Volume 27, Issue 3 (8-2019)
Avicenna J Nurs Midwifery Care 2019, 27(3): 187-197 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Lashgari F, Azimian J, Ranjbaran M, Soleimani M A. Predictive Factors of Death Anxiety in Caregivers of Hemodialysis Patients. Avicenna J Nurs Midwifery Care 2019; 27 (3) :187-197
URL: http://nmj.umsha.ac.ir/article-1-1934-en.html
URL: http://nmj.umsha.ac.ir/article-1-1934-en.html
1- Student Research Committee, Qazvin University of Medical Sciences, Qazvin, Iran , f.lashgari2014@gmail.com
2- Asssociate Professor, Faculty of Nursing and Midwifery, Qazvin University of Medical Sciences, Qazvin, Iran
3- Department of Epidemiology and Reproductive Health, Reproductive Epidemiology Research Center, Institute of Biology and Medical Sciences, Royan Institute, Tehran, Iran
4- Social Determinants of Health Research Center, Qazvin University of Medical Sciences, Qazvin, Iran
2- Asssociate Professor, Faculty of Nursing and Midwifery, Qazvin University of Medical Sciences, Qazvin, Iran
3- Department of Epidemiology and Reproductive Health, Reproductive Epidemiology Research Center, Institute of Biology and Medical Sciences, Royan Institute, Tehran, Iran
4- Social Determinants of Health Research Center, Qazvin University of Medical Sciences, Qazvin, Iran
Abstract: (5631 Views)
Introduction: Due to the chronic and progressive nature of chronic renal failure, the hemodialysis patients’ need for caregivers to carry out daily care increases; as a result of this care, caregivers are also exposed to a wide range of psychological and physical problems. One of the psychological symptoms experienced by caregivers is death anxiety. This study was conducted to determine the predictors of death anxiety in caregivers of hemodialysis patients.
Methods: In this cross-sectional descriptive study (May to Jun 2018), 176 caregivers of hemodialysis patients were selected using convenience sampling method from hemodialysis centers of Qazvin. A demographic characteristics questionnaire and Templer Death Anxiety Scale (TDAS) were used to collect data. Data analysis was performed using descriptive and inferential statistics including multiple linear regression in SPSS 23.
Results: The mean score of caregivers’ death anxiety was 48.37±9.18. Multiple regression results showed that gender (b=4.163, P<0/05), caregiver’s relation with patient and simultaneous responsibility for caring other patients were significant predictors of death anxiety. The coefficient of determination indicated that the independent variables of the regression model explain 20.7% of the changes in death anxiety.
Conclusion: Considering the important role of caregivers of hemodialysis patients, paying attention to psychological complications of this population such as death anxiety and its effective factors are important. Based on these variables, support and educational programs can be conducted to control the death anxiety in caregivers.
Methods: In this cross-sectional descriptive study (May to Jun 2018), 176 caregivers of hemodialysis patients were selected using convenience sampling method from hemodialysis centers of Qazvin. A demographic characteristics questionnaire and Templer Death Anxiety Scale (TDAS) were used to collect data. Data analysis was performed using descriptive and inferential statistics including multiple linear regression in SPSS 23.
Results: The mean score of caregivers’ death anxiety was 48.37±9.18. Multiple regression results showed that gender (b=4.163, P<0/05), caregiver’s relation with patient and simultaneous responsibility for caring other patients were significant predictors of death anxiety. The coefficient of determination indicated that the independent variables of the regression model explain 20.7% of the changes in death anxiety.
Conclusion: Considering the important role of caregivers of hemodialysis patients, paying attention to psychological complications of this population such as death anxiety and its effective factors are important. Based on these variables, support and educational programs can be conducted to control the death anxiety in caregivers.
Type of Study: Original Research |
Subject:
Nursing
Received: 2018/09/24 | Accepted: 2018/11/1 | Published: 2019/03/27
Received: 2018/09/24 | Accepted: 2018/11/1 | Published: 2019/03/27
References
1. Golkar MK, Banijamali S, Bahrami H, Hatami H, Ahadi H. [Effect of spiritual therapy on blood pressure, anxiety and quality of life in patients with high blood pressure]. J Kermanshah Univ Med Sci. 2014;18(8):462-470(9).
