Coping as a Mediator of the Relationship between Stress and Anxiety in Caregivers of Patients with Acute Stroke

2021 ◽  
pp. 105477382110212
Author(s):  
Yoonmi Lee ◽  
Yeoungsuk Song

According to Lazarus and Folkman’s theory, stress and coping affect an individual’s anxiety, which is an adaptive outcome. This study examined the mediation effects of stress-coping strategies on the relationship between stress and anxiety in caregivers of patients with acute stroke. A cross-sectional descriptive design was used to analyze a total of 131 caregivers caring for patients with acute stroke at a university hospital. The Caregivers Stress Scale, Ways of Coping Questionnaire, and Korean Beck Anxiety Inventory were used to quantify the participants’ responses. Our results revealed that emotion-focused coping (β = .56, p  < .001) partially mediated the relationship between stress and anxiety ( Z = 3.30, p < .001), suggesting its ability to exacerbate anxiety in the short term by acting as a mediator between stress and anxiety. Developing appropriate coping strategies for caregivers of patients with acute stroke is therefore critical for reducing their anxiety.

2016 ◽  
Vol 25 (4) ◽  
Author(s):  
Sandra de Souza Pereira ◽  
Carla Araujo Bastos Teixeira ◽  
Emilene Reisdorfer ◽  
Mariana Verderoce Vieira ◽  
Edilaine Cristina da Silva Gherardi-Donato ◽  
...  

ABSTRACT This is a quantitative, descriptive and exploratory research, with cross-sectional design that investigated the stressors experienced by nursing technicians working in general hospital and identified the coping strategies most used by them. The sample contained 310 participants. A sociodemographic questionnaire and the Ways of Coping Scale were used. For the analysis we used descriptive statistics and calculated the Cronbach's alpha. 60% of professionals used the strategies focused on the problem; 57.4% attributed their stress to working conditions, 26.8% to relationships in the workplace, 5.5% to the lack of reward at work and only 0.6% to problems personal. We conclude that strategies focused on the problems were the most used, indicating an approximation of the stressor in order to fix it. The identified stressors indicate the need for planning, stimulating and recognizing nursing professionals.


2021 ◽  
Vol 9 (2) ◽  
pp. 789-802
Author(s):  
Vanita Mann, Dr. G.N. Tiwari, Prof. Loknath Mishra

Aims: To study the sources of stress of the medical and engineering competitive entrance exam aspirants attending coaching institutes in Delhi. Second, to study stress coping strategies used by the medical and engineering competitive entrance exams aspirants attending coaching institutes in Delhi. Third, to suggest some more stress coping strategies to parents and teachers. Methods: The study was descriptive in nature and cross-sectional study design was used. The study was conducted in August 2019.The population of the study consisted of the students preparing for medical and engineering competitive entrance exams who attend full time coaching institutes in Delhi and also attend their school. The sample of the study was 400 students, 200 each from medical and engineering coaching institutes in Delhi.  A self -designed questionnaire was used to collect data. The questionnaire consisted of two sections, the first section consisted of questions related to sources of stress and the second section comprised of questions related to stress coping strategies practice by the  medical and engineering competitive entrance exam aspirants attending coaching institutes in Delhi .The questions were open ended based on 4 point Likert Scale.The questionnaire was administered to  students and they were asked to fill the questionnaire. A total of 380 students out of 400 completed the questionnaire. The data was analysed using descriptive statistics. Frequency and Percentage analysis of each item of the questionnaire was done. Mean score and standard deviation of each item of the questionnaire was compiled.  Findings: The study findings indicated that majority of the students reported academic (48%) and parental (39%) stressors as sources of stress. However personal (8%) and environmental stressors (5%) also contributed as the sources of stress to the medical and engineering competitive entrance exams aspirants attending coaching institutes in Delhi. The aspirants cope stress by using strategies such as practising yoga , listening music, surfing the internet , talking to like –minded people , playing outdoor games , communicating with parents and doing meditation. Some other coping strategies suggested by the researcher are practice visualization, taking calming breathe, practice progressive muscle relaxation, get organised, trying self- hypnosis. Novelty: The study investigates stress and coping strategies in competitive entrance exams aspirants attending medical and engineering coaching institutes in Delhi . It throws light on adolescent’s stress and the coping strategies used by these adolescents; hence the study contributes in providing remedies to handle stress by the parents, students and teachers. The study also provides basis to researchers for further in depth study of stress faced by students preparing for other competitive entrance exams and also to those students who do not attend coaching institutes and still aspires to prepare for competitive exams.


