This study aimed to assess the quality of life and coping strategies of dialysis patients in Mangalore, India. The objectives were to examine patients' quality of life, identify coping strategies, and determine relationships between quality of life, coping strategies, and demographic variables. The researcher hypothesized significant relationships between quality of life and coping strategies, and between quality of life and demographics. Data was collected from 60 patients using quality of life and coping scales. Results found most patients had average quality of life and satisfactory coping, with a significant relationship between the two. The conclusion was that better coping strategies were linked to higher quality of life.

1. U.NO-NU10NGMS04

2. STATEMENT OF THE PROBLEM
“A correlational study on quality of life and
coping strategies among dialysis patients of a
selected hospital at Mangalore.’’

3. OBJECTIVES OF THE STUDY
• To assess the quality of life of dialysis patients
in selected hospitals.
• To identify the coping strategies used by the
dialysis patients.
• To find out correlation between the quality of
life and coping strategies among dialysis
patients.
• To find out the association between quality of
life and selected demographic variables

4. HYPOTHESIS
• H1: There will be a significant relationship
between quality of life and coping strategy
among dialysis patients.
• H2: There will be a significant association
between quality of life of dialysis patients and
selected demographic variables

5. BACKGROUND OF THE STUDY
• Dialysis patients are increasing worldwide every day. It
is found that 30-40% of patients with chronic renal
failure undergo dialysis in India. Long-term dialysis
therapy itself often results in loss of freedom,
dependence on caregivers, disruption of marital,
family, and social life, and reduced or loss of financial
income. Due to these reasons, the physical,
psychological, socioeconomic, and environmental
aspects of life are negatively affected, leading to
compromised quality of life. haemodialysis patients
used `trying to maintain control' as their most frequent
coping strategy. Hence this present study aimed to find
out the correlation between the quality of life & coping
strategies among dialysis patients.

6. NEED FOR THE STUDY
• ‘Adding life to years and not just years to life’ is as true
for ESRD patients as for any other individuals. End stage
renal disease (ESRD) is a chronic disease causing high
levels of disability in different domains of the patients’
life, leading to impaired quality of life. Renal failure
decreases the functional capacity of the patient. Thus,
it is a challenge for nurses as well as for other health
care providers to help & promote QOL of dialysis
patients, despite their health problems. To investigate
how health care providers can improve quality of life in
dialysis patients.

7. REVIEW OF LITERATURE
• Literature on coping strategy used by
hemodialysis patients
• Literature on Quality of life of dialysis patients.
• Literature on Correlation between quality of
life of hemodialysis patient and their coping
strategy

8. CONCEPTUAL FRAMEWORK

9. RESEARCH DESIGN

10. SAMPLING
• Purposive sampling technique.
• Sample size:-60 dialysis patients

11. SAMPLING DESIGN

12. PILOT STUDY
A pilot study was conducted between 25th July to
30th July 2011. The sample size of the pilot study
was 6 in number. The sample possessed same
characteristics as that of sample for main study.
Written consent was taken from the subjects.
Data regarding the samples was obtained by
administering them the tool. The Study findings
revealed that there were no significant difference
between the quality of life and coping strategy of
dialysis patient.

13. DATA COLLECTION INSTRUMENTS
• Demographic proforma
• Rating scale on quality of life
• Rating scale on coping strategy

14. DATA COLLECTION PROCESS
• To conduct the research study in selected hospitals at
Mangalore, formal written permission was obtained
from Medical superintendent & Dept. of Nephrology.
The data collection period extended from 1/8/11 to
31/10/11. An informed consent was taken from all the
subjects individually after explaining the objectives and
purpose of the study. Confidentiality was assured to
the entire subjects to get their co-operation. Subjects
were instructed to fill the demographic proforma,
Rating Scale on QOL and the rating scale on coping
strategy.

15. RESULTS
• Section 1:-Description of dialysis patients according
to the demographic characteristics
• Section 2:-Quality of life of dialysis patients
• Section 3:-Coping strategies used by the dialysis
patients.
• Section 4:-Correlation between the quality of life and
coping strategies among dialysis patients.
• Section 5:-Association between quality of life and
selected demographic variables.

16. Section 1:-Description of dialysis patients according
to the demographic characteristics

18. Section 2:-Quality of life of dialysis patients
Quality of life of dialysis patients
41
45
40
35
30
Poor QOL
25
19
Average QOL
Good QOL
20
15
10
0
5
0
Series1
Poor QOL
19
Average QOL
41
Good QOL
0

19. Section 3:-Coping strategies used by the dialysis
patients.
coping strategy of dialysis patients
0
11
Good coping
Satisfactory coping
49

20. Section 4:-Correlation between the quality of life and
coping strategies among dialysis patients.

21. Section 5:-Association between quality of life
and selected demographic variables

24. Limitation
• The study was limited to hemodialysis patients who
were willing to participate in the study, who were
available during the study and those who know
Kannada & English.
• The setting for the study was selected by purposive
sampling & imposes limits in larger generalization.
• Quality of life and coping is purely based on the verbal
reports of the dialysis patients and not through
observation.
• No standardized tools were used for the study.
• The sample size was minimal (60) and hence, it cannot
be generalized.
• The present study was limited to assess the quality of
life & coping strategy of dialysis patient.

25. RECOMMENDATIONS
On the basis of the present study following
recommendations are made;
• Replication of the study could be done with a larger
sample to validate and generalize the findings.
• A similar study can be conducted on quality of life &
coping strategy among cancer patients.
• A survey of the factors that influence the quality of life
and coping strategy of the dialysis patients can be
undertaken.
• A similar study can be done in individual domains
separately using multiple tools to measure quality of
life & coping strategy, rather than using a single scale.

26. CONCLUSION
The findings of the study revealed that majority
of dialysis patients have average quality of life
& satisfactory coping. There is a significant
relationship between the quality of life &
coping strategies in dialysis patients. When
the coping strategy scores increases, quality of
life of dialysis patients also increases.