2. Musa AS, Pevalin DJ, Al Khalaileh MA. Spiritual well-being, depression, and stress among hemodialysis patients in Jordan. Journal of Holistic Nursing. 2018 Dec;36(4):354-65. [DOI:10.1177/0898010117736686] [PMID]
3. Nobahar M, Tamadon MR. Barriers to and facilitators of care for hemodialysis patients; a qualitative study. Journal of renal injury prevention. 2016;5(1):39. [DOI:10.15171/jrip.2016.09] [PMID] [PMCID]
4. Ebrahimi H, Ashrafi Z, Eslampanah G, Noruzpur F. Relationship between spiritual well-being and quality of life in hemodialysis patients. J Nurs Midwifery Sci. 2014 Oct 15;1(3):41-8. [DOI:10.18869/acadpub.jnms.1.3.41]
5. Subhashini N, Indira A. Assess the burden among caregivers of patients undergoing haemodialysis in tertiary care hospital, Nellore. International Journal of Applied Research. 2016;2(4):559-61.
6. Talebi M, Mokhtari Lakeh N, Rezasoltani P, Kazemnejad LE, Shamsizadeh M. [Caregiver Burden in Caregivers of Renal Patients under Hemodialysis]. J Holist Nurs Modifying. 2014;26(80):59-68.
7. Verma S, Sayal A, Vijayan VK, Rizvi SM, Talwar A. Caregiver's burden in pulmonary arterial hypertension: a clinical review. Journal of exercise rehabilitation. 2016 Oct;12(5):386. [DOI:10.12965/jer.1632708.354] [PMID] [PMCID]
8. Abbasi A, Asayesh H, Rahmani H, Shariati A, Hosseini S, Rouhi GH. The burden on cargivers from hemodialysis patients and related factors. Journal of Research Development in Nursing & Midwifery. 2011;8(1):26-33.
9. Beusekom I Van, Bakhshi-Raiez F, Keizer NF d., Dongelmans DA, Schaal M der. Reported burden on informal caregivers of ICU survivors: a literature review. Crit Care. 2015;20(16):1185-9. [DOI:10.1186/s13054-016-1185-9] [PMID] [PMCID]
10. Hawamdeh S, Almari A, Almutairi A, Dator W. Determinants and prevalence of depression in patients with chronic renal disease, and their caregivers. Int J Nephrol Renov Dis. 2017;10(1):183-9. [DOI:10.2147/IJNRD.S139652] [PMID] [PMCID]
11. Nikmanesh Z, Shahinfar M. The role of caregiver burden in quality of life and perception of patients with Chronic Kidney Failure on Hemodialysis. Annals of Military and Health Sciences Research. 2016;14(3). [DOI:10.5812/amh.11465]
12. ZafarianMoghaddam E, BehnamVashani HR, Reihani T, NamaziZadegan S. The Effect of Spiritual education on depression, anxiety and stress of caregivers of children with leukemia. Journal of Torbat Heydariyeh University of Medical Sciences. 2016;4(1):1-7.
13. Semenova V, Stadtlander L. Death anxiety, depression, and coping in family caregivers. Journal of Social, Behavioral, and Health Sciences. 2016;10(1):5.
14. Khaki S, Khesali Z, Farajzadeh M, Dalvand S, Moslemi B, Ghanei Gheshlagh R. The relationship of depression and death anxiety to the quality of life among the elderly population. Journal of hayat. 2017 Jul 15;23(2):152-61.
15. Becker E. The denial of death Free Press. New York. 1997.
16. Venes D. Taber's cyclopedic medical dictionary. FA Davis; 2017 Jan 25.
17. Feifel H. The meaning of death.New York:McGraw Hill; 1959.
18. Choron J. Death and modern man. Collier Books; 1972.
19. Conte HR, Weiner MB, Plutchik R. Measuring death anxiety: conceptual, psychometric, and factor-analytic aspects. Journal of personality and social psychology. 1982 Oct;43(4):775. [DOI:10.1037//0022-3514.43.4.775] [PMID]
20. Collett LJ, Lester D. The fear of death and the fear of dying. The Journal of Psychology. 1969 Jul 1;72(2):179-81. [DOI:10.1080/00223980.1969.10543496] [PMID]
21. Carpenito-Moyet LJ. Nursing care plans & documentation: nursing diagnoses and collaborative problems. Lippincott Williams & Wilkins; 2009.
22. Moorhead S, Johnson M, Maas JM, Swanson E. nursing outcomes classification(NOC):Mosby st.Louis,Mo; 2004.
23. Robah K. Determinants of existential death anxiety: a cross-sectional survey study on the effect of age, gender and religious affiliation on death anxiety (Bachelor's thesis, University of Twente).