2017 ◽  
Vol 35 (4) ◽  
pp. 313
Author(s):  
Suthisa Temtap ◽  
Kittikorn Nilmanat

Objectives: This study was aim to describe the relationship between psychological distress and coping strategies among patients with advanced or terminal stage hepatocellular carcinoma.Material and Method: This is a cross-sectional descriptive study. Data were collect from hospitalized sample at medical units in a tertiary care hospital in southern Thailand during April 2015 - December 2016. Ninety-six sample of advanced or terminal stage hepatocellular carcinoma. Research instruments consisted of 4 parts: (1) a demographic data form, (2) The Karnofsky Performance Status Scale, (3) psychological distress questionnaires using Hospital Anxiety and Depression Scale, and (4) coping strategies questionnaire developed by researchers based on Lazarus and Folkman’s stress and coping theory and literature reviews. Cronbach’s alphas for Hospital Anxiety and Depression Scale and coping strategies questionnaire were 0.89 and 0.84. Data were analyzed using descriptive statistics and Pearson’s product moment correlation coefficient was used.Results: A relationship analysis found that there was a moderate, negative correlation between psychological distress and coping strategies (r=-0.66, p-value<0.001)Conclusion: The results of this study reveal that increases in psychological distress were correlated with decreases in coping strategies among patients with advanced or terminal stage hepatocellular carcinoma. A screening assessment for psychological distress is needed. The results of this study can be used for developing nursing program to promote effective coping strategies among patients with advanced or terminal stage hepatocellular carcinoma to help them live well at the end of life.  


2021 ◽  
Vol 10 (s1) ◽  
Author(s):  
Miftahul Janah ◽  
Giur Hargiana

Background: Violent behavior is one of the most common symptoms of people who have schizophrenia. Caring for family members who have schizophrenia can be a stressor for other family members. The stressors can be stressful for the caregiver. Family caregivers require coping strategies to overcome the stressors. This study aims to determine the relationship between stress levels and coping strategies of family caregivers who treat schizophrenic patients with a risk of violent behavior.Design and Methods: The research design engaged cross-sectional with the purposive sampling technique by involving 87 caregiver families who who treat schizophrenic patients. The data was collected by using the Perceived Stress Scale (PSS) and Ways of Coping (WOC) questionnaires. This study was analyzed by employing the Chi-Square test to determine the relationship between stress levels and coping strategies in the caregiver family.Results: This study shows that stress levels are not significantly associated with coping strategies in family caregivers.Conclusion: Good supports from health and social service professionals are required to help family caregivers cope with their stressors well.


2019 ◽  
Vol 11 (15) ◽  
pp. 4011 ◽  
Author(s):  
Ana M. Tur-Porcar ◽  
Noemí Cuartero-Monteagudo ◽  
Julio Fernández-Garrido

The conventional approach to sustainability is being extended through approaches such as the psychology of sustainability and sustainable development. Under such approaches, the analysis of sustainability also involves understanding improvements in people’s quality of life in environments such as education and learning. Based on this theoretical approach, this study explored the relationships between anxiety, emotional intelligence, and mechanisms for coping with stressful situations. The mediating role of emotional intelligence in the relationship between anxiety and coping mechanisms was also assessed. The anxiety, emotional intelligence, and coping variables were measured using standardized tests administered to students. This cross-sectional study was based on self-reports by health students at universities in Valencia (Spain). The study conformed to the ethical standards established by the Declaration of Helsinki. In total, 434 students participated in the study. The students were aged between 17 and 54 years (M = 21; SD = 0.320). From the perspective of the psychology of sustainability, the results indicate that avoidance coping strategies are positively related to anxiety and are negatively related to emotional intelligence. However, the results also show that approach coping strategies are positively related to emotional intelligence. In addition, the analysis shows the mediating role of emotional intelligence in the relationship between anxiety and coping. This study shows the need to encourage the sustainable development of emotional intelligence among health professionals and to consider this sustainable development when designing education programs for health-related fields.


2018 ◽  
Vol 3 (2) ◽  
pp. 37-47 ◽  
Author(s):  
Ganesan Y. ◽  
Talwar P. ◽  
Norsiah Fauzan ◽  
Oon Y.B.

Feelings of stress are a part of university students’ life.  Stress is simply the body's response to changes that create taxing demands. There is a difference between eustress, which is a term for positive stress, and distress, which refers to negative stress. Coping mechanism plays a significant part to overcome or reduce the stress experienced by individuals. People use different types of coping strategies to overcome their stress. The purpose of the study was to study the relationship between stress and coping strategies among university students. Eighty- six university students participated in the study. A quantitative study utilizing a cross sectional non-probability sampling research design was used to gather data. The data was collected using a questionnaire with the addition of Perceived Stress Scale (PSS) and the Adolescent Coping Scale (ACS) were administered. The result of this study indicated that majority of the university students have moderate level of stress. There was a significant inverse relationship between stress level and coping strategies among undergraduates. In conclusion, some levels of stress can be good, as the right kind of stress encourages them towards change and growth. However, when students are unable to cope with stress, they can become a burden. It is recommended that students should be encouraged to take part in extra-curricular activities such as sports to reduce stress.  Keywords: Stress; coping strategies; university students


2020 ◽  
Vol 19 (4) ◽  
pp. 196-219
Author(s):  
Victor Manuel Ramos Frausto ◽  
Lucía Caudillo Ortega ◽  
José María de la Roca Chapas ◽  
Martha Alicia Hernández González ◽  
Gloria Barbosa Sabanero ◽  
...  

