Relationships among Uncertainty, Distress, and Quality of Life in Lung Cancer Patients: Mediating effect of Resilience

폐암 환자의 불확실성과 디스트레스가 삶의 질에 미치는 영향: 극복력의 조절효과

  • Lee, Jungah (Dongnam Inst. of Radiological & Medical Science) ;
  • Kim, Minju (Department of Nursing, Dong-A University College of Medicine)
  • 이정아 (동남권원자력의학원) ;
  • 김민주 (동아대학교 의과대학 간호학과)
  • Received : 2018.06.18
  • Accepted : 2018.07.31
  • Published : 2018.08.31


Purpose: The purposes of this study were to examine health-related quality of life and to identify the mediating effect of resilience on the relationship among uncertainty, distress, and health-related quality of life in lung cancer patients. Methods: A total of 149 lung cancer patients visiting the D hospital in B city completed a questionnaire, including demographic and disease-specific characteristics, uncertainty, distress, resilience, and health-related quality of life. Data were analyzed with descriptive analysis, t-tests, ANOVA, and multiple regression analyses via SPSS 24. Results: Health-related quality of life was $81.00{\pm}21.39$ (range 0~136) in lung cancer patients. In the results of hierarchical regression analyses, the health-related quality of life was associated with education, uncertainty, distress, and resilience. However, there was no mediating effect of resilience on the relationship among uncertainty, distress, and health-related quality of life. Conclusion: Lung cancer patients with high uncertainty and distress and low resilience could experience low health-related quality of life. In order to reduce uncertainty and distress, it is necessary to provide more detailed, systematic information and support, while reinforcing positive thinking.


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