Hemodialysis is the commonest treatment for end-stage renal disease. We evaluated the factors associated with the stressors and coping methods for end-stage renal disease and hemodialysis by questionnaires. Two thousand, seven hundred and seventy-two patients with long-term hemodialysis from 13 cities in Taiwan were enrolled. The average stress score was 0.9 (ranged from 0-3 score on questionnaires).
The most important stressors included fluid restriction, sleep disorder, operation for arteriovenous shunt, fatigue and fluid restriction, while the least important factors were sexual dysfunction and role conflict. Fatalism was the most popular copying method that these patients used. Others were as follows from the most common coping strategies: fatalism, wishful thinking, seeking support, problem solution, and positive reappraisal. Besides, age, dialysis duration, education, marital status, occupation, religion, transportation service and comorbidities were correlated significantly with stressors and coping methods. The patient characteristics were good predictors for stressors and coping methods. The results would be useful for dialysis staff to manage patients’ stressors as well as to improve the staff-patient relationship.