Introducción: El cáncer es una de las principales causas de morbilidad y mortalidad en el mundo, según la Organización Mundial de la Salud (OMS), en 2012 14 millones de casos nuevos y 8,2 millones de muertes. Se demostró que los pacientes en tratamiento, cirugía, quimioterapia y radioterapia tienen niveles altos de cortisol que influye en su calidad de vida. Objetivo: Identificar la relación entre el estrés, a nivel de cortisol y las estrategias de afrontamiento en pacientes con cáncer sometidos a tratamiento.Material y métodos: Estudio transversal, descriptivo y correlacional realizado junio a diciembre del 2019. Resultados epidemiológicos: 68.2% mujeres 31.8 % hombres, entre 17 y 76 años, con diagnósticos de: Ca mama (30.3%), de próstata (18.3), colon (15.2), pulmón (13.6), cervical (12.1% gástrico (9.1%) cáncer de piel (1.5%). Estadísticos: El 35,3% informaron cortisol a niveles normales y 64.5% niveles altos; el estrés obtuvo un promedio de 13.9 (DE = 4.64). Sobre el nivel de cortisol y el tipo de tratamiento, se observaron diferencias significativas (X2 = 1,546, p = .04), es decir, el paciente que tienen un tratamiento mixto el cortisol es más alto. Conclusiones: Es importante reevaluar las estrategias centradas en el problema, analizar implicaciones y proponer estudios en el contexto en que se desenvuelven, en futuro desarrollar una intervención incluyendo actividades de enfermería en la quimioterapia y radioterapia, apoyando estrategias de afrontamiento efectivas. En este sentido y derivado de la minimización de amenazas centradas en el problema, es importante tener un enfoque integral más profundo. Introduction: Cancer is one of the leading causes of morbidity and mortality worldwide, according to the World Health Organization (WHO), in 2012 14 million new cases and 8.2 million deaths. (WHO, 2019). Patients in treatment, surgery, chemotherapy and radiation therapy have been shown to have high levels of cortisol that influence their quality of life. Objective: to identify the relationship between stress, cortisol level and coping strategies in cancer patients undergoing treatment. Material and methods: Cross-sectional, descriptive and correlational study conducted June to December 2018. In 65 male and female patients under treatment. Results: 68.2% were women 31.8% men, between 17 and 76 years. With diagnoses Ca breast (30.3%), prostate cancer (18.3), colon (15.2), lung (13.6), cervical (12.1% gastric (9.1%) skin cancer (1.5%). Statistics: 35.3% reported cortisol at normal levels and 64.5% high levels; stress averaged 13.9 (DE s 4.64). On the level of cortisol and the type of treatment, significant differences were observed (X2 x 1,546, p .04), i.e. the patient who has a mixed treatment cortisol is higher. Conclusions: It is important to reevaluate the strategies focused on the problem, analyze implications and propose studies in the context in which they operate, in the future develop an intervention including nursing activities in chemotherapy and radiotherapy, supporting effective coping strategies. minimizing threats focused on the problem, it is important to have a deeper comprehensive approach.


2018 ◽  
Vol 11 (2) ◽  
pp. 196-204
Author(s):  
Asirotul Ma’rifah ◽  
Naning Puji Suryantini Suryantini ◽  
Rina Mardiyana

Autism is still a nightmare for most parents. Parents with autism can be very stressful when dealing with a hyperactive child's behavior, aggressive and passive. Stress experienced by parents of children with autism will affect the ability of parents in the parenting role, especially in relation to coping strategies have in dealing with problems of children. The participation of parents is crucial the success of socializing with children with autism in the general population. This study aims to determine the relationship of coping strategies parents of autistic children and parenting parents. This type of research is an analytic correlation with cross sectional approach. The population in this study were all parents of autistic children in SLB Muhammadiyah Mojokerto numbering 15 people. Samples in this study were all parents of autistic children in SLB Muhammadiyah Mojokerto which totaled 15 people by using total sampling technique. Collecting data using questionnaires. Data analized use cross tabulation, presented in a frequency distribution. On cross-tabulation obtained results tend to use maladaptive coping strategies permissive parenting that is 8 (53.3%), there are also respondents who use adaptive coping strategies using authoritarian parenting as much as one person (16.7%), and adaptive coping strategies tend using democratic parenting style as much as 5 people (33.3%). Expected parents still seeking information to broaden their parents on coping strategies of parents of autistic children and parenting parents as well as parents to give special attention for children with autism to the development and advancement of their lives because they have the same rights as any other normal child.


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