Based Coping Style Questionnaire. Analyses were performed with SPSS version 20 using appropriate statistical tests.

Participants included 176 men (52.7%) and 158 women (47.3%), with a mean age of 54.8 ± 15.4 years. Most were married (68.3%), and 82.0% reported comorbid disease. Moderate stress was reported by 61.5% of patients, mild stress by 25.2%, and severe stress by 13.3%. Stress was significantly higher among women, those with lower education, and patients with comorbidities. Meaning-based coping was more common among women, divorced or widowed individuals, and those aged 40-50 years. Stress was positively correlated with meaning-based coping, particularly revised goals (r = 0.42, p < 0.001) and positive reappraisal (r = 0.23, p = 0.009).

Meaning-based coping, particularly positive reappraisal and revised goal-setting, is important in managing psychological stress in hemodialysis patients. Integrating psychosocial and educational interventions into routine care may enhance adaptive coping, psychological well-being, and quality of life in patients with chronic kidney disease.