{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T19:52:07Z","timestamp":1788465127112,"version":"build-2803163510"},"reference-count":22,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2016,2,2]],"date-time":"2016-02-02T00:00:00Z","timestamp":1454371200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Hemodialysis International"],"published-print":{"date-parts":[[2016,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:bold>Introduction<\/jats:bold> Hemodialysis (HD) causes many life changes, not only for patients undergoing it but also for their families by allowing them to rely on this lifesaving equipment unless they receive a kidney transplant. The stress of the primary caregivers, who spends the most time in the family taking care of the patient undergoing HD, is quite high. This study was to identify attitudes about stress and coping among primary caregivers of HD patients. <jats:bold>Methods<\/jats:bold> Q\u2010methodology was undertaken because it integrates quantitative and qualitative research methods. A convenience sample of 33 primary caregivers of HD patients participated. Forty selected Q\u2010samples were obtained from each participant and were classified into a forced normal distribution using a nine\u2010point grid. Data was analyzed using a pc\u2010QUANL program. <jats:bold>Findings<\/jats:bold> Three discrete factors emerged as follows: Factor I (they reduced their stress by participating in religious activities; religious sublimation), Factor II (they always worried about the caregiving situations and about the patients' conditions; nervousness), and Factor III (they thought it better to accept their stressful situations; leading handler). Three factors accounted for 44.5% of all the variance, including Factor I (26.0%), Factor II (10.1%), and Factor III (8.4%). The eigenvalues were 8.58, 3.34, and 2.79, respectively. <jats:bold>Discussion<\/jats:bold> The subjectivities of the three factors that were identified can be applied during the planning stages of effective interventions for stress and coping. Healthcare workers in clinical practices should consider assesses primary caregivers' attitudes about stress and coping and approaches their situation to cope with it and to adapt to lifestyle changes.<\/jats:p>","DOI":"10.1111\/hdi.12404","type":"journal-article","created":{"date-parts":[[2016,2,2]],"date-time":"2016-02-02T10:31:49Z","timestamp":1454409109000},"page":"453-462","source":"Crossref","is-referenced-by-count":6,"title":["Attitudes toward stress and coping among primary caregivers of patients undergoing hemodialysis: A Q\u2010methodology study"],"prefix":"10.1111","volume":"20","author":[{"given":"Eun Ja","family":"Yeun","sequence":"first","affiliation":[{"name":"Department of Nursing Konkuk University 268 Chungwon\u2010daero Chungju Chungbuk 380\u2010701 Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ho Yoon","family":"Bang","sequence":"additional","affiliation":[{"name":"School of Medicine Konkuk University 120 Neungdong\u2010ro Gwangjin\u2010gu Seoul 140\u2010701 Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eun Jung","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Artificial Kidney Room Konkuk University Hospital Seoul Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Misoon","family":"Jeon","sequence":"additional","affiliation":[{"name":"Department of Nursing Baekseok University 76 Munam\u2010ro Dongam\u2010gu, Cheonan Chungnam 330\u2010704 Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eun Sil","family":"Jang","sequence":"additional","affiliation":[{"name":"Department of Nursing Kyungnam University 7 Kyungnamdaehak\u2010ro Masanhappo\u2010gu, Changwon\u2010si Gyeongsangnam\u2010do 631\u2010701 Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eunmi","family":"Ham","sequence":"additional","affiliation":[{"name":"Department of Nursing Konkuk University 268 Chungwon\u2010daero Chungju Chungbuk 380\u2010701 Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,2,2]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2702.2012.04235.x"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/hdi.12018"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2702.2006.01330.x"},{"key":"e_1_2_7_5_1","first-page":"75","article-title":"Quality of life of caregivers and patients undergoing hemodialysis at ministry of health, Jordan","volume":"2","author":"Shdaifat EA","year":"2012","journal-title":"Int J Appl Sci Technol."},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/9780470024522"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.NAJ.0000336406.45248.4c"},{"key":"e_1_2_7_8_1","first-page":"84","article-title":"Adaptation process of the family with hemodialysis","volume":"2","author":"Lee YA.","year":"1999","journal-title":"J Korean Acad Soc Rehabil Nurs."},{"key":"e_1_2_7_9_1","first-page":"358","article-title":"Relationships among burden, social support and quality of life for the family caregiver of hemodialysis patients","volume":"12","author":"Min YS","year":"2003","journal-title":"J Korean Acad Psychi Mental Heal Nurs."},{"key":"e_1_2_7_10_1","volume-title":"Factors Influencing Burden of Family Caregivers of Hemodialysis Patients","author":"Park EJ.","year":"2012"},{"key":"e_1_2_7_11_1","first-page":"187","article-title":"A comparative study of the factors influencing burden of primary family caregivers according to the degree of serious illness of elderly patients admitted in an intensive care unit","volume":"21","author":"Kim KB","year":"2009","journal-title":"Korean J Adult Nurs."},{"key":"e_1_2_7_12_1","first-page":"364","article-title":"Burden and quality of life in caregivers of patients with rare and incurable disease","volume":"17","author":"Choi KJ","year":"2006","journal-title":"J Korean Acad Community Health Nurs."},{"key":"e_1_2_7_13_1","first-page":"41","article-title":"Relationship between family burden, family support, depression, and satisfaction of the elderly caregiver","volume":"20","author":"Lee JY","year":"2009","journal-title":"J Korean Acad Community Health Nurs."},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1027\/1614-2241\/a000021"},{"key":"e_1_2_7_15_1","volume-title":"Q\u2010Methodology","author":"Kim HG.","year":"2008"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/0193945907312979"},{"key":"e_1_2_7_17_1","volume-title":"Political Subjectivity: Application of Q Methodology in Political Science","author":"Brown SR.","year":"1980"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-0012.2011.01431.x"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/ncc.0000000000000101"},{"key":"e_1_2_7_20_1","first-page":"202","article-title":"Study on the stress in the mothers of cerebral palsied children and their coping strategies","volume":"8","author":"Lee JE","year":"2003","journal-title":"J Korean Soc Sci Study Subjectivity."},{"key":"e_1_2_7_21_1","volume-title":"The Coping Patterns to Stress of Hemodialysis Patients Characteristically in Cheonnam Eastern Area","author":"Cho MH.","year":"2012"},{"key":"e_1_2_7_22_1","first-page":"18","article-title":"Effective use of the resiliency model of family adjustment for rehabilitation counselors in work related issues for families experiencing a new disability","volume":"73","author":"Frain MP","year":"2007","journal-title":"J Rehabil."},{"key":"e_1_2_7_23_1","first-page":"41","article-title":"The caregivers experience for the chronic illness patient","volume":"4","author":"Chu MS","year":"2003","journal-title":"J Korean Assoc Qual Res."}],"container-title":["Hemodialysis International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fhdi.12404","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/hdi.12404","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,24]],"date-time":"2023-09-24T07:16:04Z","timestamp":1695539764000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/hdi.12404"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,2,2]]},"references-count":22,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2016,7]]}},"alternative-id":["10.1111\/hdi.12404"],"URL":"https:\/\/doi.org\/10.1111\/hdi.12404","archive":["Portico"],"relation":{},"ISSN":["1492-7535","1542-4758"],"issn-type":[{"value":"1492-7535","type":"print"},{"value":"1542-4758","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,2,2]]}}}