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The Effects of Hope Intervention on Hope and Depression of Cancer Patients Staying at Home (희망중재가 재가 암환자의 희망과 우울에 미치는 효과)

  • Shin, A-Mi;Park, Jeong-Sook
    • Journal of Korean Academy of Nursing
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    • v.37 no.6
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    • pp.994-1002
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    • 2007
  • Purpose: This study was to identify the effects of hope intervention on hope and depression of cancer patients staying at home. Methods: The study design was a randomized control group design. The subjects consisted of forty cancer patients randomly selected who were registered at S-Gu Public Health Center. Hope intervention, which was composed of hope assessment, hope objective setting, positive self identity formation, therapeutic relationships, spiritual & transcendental process improvement, positive environmental formation and hope evaluation, was provided from November 20, 2006 to January 26, 2007. Results: The 1-1 hypothesis, "The experimental group which received hope intervention will have a higher score of hope than the control group", was supported(t=-3.253, p= .003). The 1-2 hypothesis, "The experimental group which received hope intervention will have a higher level of hope index than the control group", was supported (t=-4.001, p= .000). Therefore the 1st hypothesis, "The experimental group which received hope intervention will have a higher level of hope than the control group" was supported. The 2nd hypothesis, "The experimental group which received hope intervention will have a lower level of depression than the control group", was not supported (t=1.872, p= .070). Conclusion: Hope intervention is an effective nursing intervention to enhance hope for patient with cancer.

The Concept Analysis of Hope : Among Cancer Patients Undergoing Chemotherapy (희망의 개념 분석 -항암화학요법을 받는 암환자를 대상으로-)

  • Song, Mi-Sun;Lee, Eun-Ok;Park, Yeong-Suk;Ha, Yang-Suk;Sim, Yeong-Suk;Yu, Su-Jeong
    • Journal of Korean Academy of Nursing
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    • v.30 no.5
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    • pp.1279-1291
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    • 2000
  • The main objectives of this study were to analyze the concept of hope, so to provide basic data to develop a valid instrument to measure hope, and to develop hope enhancing nursing intervention a program for cancer patients. The hybrid model approach was applied in three phases, the theoretical phase, the empirical phase, and the analytic phase. The study was developed on universal attributes explaining generalized hope and specific hope, which were revealed in a comprehensive review of the literature. In the empirical phase, eight cancer patients undergoing chemotherapy were interviewed to reveal causes, motivation, and their resource of hope according to The Hope Assessment Guide (Farren, Herth, & Popovich, 1995). In the analytical phase, the results of the two previous stages of the study were compared. The results were as follows : In the theoretical phase, six dimensions of hope emerged; affective, cognitive, behavioral, affiliative, temporal and contextual dimension. The antecedent of hope was loss, crisis, uncertainity, and stress. The consequences were renewal, development of new methods, safety, peace and transcendental competence. In the empirical phase, these six dimensions emerged as theoretical phases were verified and specified as these descriptive terms: feeling, intention, expectation, activity, relation, future- orientation, reality and goal-setting. The antecedent factor of hope was occurrence or recurrence of cancer. The consequence of hope was ability to cope with real condition, feeling of safety and comfort, peace, development of new strategy and recovery of disease. The major content of hope in this phase was related to specific hope, but it was also influenced on by general hope. In the analytic phase, general and specific hope was renamed as trait and state hope. All attributes emerged at the empirical phases, and also emerged at the theoretical phase. However, cognitive and contextual dimensions were revised and specified. In conclusion, the concept of hope is divided into trait hope and state hope, and state hope is an anticipatory expectation that occurs at the time of a stressful stimulus, such as being diagnosed with cancer. Hope is a multidimensional dynamic energized mental state which has the dimensions of affective, cognitive, behavioral, affiliative, temporal and contextual. There should be further studies to develope the state and trait hope scale according to definition and attributes of hope investigated in this study. In addition, considering results of the empirical phase, the family is very a important factor as a resource of hope, so it is necessary to consider family in implementing a nursing intervention program to enhance hope.

