An Exploratory Study of Hope Structures of the Newly Diagnosed Cancer Patients

진단 초기 암환자의 희망구조 파악을 위한 탐색적 연구

  • 박문경 (경인여자대학 간호과) ;
  • 김달숙 (충남대학교 간호대학 간호학과)
  • Received : 2009.06.12
  • Accepted : 2009.07.29
  • Published : 2009.08.31


Purpose: This study was to explore the hope structures of the newly diagnosed cancer patients by examining the relationships between hope and the three concepts of 'Personal Spirit', 'Risk' and 'Authentic Caring' which composed the multidimensions of the Nekolaichuk and Bruera's hope model. Methods: Data was collected via survey from 32 newly diagnosed cancer patients. The perceived meaning of life (PML) for 'personal spirit', perceived confidence in cure (PCC) for 'risk', and perceived family support (PFS) and perceived support from medical team (PSM) for 'authentic caring' were adapted from the definitions of the concepts in the model. Hope, PML, and PCC were measured with VAS. PFS and PSM were measured with Korean version of 'Cobb's family support scale', which was modified by Kang. Pearson correlation coefficients were used to identify the relationships among the concepts. Results: The significant relationships were revealed between hope and PCC (p<.001), hope and PML (p<.001), PML and PCC (p<.001), PFS and PML (p=.030), and PSM and PML (p=.047). Conclusion: The newly diagnosed cancer patients experience hope in different ways. The cancer patients' hope immediate after diagnosis, however, is most likely to be experienced as seeking balance between uncertainty about cancer treatment and the meaning of life.


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