Evaluation of stress intensity and its relationship with self-efficacy and quality of life of hemodialysis patients in Imam Khomeini Hospital in Shirvan in 2022

Chronic renal failure directly and indirectly changes the quality of life of the patients. To maintain the quality of life, self-efficacy plays an effective role. Investigation of the relationship among stress, quality of life, and self-efficacy can help nurses to apply suitable ways to improve the quality of life of patients. Therefore, the present study aimed to determine the severity of stress and its relationship with self-efficacy and quality of life in hemodialysis patients in Imam Khomeini Hospital in Shirvan, Iran.

This cross-sectional correlational study was carried out on 77 hemodialysis patients in 2022. The research tools included demographic characteristics and quality of life questionnaire, alongside human stress and general self-efficacy measurements. The collected data were analyzed in SPSS software (version 19).

Mean age and weight of the participants were 56.5 ± 14.73 years and 66.48 ± 17.15 Kg, respectively. Moreover, 59.7% of the patients were male and 41.6% of them performed dialysis for 1-3 years. There was a significant relationship between the mean stress score and score of some dimensions of quality of life (P<0.05). However, there was no significant relationship between the mean score of stress and self-efficacy. In addition, there was no significant relationship between the average of self-efficacy score and some dimensions of quality of life (P≥0.05).

According to the results, the quality of life of hemodialysis patients improves by reducing the stress intensity. Meanwhile, people who have a higher level of self-efficacy experience less stress. Therefore, the effort of the treatment staff is to identify the aggravating factors and use suitable interventions to reduce them with the aim of improving the quality of life of patients.