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The Effects of Hope Intervention on the Hope and Quality of Life of Cancer Patients Staying at Home and Cared in Public Health Center (희망중재가 보건소 관리 재가 암환자의 희망과 삶의 질에 미치는 효과)

  • Kim, Chung-Nam;Shin, A-Mi;Park, Kyung-Min;Park, Myong-Hwa;Kim, Yeong-Ah
    • Journal of Korean Academy of Community Health Nursing
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    • v.19 no.2
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    • pp.177-187
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    • 2008
  • Purpose: This study was to identify the effects of hope intervention on the hope and quality of life of cancer patients staying at home. Method: The study adopted the randomized control group design. The subjects consisted of randomly selected forty cancer patients who were registered at S-Gu Public Health Center. Hope intervention which was composed of hope assessment, positive self identity formation, hope objective setting. therapeutic relationship and spiritual & transcendental process improving, and hope evaluation was provided from October 22, 2007 to November 30, 2007. Result: Hypothesis 1-1 "The experimental group that received hope intervention will have a higher score of hope than the control group", was supported(t=-3.108, p=.004). Hypothesis 1-2 "The experimental group that received hope intervention will have a higher level of hope index than the control group". was supported(t=-4.219. p=.000). Therefore, Hypothesis 1 "The experimental group that received hope intervention will have a higher level of hope than the control group" was supported. Hypothesis 2 "The experimental group that received hope intervention will have a higher level of quality of life than the control group", was not supported(t=-1.726, p=.092). Conclusion: Hope intervention is an effective nursing intervention to enhance hope for patients with cancer staying at home.

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The Nature of Hope among Iranian Cancer Patients

  • Afrooz, Rashed;Rahmani, Azad;Zamanzadeh, Vahid;Abdullahzadeh, Farahnaz;Azadi, Arman;Faghany, Safieh;Pirzadeh, Asgar
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.21
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    • pp.9307-9312
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    • 2014
  • Background: Hope is an important coping resource for cancer patients. Types and sources of hope and hope-inspiring strategies are not well investigated among Iranian cancer patients. The aims of present study were therefore to investigate the nature of hope and some demographic predictors of hope among Iranian cancer patients. Materials and Methods: This descriptive-correlational study was undertaken among 200 cancer patients admitted to an educational center affiliated to Ardabil University of Medical Sciences, Iran. Participants were selected using a convenience sampling method. The Herth Hope Index and other validated questionnaires were used to investigate level of hope and types and sources of hope, as well as hope-inspiring strategies. Data were analyzed using SPSS statistical software. Results: The overall score for hope was 31 from total scores ranging between 12 and 48. Some 94% of patients mentioned 'return to normal life' and 'complete healing of disease by drugs and physicians' as their main hopes. The most important sources of hope reported by patients include spiritual resources, family members, healthcare workers, and medicines and treatments available for the disease. Relationship with God, praying/blessing, controlling the signs and symptoms of the disease, and family/health care workers' support were the main hope-inspiring strategies. Patients who had a history of metastasis, or who were older, illiterate, divorced/widowed and lived with their children reported lower levels of hope. On the other hand, employed patients and those with good support from their families had higher levels of hope. Conclusions: The study findings showed moderate to high levels of hope among Iranian cancer patients. Accordingly, the role of spiritual/religion, family members and health care workers should be considered in developing care plans for these patients.

Influences of Perceived Treatment Effect and Perceived Physical Suffering on Hope of Cancer Patients in Post-operative Period (치료 효과 감지정도와 신체적 고통 감지정도가 수술직후 암환자의 희망에 미치는 영향)

  • Ahn, Seong-Yoon;Kim, Dal-Sook
    • Korean Journal of Adult Nursing
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    • v.15 no.1
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    • pp.78-87
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    • 2003
  • Purpose: The purposes of the study were 1) to examine what relationships exist between PTE(perceived treatments effect) and PPS (perceived physical suffering) as the independent variables and hope as the dependent variable and 2) to examine whether PTE and PPS predict hope in cancer patients in their post-operative period within the Stotland's hope theory. Method: The Visual Analog Scale was used for measuring PTE and PPS and the Kim & Lee's Hope Scale which had acceptable reliability and validity was used for measuring hope. The data was collected from 38 hospitalized cancer patients who were in the post-operative period with a convenient sampling method. Result: There was a significant positive relationship between hope and the PTE in the low PTE group. There was a significant negative relationship between hope and the PPS in the low PPS group. There were no significant relationships between hope and the PTE in the high PTE group, and between hope and the PPS in the high PPS group. And the PTE explained hope with 71.2% of the variance in the low PTE group. Conclusion: PTE in the low PTE group and PPS in the low PPS group were identified as the factors to explain hope.

