Illness Representation and Coping with Dying Among Patients with End-stage Renal Disease


  • Yanin Ngernsrisuk Faculty of Nursing, Chiang Mai University
  • Tipaporn Wonghongkul Faculty of Nursing, Chiang Mai University
  • Chiraporn Tachaudomdach Faculty of Nursing, Chiang Mai University


Illness Representation, Coping with Dying, End-Stage Renal Disease


The number of patients with end-stage renal disease (ESRD) is increasing. This disease affects a patient’s illness representation as well as results in a life-threatening confrontation. The purposes of this descriptive study were to determine the levels of illness representation and coping with dying, as well as to explore the relationship between illness representation and coping with dying in patients with ESRD. The 306 participants were purposively selected after consideration of the inclusion criteria. The data collection instruments consisted of a demographic data form, the Brief Illness Perception Questionnaire (Brief IPQ), and the Coping with Dying Questionnaire. The validity and reliability of the instruments were examined. Five experts assessed the content's quality. When the confidence test was performed in end-stage renal failure patients with similar characteristics to the group, the content conformance index was 1.0. The Kuder-Richardson-20 method was used to determine the internal homogeneity of the 16 samples. A confidence value of .92 was obtained.

        The results of the study showed that the participants had a moderate level of overall illness representation (   = 38.72, SD = 10.84). The mean scores of coping with dying were at a high level (  = 58.36, SD = 16.62).Regarding the relationship, the results showed that the illness representations subscale of personal control (rs = -.130, p < 0.05) and coherence (rs = -.154, p < 0.01) had a significantly negative correlation with coping with dying.

        The results from this study provide basic information about illness representation and coping with dying, as well as the relationships between both variables. These results will benefit nurses in their provision of appropriate care for patients with ESRD and will benefit further research.


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Research Article