A Study to the Coping Patterns of Cancer Patients

암환자의 대처양상에 관한 연구

  • 김복련 (부산 성분도 병원 간호부) ;
  • 김영혜 (부산대학교 의과대학 간호학과) ;
  • 김정순 (부산대학교 의과대학 간호학과) ;
  • 정인숙 (부산대학교 의과대학 간호학과) ;
  • 김주성 (부산대학교 의과대학 간호학과)
  • Published : 2003.06.01

Abstract

Purpose: This was to describe the emotions that patients face when diagnosed with cancer to know the problems and coping styles that cancer patients experience during the treatment. Method: The qualitative method was used for this study. The participants were 90 cancer patients at five general hospital in Pusan, Korea. Data were collected by interviews with a semi-structured questionnaire from November 2000 to June 2001, and were analyzed using the modified constant comparative method. Result: The most common emotions on the diagnosis of cancer were shock(36.7%), followed by despair(25.6%), acceptance(24.4%), denial(l8.9%), complaint(16.7%), and fear(8.9%). The problems identified were the unpleasantness and physical discomfort related with the treatment(50.0%), the feelings of burden(41.1%), finance/occupation(38.8%), and fear of the future(26.6%). Coping styles to problems that the subjects have faced on the course of the treatment were compliance(36.6%), health care(31.l %), positive thinking(22.2%), despair/avoidance( 15.5%), seeking social support( 6.6%), information seeking(3.3%) and self-control(2.2%). Conclusion: It is very important to develop nursing interventions which can mitigate shock that patients experience, can help cancer patients to have hope for the future and to positively cope with cancer.

Keywords

References

  1. Billings, A. G., & Moor, R. H. (1981), The role of coping responses and social resources in attenuating the stress of life events, J Behav Med, 4(2), 139-157 https://doi.org/10.1007/BF00844267
  2. Chenitz, W. C., & Swanson, J. M. (Eds.), (1986) From practice to grounded theory: Qualitative resarch in nursing. Menlo Park, CA: Addison-Wesley
  3. Cho, O. H. (2000). Uncertainty, Anxiety and coping with mastectomy for breast concer, J Korean Acad Adult Nurs, 30(4), 1006-1017
  4. Choi, E. S. (1993). Perceived uncertatinty and coping pattern and hope of coner patients about illness. Unpublished master's thesis., Kyung-book National University, Daegu
  5. Derogatis, L. R., & Melisaratos, N. (1979). Psycholgical Coping Mechanisms and Survival time in Metastatic Breast cancer, JAMA, 242(14), 1504-1508 https://doi.org/10.1001/jama.242.14.1504
  6. Felton, B. J., & Revenson T. A. (1984). Coping with chronic illness : A study of illness controllability and influence of coping strategies on psychological adjustment. J Consult Clin Psychol. 52(3), 343-353 https://doi.org/10.1037/0022-006X.52.3.343
  7. Forester, B. M., Kornfeld, D. S., & Fleiss, J. (1978), Psychiatric aspects of radiotherapy. Am J Psychiatry, 135, 960-963
  8. Frank-Stromborg, M., Wright, P. S., Segalla, M., & Diekmann, J. (1984), Psychological impact of the cancer diagnosis. Oncal Nurs Forum, 13(3), 16-22
  9. Han, K. S. (1991). A study on coping patterns and depression in mastectomy, Unpublished master's dissertation, Yonsei University, Seoul
  10. Heinrich, R. L., Schag, C. C., & Ganz, P. A. (1984). Living with cancer : The cancer inventory of problem situations. J Clin Psychol, 40(4), 972-980
  11. Hinton, J. (1999), The progress of awareness and acceptance of dying assessed in cancer patients and their caring relatives, Palliat Med, 13, 19-35
  12. Kang, K. A., & Oh, P. J. (2000). A correlation study of suffering, burden and meaning of life in cancer patients, J Korean Acad Adult Nurs, 30(2), 331-339 https://doi.org/10.4040/jkan.2000.30.2.331
  13. Kim, J. K. (1991), A study on the coping patterns and state anxiety on cancer patiednts. Unpublished master's dissertation, Yonsei University, Seoul
  14. Koh, K. B., & Kim, S. T. (1988). Coping strategy of cancer patients. J Krean Neuropsychiatric Ass, 27(1), 140-149
  15. Koh, K. B., & Kim, K. U. (1990). A comparison of psychopathology between cancer patients on radiotherapy and non-cancer patients. J Korean Neuropsychiatric Ass, 29(3), 662-667
  16. Ko, S. H. (1978). A comparative study on stress and coping methods of psychiatric patients and non-psychiatric peoples. Unpublished master's dissertation, Ewha Wemen Universtiy, Seoul
  17. Korea National Statistical Office. (2001). The statistical outcome of chief causer of death in 2000. http://www.nso.go.kr/
  18. Kristjanson, L. K., & Ashcroft, T. (1994). The family's cancer journey: A literature review/ Cancer Nurs, 17(1), 1-17
  19. Krause, K. (1993). Coping with Cancer. West J Nurs Res. 15(1), 31-43 https://doi.org/10.1177/019394599301500103
  20. Krouse, H., & Krouse J. H. (1982). Cancer as crisis, The Critical element of adjustmnet. Nurs Res, 31(2), 96-101
  21. Kubler-Ross, E. (1969). On Death and Dying. NY:MacMillan Co
  22. Lee, O. J. (1995). Lived Experience of Patients with Terminal Cancer : Parses Human Becoming Methodology. Unpublished master's dissertation, Ewha Wemen Univesity, Seoul
  23. Miller, J. F. (1983). Coping with chronic Illness: Overcoming Powerlessness. Philadelphia, FA Davis
  24. Min, S. (1987). A study of relationship between spiritual correlationship and anxiety of cancer patients-Based on admission patients for drug therapy. Unpublished master's dissertation, Ewha Wemen Univesity, Seoul
  25. Pearl in, L. I., & Schooler, C. (1978). The structure of coping. J Health Soc Behav, 19(1), 2-21
  26. Perry, G. R. (1990). Loneliness and coping among tertiary-level adult cancer patients in the home. Cancer Nurs, 13(5), 293-302
  27. Song, M. S., Lee, E. O., Park, Y. S., Hah, Y. S., Shim, Y. S., & Yu, S. J. (2000). The concept analysis of hope : among cancer patients undergoing chemotherapy. J Korean Acad Adult Nurs, 30(5), 1279-1290
  28. Tae, Y. S. (1994). A study on Hope of Korean cancer patients. Unpublished doctoral dissertation, Ewha Wemen Univesity, Seoul
  29. Yang, Y. H. (1998). The comparison of the coping patterns of cancer patients and their caregivers according to the phase of illness. J Korean Acad Adult Nurs, 28(4), 970-979