Stress And Coping Strategies Among Metabolic Syndrome Patients In Hospital Universiti Sains Malaysia
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Date
2015-08
Authors
ABDULLAH, NOR FADHILAH
Journal Title
Journal ISSN
Volume Title
Publisher
Universiti Sains Malaysia
Abstract
Patient with chronic disease may affected by stress that derived from life events and health status. Varies of coping strategies have been used to adapt with stress. However, the effect of each coping strategy used is different. A cross-sectional mixed method study was used to determine the stress prevalence and to explore the coping strategies used by stressed MetS patients. The first phase of study was a quantitative part which involved 142 metabolic syndrome patients. This study was a purposive sampling and has been done in outpatient clinics at Hospital Universiti Sains Malaysia. The respondents were interviewed using Malay version of Personal Stress Inventory and Malay version of Brief COPE. Prevalence of the respondents who perceived stress was 14.1% (n=20). Chi square and Pearson correlation analysis showed that there were significant association between stress and gender (p=0.004), marital status (p=0.037) and employment status (0.026). Multiple linear regression though showed only gender (p=0.000) and marital status (p=0.001) had significant with stress. Acceptance was the higher coping strategy used followed by religion and substance abuse was the least used by the respondents. There were significant differences between stress and non-stress group on coping strategies of behavioural disengagement (p=0.010), venting (p=0.001), planning (p=0.020) and self-blame (p=0.050). Phase 2 of the study was a qualitative part that used sequential explanatory design. Out of 20 respondents of stress respondents, 15 of them were involved in this part. Respondents were interviewed using semi-structured interview guide. The transcribed data was then analysed with the help of NVivo software version 10 (NVivo 10). Themes produced were active coping, instrumental support
(problem-focused); acceptance, religion and emotional support (emotion-focused); and behavioural disengagement, self-distraction, venting, denial and self-blame (dysfunctional coping). As a conclusion, the low percentage of stress level may associate with several factors including socio-demographic background and types of coping strategies that they used. Non stress- respondents were commonly used good coping strategy, and it was planning. While, stress respondents preferred to use more dysfunctional coping such as behavioural disengagement, venting and self-blame compared to other types of coping strategies.
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Keywords
Stress; coping strategies , metabolic syndrome.