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April 24, 20260 citationsOpen Access

Stress Coping Strategies in Patients With Psychosomatic Disorders and the Nurse's Role in Stress Reduction

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VAVirbalienė AkvilėKlaipėda UniversityKKKontirmienė KarolinaKlaipėda UniversityIEIvanauskienė Evelina

Key Points

  • This research aims to explore stress coping characteristics in patients with psychosomatic disorders and evaluate the contributions of nurses in mitigating stress.
  • Conducted a quantitative descriptive study using an online questionnaire.
  • Collected data from 332 hospital inpatients using the Perceived Stress Scale, Patient Health Questionnaire, and adapted Brief COPE questionnaire.
  • Analyzed the data with statistical methods.
  • Most psychosomatic symptoms reported were of low to moderate severity, including fatigue and sleep disturbances.
  • A significant link was found between higher stress levels and stronger psychosomatic symptoms.
  • Longer hospitalization correlated with increased symptom severity, highlighting the need for nursing support.

Abstract

Stress is a significant factor affecting both psychological and physical health, often manifesting as psychosomatic symptoms without a clear organic cause. In hospital inpatient settings, stress-related psychosomatic disorders may complicate treatment, prolong recovery, and worsen health outcomes. However, the integration of stress management into nursing care remains insufficiently developed. The aim of this study was to determine stress coping characteristics among patients with psychosomatic disorders and to evaluate the nurse’s role in reducing patients’ experienced stress. A quantitative descriptive study was conducted using an online questionnaire. The final sample consisted of 332 respondents who had been treated in hospital inpatient departments. Data were collected using the Perceived Stress Scale (PSS-10), the Patient Health Questionnaire (PHQ-15), and an adapted Brief COPE questionnaire, and analyzed using statistical methods. The results showed that psychosomatic symptoms were mostly of low to moderate severity, with fatigue, sleep disturbances, headache, and dizziness being the most common. A significant association was found between higher stress levels and stronger psychosomatic symptom expression. Longer hospitalization was also related to increased symptom severity. Patients emphasized the importance of both personal involvement and nursing support in coping with stress. The nurse’s role was identified as multidimensional, including emotional support, information provision, motivation, and communication. The findings highlight the need for a holistic, patient-centered approach integrating stress management into nursing practice to improve patient outcomes.

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Cite This Study

Akvilė et al. (2026) studied this question.

synapsesocial.com/papers/69eb0a94553a5433e34b4a2chttps://doi.org/10.5281/zenodo.19695772
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