The challenge of managing mild to moderate distress in patients with end stage renal disease: results from a multi-centre, mixed methods research study and the implications for renal service organisation

Table 5 Renal unit and individual factors influencing patients’ ability to cope with ESRD

	Influenced by renal unit/staff	Influenced by individual resources
Cognitive reasons	Perceived close relationship with renal staff	Strong personal support network
	Perception of consistent renal unit support	Well-developed self-efficacy
	Feeling well-informed about ESRD and treatment	Positive illness perceptions
	Feeling in control of ESRD and treatment	Ability to recognise unhelpful thoughts
Behavioural reasons	Able to express feelings of distress to staff	Able to discuss emotions with family/friends
	Able to share experiences with other patients	Use of adaptive coping techniques
	Effective coping strategies developed with support from the renal unit	Able to sustain family and social relationships
	Gained confidence from increased knowledge and understanding about ESRD and treatment	Able to maintain hobbies, activities and interests

ISSN: 1472-6963