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Influencing Factors on Hope Among Patients with Breast Cancer (유방암 환자의 희망 영향요인)

  • Tae, Young-Sook;Kim, Mi-Yea
    • Asian Oncology Nursing
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    • v.9 no.2
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    • pp.86-94
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    • 2009
  • Purpose: This study was aimed to identify the influencing factors on hope in the patients suffering with breast cancers. Methods: The subjects were 150 women who were diagnosed with breast cancer at three university hospitals and a general hospital. Data collection was conducted by hope scale, family support scale, self esteem scale, depression scale, pain scale, and fatigue scale. The collected data were analyzed using frequency, percentage, t-test, ANOVA, Pearson's correlation coefficients, and stepwise multiple regression. Results: Level of hope in the participants was high. There were a significant correlation among hope, family support, effects of religion, self esteem, depression, pain and fatigue. There were significant differences in hope by the age, education level, and cost burden. The most powerful predictor of hope was self esteem (38.2%). Altogether family support, effects of religion, depression, and fatigue explained 50.4% of hope of the participants. Conclusion: The findings of the study suggested that the concepts of self esteem, family support, effects of religion, depression and fatigue should be considered important factors in developing hope promoting program for breast cancer patients.

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A Study on the Relationship between Hope and Self-Care Agency in Hemodialysis Patients (혈액투석환자의 희망과 자가간호역량과의 관계)

  • Han, Kyung-Hye;Kim, Myung-Hee
    • The Korean Journal of Rehabilitation Nursing
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    • v.4 no.2
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    • pp.137-145
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    • 2001
  • This study examined and identified the relationship between the level of hope and self-care agency in hemodialysis patients. The purpose of the study was to reveal that hope is an essential factor to enhance self-care agency and to prepare the basic materials to help nurse the patients. The subjects for this study consisted of 108 persons who undergoing hemodialysis from 2 hospital, 2 hemodialysis center in Pusan, Korea. The degree of hope was measured by the questionnaire that has been developed by Miller. The self-care agency was measured by the questionnaire that has been developed by Kearney B.Y & Fleisher B.J. The collected data were analyzed by descriptive statistics and t-test. one-way ANOVA and Pearson's Correlation Coefficient with SPSS WIN program. Results were obtained as follows: 1) The mean scores of hope were $131.77{\pm}25.77$(range 67-195). The rate of hope classified said that the lowest hope was 2.8% and low hope was 27.8%. 2) The mean scores of self-care agency were $143.78{\pm}23.63$(range 74-187). The degree of self-care agency classified said that the rate of self-care agency deficiency was 0.9% and low self-care agency was 12.0%. 3) The hope was significantly related to self-care agency. That is, the higher the hope score was, the higher the level of self-care agency score(r=0.668,p=0.001) was. In this result, there were hemodialysis patients who have very low hope score and self-care agency score. In this cases self-care agency can be increased by encouraging the patients to be more hopeful. Conclusively nurses should access the degree of hope and self-care agency of hemodialysis patients individually and apply the hope therapy in order that the patient have higher hope than before.

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The Influence of Family Support on Hope of the Patients with Stroke (가족지지가 뇌졸중 환자의 희망에 미치는 영향)

