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The Effect of Symptom Experience and Resilience on Quality of Life in Patients with Colorectal Cancers

대장암 환자의 증상경험과 극복력이 삶의 질에 미치는 효과

  • Received : 2012.01.05
  • Accepted : 2012.02.02
  • Published : 2012.02.29

Abstract

Purpose: This study aimed to investigate the influence of resilience and symptom experience on quality of life. Methods: Seventy five patients in an active treatment stage were recruited from 2 hospitals between October and December 2010. A survey including perceived health status, physical functional status, the symptom experience index, resilience, and the functional assessment of cancer therapy-colorectal (FACT-C) was completed. Results: The level of FACT-C was 86.61 (${\pm}18.91$), which was higher than for patients with colostomy, but lower than for patients in a rehabilitation stage. Participants without physical functional limitations showed higher level of both resilience and quality of life. Participants with bad health status showed a lower level of both resilience and quality of life and higher level of symptom experience. The quality of life was related to the level of resilience (${\beta}$=.373), symptom experience (${\beta}$=-.292), and perceived health status (${\beta}$=-3.961). Conclusion: Proactive nursing approaches to manage symptoms and to improve perceived health status would enhance the quality of life of colorectal cancer patients. Furthermore, various strategies to strengthen the level of resilience should be developed.

Acknowledgement

Supported by : 중앙대학교

References

  1. National Cancer Information Center. National cancer statistics. Available at: http://www. cancer.go.kr/cms/statics/survival_rate/index.html [accessed on 2 October 2011].
  2. Ministry for Health, Welfare and Family Affairs. Annual report of national cancer registration project (The cancer statistics in 2009). Available at: http://stat.mw.go.kr [accessed on 10 October 2011].
  3. Hwang DY. The Secret of 1.5meters. Seoul:The Early Morning Publisher;2003.
  4. Ferrell B, Wisdom C, Werize C. Quality of life as outcome variable in the management of cancer pain. Cancer 1989;63:2321-7. https://doi.org/10.1002/1097-0142(19890601)63:11<2321::AID-CNCR2820631142>3.0.CO;2-T
  5. Contrim H. Impact of colorectal cancer on patient and family: Implica tion for care. Eur J Oncol Nur 2008;12:217-26. https://doi.org/10.1016/j.ejon.2007.11.005
  6. Park HM, Ha NS. Influencing predictors of quality of life in colorectal cancer patient with colostomy. Clin Nurs Res 2006;12:123-31.
  7. Garmezy N. Children in poverty: resilience despite risk. Psychiatry 1993;56:127-36. https://doi.org/10.1080/00332747.1993.11024627
  8. Kim HS. The concept development of the resilience [dissertation]. Seoul: Chung-Ang Univ.;1996.
  9. Kadner KD. Resilience: responding to adversity. J Psychosocial Nurs & Men Health Ser 1989;27:20-59.
  10. Wagnid G, Young HM. Development and psychometric evaluation of the resilience scale. J Nurs Measurement 1993;1:165-78.
  11. Strauss B, Brix C, Fischer S, Leppert K, Fuller J, Roehrig B, et al. The influence of resilience on fatigue in cancer patients undergoing radiation therapy (RT). J Cancer Res Clin Oncol 2007;133:511-8. https://doi.org/10.1007/s00432-007-0195-z
  12. Hasse J. The adolescents resilience model as a guide to interventions. J Pediatr Oncol Nurs 2004;21:289-99. https://doi.org/10.1177/1043454204267922
  13. Sim MK. Influence of resiliency factors on adaptation in families of children with cancer. J Korean Acad Child Health Nurs 2004;10;383-94.
  14. Shin YH, Sim MK, Kim TI. Resilience and health-related quality of life in children with chronic illness. J Korean Acad Child Health Nurs 2006;12:295-303.
  15. Shin HW, Lee JH. A correlation study on the resilience of children with cancer and their mothers. J Korean Oncol Nurs 2008;8:24-31.
  16. Moon JR, Jung YY, Huh J, Kang IS, Park SW, Yang JH, et al. Relationship between depression and resilience in adolescents with congenital heart disease. Korean J Pediatr 2006;49:523-8. https://doi.org/10.3345/kjp.2006.49.5.523
  17. Lee IS, Park YS, Song MS, Lee EO, Kim HS, Park YH, et al. A Study on the development of the Korean family resilience scale. J Korean Acad Nurs 2002;32:560-9. https://doi.org/10.4040/jkan.2002.32.4.560
  18. Lee EK. A study on factors affecting cancer patients. J Korean Acad Soc Nurs Edu 2007;13:52-8.
  19. Jun YI. Resilience on the therapeutic process of cancer patients who receive chemotherapy [dissertation]. Seoul:Korea Univ.;2008.
  20. Shin SJ, Jung DY, Hwang EH. Concept analysis of resilience in patients with cardiovascular diseases. J Korean Acad Nurs 2009;39:788-95. https://doi.org/10.4040/jkan.2009.39.6.788
  21. Fu M, McDaniel R, Rhodes V. Measuring symptom occurrence and symptom distress: development of the symptom experience index. J Ad Nur 2007;59:623-34. https://doi.org/10.1111/j.1365-2648.2007.04335.x
  22. Song YS. Determinants of resilience of the physically disabled at home [dissertation]. Busan:Kosin Univ.;2004.
  23. Ward W, Hahn E, Mo F, Hernandez L, Tulsky D, Cella D. Reliability and validity of the functional assessment of cancer therapy-colorectal (FACT-C) quality of life instrument. Qua Life Res 1999;8:181-95. https://doi.org/10.1023/A:1008821826499
  24. Kim H, Yoo HJ, Kim YJ, Han OS, Lee KH, Lee JH, et al. Development and validation of Korean functional assessment cancer therapy-general (FACT-G). Korean J Clin Psych 2003;22:215-29.
  25. Kim YJ, Yoo HJ, Kim JC, Han OS. Preoperative quality of life in rectal cancer patients: male vs female. Korean J Clin Psych 2003;22:743-62.
  26. Courneya K, Friedenreich C, Quinney H, Fields A, Jones L, Fairey A. A randomized trial of exercise and quality of life on colorectal cancer survivors. Eur J Cancer Care 2003;12:347-57.
  27. Han MR. Resilience, social support, spiritualty in wives of alcoholics [dissertation]. Seoul: Yonsei Univ.;2004.
  28. Kwon IG, Hwang MS, Kwon KM. Quality of life of the terminal cancer patients receiving home care nursing. J Korean Clin Nurs Res 2008;14:103-14.
  29. Yoon C, Joo HZ, Shin YD, Lee HM. A Study of the quality of life following after curative surgery for gastric cancer. J Korean Surg Soc 2001;60:405-12.