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  ASSESSMENT of the STRESSORS AND COPING MECHANISM IN END STAGE RENAL DISEASE PATIENTS UNDER HEMODIALYSIS IN KHOY CITY 2011     Sakhai SH [1] *, Motarefi H [2] , Khorami Markani A [3] ,Habibpor Z [4] , Nafei AR [5]     Received: 10 Oct , 2013 Accepted: 4 Jan , 2014     Abstract   Background & Aims: End stage renal diseases patients under hemodialysis have many stressors that causes change s in their life style which demans the new coping mechanisms . The aim of this study was to determine the frequency of stressors and coping mechanisms in end stage renal diseases patients under hemodialysis.   Materials & Methods : In this descriptive- correlational study , 69 ESRD patients under hemodialysis were included randomly in the study in Khoy city. Data gathering instruments were "hemodialysis patients questionnaire" and "Chaluvik coping questionnaire". Data were analyzed using descriptive and inferential statistics by SPSS V16.   Result: According to the findings, d efect in ADL, bearing the disease expenditure, fatigue ,pain feeling , dependency to hemodialysis machine and food and fruit restricted diet have the high est mean scores. The majority of subjects stated that rel ying on God, taking support from their family and friends were effective in their coping mechanisms. We found significant relations among job, antecedent diseases, income rate, and stressors mean scores .   Conclusion: In this study, patients under hemodialysis used suitable coping strategies according to the type of stressors as well as individual differences. It could be a proper caring guidline for nursing staff.   Keywords: Chronic Renal Failure, Stressors, Coping Strategies, Hemodialysis     Address : Khoy Nursing Faculty, Urmia University of Medical Sciences, Urmia, Iran   Tel: (+98)0461-2255777   Email : shahriarsakhai@yahoo.com   [1] MSc, instructor faculty of Nursing, Urmia University of Medical Sciences, Urmia, Iran (Corresponding Author)   [2] PhD Nursing student Baqiyatallah University of Medical Sciences, Nursing and Midwifery Faculty, Urmia   [3] PhD, faculty of Nursing, Urmia University of Medical Sciences, Urmia, Iran   [4] MSc, instructor faculty of Nursing, Urmia University of Medical Sciences, Urmia, Iran   [5] MSc, instructor, faculty of Nursing, Urmia University of Medical Sciences, Urmia, Iran

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