24. Gesser G, Wong PT, Reker GT. Death attitudes across the life-span: The development and validation of the Death Attitude Profile (DAP). Omega-Journal of Death and Dying. 1988 Mar;18(2):113-28. [DOI:10.2190/0DQB-7Q1E-2BER-H6YC]
25. Daradkeh F, Fouad Moselhy H. Death anxiety (Thanatophobia) among drug dependents in an Arabic psychiatric hospital. The American journal of drug and alcohol abuse. 2011 May 1;37(3):184-8. [DOI:10.3109/00952990.2010.546923] [PMID]
26. Mikulincer M, Florian V, Birnbaum G, Malishkevich S. The death-anxiety buffering function of close relationships: Exploring the effects of separation reminders on death-thought accessibility. Personality and Social Psychology Bulletin. 2002 Mar;28(3):287-99. [DOI:10.1177/0146167202286001]
27. Iverach L, Menzies RG, Menzies RE. Death anxiety and its role in psychopathology: Reviewing the status of a transdiagnostic construct. Clinical psychology review. 2014 Nov 1;34(7):580-93. [DOI:10.1016/j.cpr.2014.09.002] [PMID]
28. Schumaker JF, Barraclough RA, Vagg LM. Death anxiety in Malaysian and Australian university students. The Journal of social psychology. 1988 Feb 1;128(1):41-7. [DOI:10.1080/00224545.1988.9711682] [PMID]
29. Myers JE, Wass H, Murphey M. Ethnic differences in death anxiety among the elderly. Death Studies. 1980 Jul 1;4(3):237-44. [DOI:10.1080/07481188008252973] [PMID]
30. Sheikhy S, Issazadegan A, Baaharpour S, Maroei Millan N. [The relationship between death obsession and death anxiety, with hope among the nursing students of Urmia medical science university]. J Urmia Nurs Midwifery Fac. 2013;11(6):476-483.
31. Dharmalingam TK, Kamaluddin MR, Nadarajan DP, Sivasamy H, Othman A, Campus H, et al. Assessment of Anxiety and Depression Among Caregivers of Patients Admitted To Intensive Care Unit of Hospital Universiti Sains Malaysia, Malaysia. Malaysian J Public Heal Med. 2016;16(3):300-7.
32. Taghipour B, Mehravar F, Sharif Nia H, Shahidifar S, Hasani A, Alahyari Z. Association between death anxiety and spiritual intelligence with the spiritual health and quality of life in hemodialysis patients. Journal of Nursing and Midwifery Sciences. 2017 May 15;4(2):26-32.
33. Soleimani MA, Bahrami N, Yaghoobzadeh A, Banihashemi H, Nia HS, Haghdoost AA. Validity and reliability of the persian version of templer death anxiety scale in family caregivers of cancer patients. Iranian journal of nursing and midwifery research. 2016 May;21(3):284. [DOI:10.4103/1735-9066.180390] [PMID] [PMCID]
34. Soleimani MA, Yaghoobzadeh A, Bahrami N, Sharif SP, Sharif Nia H. Psychometric evaluation of the Persian version of the Templer's Death Anxiety Scale in cancer patients. Death Stud. 2016;40(9):547-57. [DOI:10.1080/07481187.2016.1187688] [PMID]
35. Depaola SJ, Griffin M, Young JR, Neimeyer RA. Death anxiety and attitudes towardthe elderly among older adults: The Role of gender and ethnicity. Death studies. 2003 May 1;27(4):335-54. [DOI:10.1080/07481180302904] [PMID]
36. Ghufran M, Ansari S. Impact of widowhood on religiosity and death anxiety among senior citizens. J Indian Acad Appl Psychol. 2008 Jan;34:175-80.
37. Abdel-Khalek AM. Love of life and death distress: Two separate factors. OMEGA-Journal of Death and Dying. 2007 Dec;55(4):267-78. [DOI:10.2190/OM.55.4.b] [PMID]
38. Yukay Yükse M, Güneş F, Akdağ C. Investigation of the Death Anxiety and Meaning in Life Levels among Middle-Aged Adults. Spirit Psychol Couns. 2017;2(2):165-81. [DOI:10.12738/spc.2017.2.0024]
39. Soleimani MA, Lehto RH, Negarandeh R, Bahrami N, Nia HS. Relationships between death anxiety and quality of life in Iranian patients with cancer. Asia-Pacific journal of oncology nursing. 2016 Apr;3(2):183.
40. Shafaii M, Payami M, Amin K, Sharif SP. The relationship between death anxiety and quality of life in hemodialysis patients. Hayat, J Sch Nurs Midwifery, Tehran Univ Med Sci. 2016;22(4):325-338.