  • Kim Mi-Hee
    • The Journal of Korean Academic Society of Nursing Education
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    • v.5 no.2
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    • pp.191-205
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    • 1999
  • The purpose of this study is to identify the influence of family support on hope of the patients with stroke. Subjects were 53 in-patients with stroke in two general hospitals and one oriental medicine hospital located in Seoul and Kwang-Ju. The instruments used for this study : The family support scale developed by Kang Hyun Suk(1985). The hope scale developed by Nowotny(1989). The Data were analyzed with descriptive statistics, t-test, ANOVA. Pearson's correlation and simple regression. Data had been collected from December 24, 1998 to January 31, 1999. The results of this study were as follows The mean score of family support was 43.94 and the mean score of the hope was 80.89. The relationship between family support and the hope of the patients with stroke revealed a significant correlation (r= .560, p= .0001). The variables influencing family support and the hope of the patients with stroke were as follows : There was significant difference between family support and general characteristic factor, which was family chief caregiver (p= .002). There was no significant difference between hope and general characteristic factors. but There were significant differences between one of the subscales of hope, 'confidence in the outcome' and general characteristic factors, which were age(p= .021), perceived disability effect(p= .027). There were significant differences between one of the subscales of hope 'possibility of future', and general characteristic factors, which were age(p= .016), education(p= .018). There was significant difference between one of the subscales of hope. 'spiritual belief', and general characteristic factors, which was religion(p= .002). There was significant difference between one of the subscales of hope, 'active involvement', and general characteristic factors, which was family chief caregiver (p= .012). It was found that the higher the degree of perceived family support, the higher the degree of hope. Clearly, the perceived family support can contribute significantly and positively to hope of the patients with stroke. Therefore, nurses should plan interventions to inspire hope level of patients with stroke by family support. The above results may be used as the basic data to seek more efficient way of elevating nursing practice and qualify for the patients with stroke.

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Relationship of Spiritual Well-being, Hope on Fatigue in Cancer Patients on Chemotherapy (항암화학요법을 받는 종양 환자의 영적 안녕, 희망이 피로에 미치는 영향)

  • Jun, So Yeun;Ko, Il Sun
    • Korean Journal of Adult Nursing
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    • v.24 no.6
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    • pp.557-568
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    • 2012
  • Purpose: This was a correlation study to identify the relationship of spiritual well-being, hope on fatigue in cancer patients on chemotherapy. Methods: The subjects completed structured questionnaires: the 'Spiritual Well-being Scale', developed by Paloutzian & Ellison, 'Hope Scale', developed by Kim & Lee and 'Fatigue Scale', developed by Mendoza et al. Data were collected from 120 patientsat two general hospitals and were analyzed using t-test, ANOVA & Sheffe's test, Pearson's correlation coefficients and multiple stepwise regression. Results: Participants with higher fatigue had lower scores for hope (r=-.36, p<.001) and lower scores for spiritual well-being (r=-.23, p=.011). Participants with higher scores for hope had higher scores for spiritual well-being (r=.61, p<.001). The factors seen as contributing to fatigue were hope, financial burden of treatment, period of religious life, living with spouse, and reported pain. These variables explained 32.3% of the variance in fatigue. Hope with 13% was the most influential. Conclusion: The fatigue of the cancer patients on chemotherapy can be reduced if hope is improved, and hope can be improved if the spiritual well-being is improved. Therefore, we suggest developing a nursing intervention program that leads to improve hope and spiritual well-being of the cancer patients on chemotherapy for reducing fatigue.

The Association between Hope and Quality of Life among Adolescents with Chronic Diseases: A Systematic Review

  • Mardhiyah, Ai;Philip, Koshy;Mediani, Henny Suzana;Yosep, Iyus
    • Child Health Nursing Research
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    • v.26 no.3
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    • pp.323-328
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    • 2020
  • Purpose: Hope has been identified as a protective factor that contributes to achieving a better quality to life, especially in patients with chronic disease. The purpose of this review was to synthesize current knowledge about the relationship between hope and quality of life among adolescents living with chronic illnesses. Methods: We searched major English-language databases (PsycINFO, PubMed, and CINAHL) for studies from January 1, 2002 to July 12, 2019. Studies were included if they provided data on hope and its relationship with quality of life among adolescents with chronic diseases. Results: In total, five articles were selected from the 336 studies that were retrieved. All five studies reported a positive correlation between hope and quality of life, such that people with a higher level of hope had a better quality of life. Hope was found to have direct and indirect effects on quality of life in adolescents with chronic diseases. Conclusion: Healthcare professionals should make more efforts to enhance hope in adolescents with chronic diseases in order to improve their quality of life. Future studies exploring how hope develops in adolescents with chronic diseases and the long-term impact of hope on quality of life are necessary.