DOI QR코드

DOI QR Code

Impact of Uncertainty on Resilience in Cancer Patients

암환자의 질병에 대한 불확실성이 극복력에 미치는 영향에 관한 연구

  • Received : 2012.05.01
  • Accepted : 2012.06.07
  • Published : 2012.06.30

Abstract

Purpose: This study was designed to identify the impact of uncertainty degree and uncertainty appraisal on cancer patients resilience. Methods: A sample of 181 patients with cancer was recruited from a hospital in Incheon. Data were collected from May 20 to August 25, 2011. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient and multiple regression with the SPSS/WIN 12.0 program. Results: The resilience for cancer patients showed a significant relationship with uncertainty degree and uncertainty appraisal. The significant factors influencing resilience were uncertainty degree and uncertainty appraisal, they explained 26.5% of the variance. Conclusion: Patients with cancer were adversely affected by uncertaint which led to a negative effect on resilience. The result suggests that intervention programs to reduce the level of uncertainty among patients could improve the resilience of cancer patients.

References

  1. The Korea Central Cancer Registry, National Cancer Center. Annual report of cancer statistics in Korea in 2008, Ministry of Health and Welfare 2010.
  2. Vargens OM, Bertero CM. Living with breast cancer: its effect on the life situation and the close relationship of women in Brazil. Cancer Nurs 2007;30:471-8.
  3. Kim YJ, Lee KJ. Relationship of social support and meaning of life to suicidal thoughts in cancer patients. J Korean Acad Nurs 2010;40:524-32.
  4. Cappiello M, Cunningham RS, Knobf MT, Erdos D. Breast cancer survivors: information and support after treatment. Clin Nurs Res 2007;16: 278-93.
  5. Koo BJ. The development and effect of longotherapy-based resilience promotion program for gynecologic cancer women [dissertation]. Seoul: Korea Univ.;2008.
  6. Haase JE. The adolescent resilience model as a guide to intervensions. J Pediatr Oncol Nurs 2004;21:289-99.
  7. Kinsel B. Resilience as adaptation in older women. J Women Aging 2005; 17(3):23-39.
  8. Sammarco A, Konecny LM. Quality of life, social support, and uncertainty among Latina breast cancer survivors. Oncol Nurs Forum 2008; 35:844-9.
  9. Yang NY, Kim MJ. Concept analysis of uncertainity related to illness. J Korean Gerontol Nurs 2002;4:187-94.
  10. Mishel MH, Sorenson DS. Uncertainty and gynecological cancer: a test of the mediating function of mastery and coping. Nurs Res 1991;40:67-171.
  11. Lee EK, Ryu EJ, Kim KH. Structual equation modeling on adjustment of cancer patients receiving chemotherapy. J Korean Oncol Nurs 2011; 11:101-7.
  12. Ahn HJ, Tae YS, Han YI. The relationship between spiritual health and uncertainty in cancer patients having chemotherapy. J Korean Oncol Nurs 2007;7:107-18.
  13. Lee MS. A study on uncertainty and nursing need of cancer patients according to the phases of illness [dissertation]. Daegu:Kyungpook National Univ.;2005.
  14. Lee IS. Uncertainty, appraisal and quality of life in patients with breast cancer across treatment phases [dissertation]. Seoul:Yonsei Univ.;2005.
  15. Hong SK. Concept development of resilience: focusing on cancer patients. J Korean Acad Soc Nurs Edu 2009;15:109-19.
  16. Jean YE. Resilience on the therapeutic process of cancer patients who receive chemotherapy [dissertation]. Seoul:Korea Univ.;2008.
  17. Tegner I, Fox J, Philipp R, Thorne P. Evaluating the use of poetry to improve well-being and emotional resilience in cancer patients. J Poetry Ther 2009;22:121-31.
  18. Sammarco A. Perceived social support, uncertainty, and quality of life of younger breast cancer survivors. Cancer Nurs 2001;24:212-9.
  19. Yoo KH. An exploratory study of factors affecting on adaptation to uncertainty in rheumatoid arthritis patients. J Rheumatol Health 2001;8: 230-49.
  20. Yoo KH. A correlational study on uncertainty, mastery and appraisal of uncertainty in hospitalized children's mothers. J Korean Acad Nurs 2007; 37:594-602.
  21. Mishel MH. Uncertainty in illness. Image J Nurs Sch 1988;20:225-32.
  22. Chung CW, Kim MJ, Rhee MH, Do HG. Functional status and psychosocial adjustment in gynecologic cancer patients receiving chemotherapy. Korean J Women Health Nurs 2005;11:58-66.
  23. Wagnild GM, Young HM. Development and psychometric evaluation of resilience scale. J Nurs Meas 1993;1:165-78.
  24. Song YS. Determinants of resilience of the physically disabled at home [dissertation]. Busan:Kosin Univ.;2004.
  25. Cohen C. A power primer. Psychological Bulletin 1992;112:155-9.
  26. Koo JY. Uncertainty and quality of life in ostomates with colorectal cancer patients [dissertation]. Seoul:Yonsei Univ.;2008.
  27. Kim SE. The influence of preoperative uncertainty upon anxiety [dissertation]. Seoul:Hanyang Univ.;2006.
  28. Mishel MH. Perceived uncertainty and stress in illness. Res Nurs Health 1984;7:163-71.
  29. Lee MJ. Uncertainty, appraisal of uncertainty and health-related quality of life in recovering clients discharged from hospital after CABG [dissertation]. Seoul:Ewha Womans Univ.;2009.
  30. Han MR. Resilience, social support, spirituality in wives of alcoholics. [dissertation]. Seoul:Yonsei Univ.;2004.