41. Fathi MO, Sanagoo AK, Jouybari LE, Yazarloo MA, Sharif Nia H. Death Anxiety in Hemodialysis Patients Admitted to Panj-Azar Teaching Hospital. Death Anxiety in Hemodialysis Patients Admitted to Panj-Azar Teaching Hospital. 2016;12:48-55.
42. Soleimani MA, Lehto RH, Negarandeh R, Bahrami N, Chan YH. Death Anxiety and Quality of Life in Iranian Caregivers of Patients With Cancer. Cancer Nurs. 2016;00(0):1-10. [DOI:10.1097/NCC.0000000000000355] [PMID]
43. Khawar M, Aslam N, Aamir S. Perceived social support and death anxiety among patients with chronic diseases. Pakistan Journal of Medical Research. 2013 Jul 1;52(3):75.
44. Harrawood LK, White LJ, Benshoff JJ. Death anxiety in a national sample of United States funeral directors and its relationship with death exposure, age, and sex. OMEGA-Journal of Death and Dying. 2009 Mar;58(2):129-46. [DOI:10.2190/OM.58.2.c]
45. Thiemann P, Quince T, Benson J, Wood D, Barclay S. Medical students' death anxiety: Severity and association with psychological health and attitudes toward palliative care. Journal of pain and symptom management. 2015 Sep 1;50(3):335-42. [DOI:10.1016/j.jpainsymman.2015.03.014] [PMID]
46. Schumaker JF, Barraclough RA, Vagg LM. Death anxiety in Malaysian and Australian university students. The Journal of social psychology. 1988 Feb 1;128(1):41-7. [DOI:10.1080/00224545.1988.9711682] [PMID]
47. Fink G. Encyclopedia of stress. Academic Press; 2000 Apr 19.
48. Diggory JC, Rothman DZ. Values destroyed by death. The Journal of Abnormal and Social Psychology. 1961 Jul;63(1):205. [DOI:10.1037/h0040194] [PMID]
49. Kim Y, Kashy DA, Spillers RL, Evans TV. Needs assessment of family caregivers of cancer survivors: three cohorts comparison. Psycho‐Oncology. 2010 Jun 1;19(6):573-82. [DOI:10.1002/pon.1597] [PMID]
50. Lobato DJ. Brothers, sisters, and special needs: Information and activities for helping young siblings of children with chronic illnesses and developmental disabilities. Paul H Brookes Pub Co; 1990.
51. Powell TH, Gallagher PA. Brothers & sisters-a special part of exceptional families. Paul H. Brookes Publishing; 1993.
52. Noller P. Sibling relationships in adolescence: Learning and growing together. Personal relationships. 2005 Mar;12(1):1-22. [DOI:10.1111/j.1350-4126.2005.00099.x]
53. Sharpe D, Rossiter L. Siblings of children with a chronic illness: A meta-analysis. Journal of pediatric psychology. 2002 Dec 1;27(8):699-710. [DOI:10.1093/jpepsy/27.8.699] [PMID]
54. Wu HH, Kuo CF, Li IJ, Weng CH, Lee CC, Tu KH, Liu SH, Chen YC, Yang CW, Luo SF, See LC. Family aggregation and heritability of ESRD in Taiwan: a population-based study. American Journal of Kidney Diseases. 2017 Nov 1;70(5):619-26. [DOI:10.1053/j.ajkd.2017.05.007] [PMID]
55. Mohamadkhani A. Genetics and its Approach in the Diagnosis of Diseases with Familial History. Govaresh. 2016 Dec 6;21(4):211-20.
56. Milbury K, Badr H, Fossella F, Pisters KM, Carmack CL. Longitudinal associations between caregiver burden and patient and spouse distress in couples coping with lung cancer. Supportive Care in Cancer. 2013 Sep 1;21(9):2371-9. [DOI:10.1007/s00520-013-1795-6] [PMID] [PMCID]
57. Bavojdan MR, Towhidi A, Rahmati A. The relationship between mental health and general self-efficacy beliefs, coping strategies and locus of control in male drug abusers. Addiction & health. 2011;3(3-4):111.
58. Abbasi A, Rahmani H, Shariati A, Asayesh H, Ashraf Rezaee N, Mollaei E, Shoori Bidgoli A, Bathaei SA. The relationship between caring burden and coping strategies in hemodialysis patients caregivers. The Journal of Urmia Nursing and Midwifery Faculty. 2012;10(4):533-9.
Send email to the article author
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
Articles Copyright © The Author(s).
Owned by Hamadan University of Medical Sciences.
Published by UMSHA Press
Journal Tel: +9881 38380150
Publisher Tel: +988138381795
Website: http://nmj.umsha.ac.ir
Email: managingeditornmj
gmail.com
