Asian Pacific Journal of Cancer Prevention

Asian Pacific Journal of Cancer Prevention (아시아태평양암예방학회)
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The Nature of Hope among Iranian Cancer Patients

  • Afrooz, Rashed (Medical Surgical Department, Nursing and Midwifery Faculty, Tabriz University of Medical Sciences) ;
  • Rahmani, Azad (Hematology and Oncology Research Center, Tabriz University of Medical Sciences) ;
  • Zamanzadeh, Vahid (Medical Surgical Department, Nursing and Midwifery Faculty, Tabriz University of Medical Sciences) ;
  • Abdullahzadeh, Farahnaz (Medical Surgical Department, Nursing and Midwifery Faculty, Tabriz University of Medical Sciences) ;
  • Azadi, Arman (Public Health Department, Nursing and Midwifery Faculty, Ilam University of Medical Sciences) ;
  • Faghany, Safieh (Medical Surgical Department, Nursing and Midwifery Faculty, Tabriz University of Medical Sciences) ;
  • Pirzadeh, Asgar (Faculty of Medicine, Ardabil University of Medical Sciences)
  • Published : 2014.11.28
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Abstract

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.

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References

  1. Abdi N, Taghdisi MH, Nagdi S (2007). The effects of hope promoting interventions on cancer patients. A case study in Sanandaj, Iran. J Armagan Danesh, 14, 14-21. (Persian)
  2. Abdullah-Zadeh F, Agahosseini S, Asvadi-Kermani I, Rahmani A (2011). Hope in Iranian cancer patients. IJNMR, 16, 288-91.
  3. Abu-Helalah M, Al-Hanaqta M, Alshraideh H, Abdulbaqi N, Hijazeen J (2014). Quality of life and psychological well-being of breast cancer survivors in Jordan. Asian Pac J Cancer Prev, 15, 5927-36. https://doi.org/10.7314/APJCP.2014.15.14.5927
  4. Aghahosseini SS, Abdullah-zadeh F, Asvadi-Kermani I, Rahmani A (2010). The relation between awareness of cancer diagnosis and hope among cancer patients. J Med Ethics Hist Med, 3, 67-72 (in Persian)
  5. Aghahosseini SS, Rahmani A, Abdollahzadeh F, Asvadi KermaniI (2012). The relation between awareness of cancer diagnosis and spiritual health among cancer patients. J Caring Sci, 1, 67-72 (in Persian).
  6. Baljani E, Khashabi J, Amanpour E, Azimi N (2011). Relationship between spiritual wellbeing, religion, and hope among patients with cancer. Hayat, 17, 27-37 (in Persian).
  7. Ballard A, Green T, McCaa A, Logsdon MC. A comparison of the level of hopeInpatients with newly diagnosed and recurrent cancer. Oncol Nurs Forum, 24, 899-904.
  8. Baykal U, Seren S, Sokmen S (2009). A description of oncology nurses' working conditions in Turkey. Eur J Oncol Nurs, 13, 368-75.
  9. Benzein E, Norberg A, Saveman BI (2001). The meaning of the lived experience of hope in patients with cancer in palliative home care. J Palliat Med, 15, 117-126. https://doi.org/10.1191/026921601675617254
  10. Benzein E, Saveman B-I (1998). One step towards the understanding of hope: a conceptanalysis. Int J Nurs Stud, 35, 322-9. https://doi.org/10.1016/S0020-7489(98)00045-5
  11. Ben-Zur H, Gilbar O, Lev S (2001). Coping with breast cancer patient, spouse, and dyad models. J Psychol Med, 63, 32-9.
  12. Beres L (2002). Negotiating images: popular culture, imagination, and hope in clinical social work practice. J Citation Reports, 17, 429-47.
  13. Clayton JM, Butow PN, Arnold RM, Tattersall MH (2005). Fostering coping and nurturing hopewhendiscussing the future with terminally ill cancer patients and their caregivers. Cancer, 103, 1965-75. https://doi.org/10.1002/cncr.21011
  14. Cohen MZ, Ley CD (2000). Bone marrow transplantation: the battle for hope in the faceof fear. Oncol Nurs Forum, 27, 473-80.
  15. Cross A, Schneider M (2010). A preliminary qualitative analysis of the impact of hopeon stroke recovery in women. Top Stroke Rehabil, 17, 484-95. https://doi.org/10.1310/tsr1706-484
  16. Denewer A, Farouk O, We'am Mostafa KE (2011). Social support and hope among Egyptian women with breast cancer after mastectomy. Breast Cancer, 5, 93-103.
  17. Duggleby WD, Degner L, Williams A, et al (2007). Living with hope: initial evaluationof a psychosocial hope intervention for older palliative home care patients. J Pain Symptom Manage, 33, 247-57. https://doi.org/10.1016/j.jpainsymman.2006.09.013
  18. Duggleby WD, Ghosh S, Cooper D, Dwernychuk L (2013). Hope in newly diagnosed cancer patients. J Pain Symptom Manage, 46, 661-70. https://doi.org/10.1016/j.jpainsymman.2012.12.004
  19. Duggleby WD, Wright K (2004). Elderly palliative care cancer patients' descriptions ofhope-fostering strategies. Int J Palliat Nurs, 10, 352-9. https://doi.org/10.12968/ijpn.2004.10.7.14577
  20. Eaton L (2003). World cancer rates set to double by 2020. BMJ, 326, 728. https://doi.org/10.1136/bmj.326.7392.728
  21. Eliott JA, Olver IN (2007). Hope and hoping in the talk of dying cancer patients. Soc Sci Med, 64, 138-49. https://doi.org/10.1016/j.socscimed.2006.08.029
  22. Felder BE (2004). Hope and coping in patients with cancer diagnoses. Cancer Nurs, 27, 320-4. https://doi.org/10.1097/00002820-200407000-00009
  23. Feuz C (2012). Hoping for the best while preparing for the worst: A literature review of the role of hope in palliative cancer patients. J Medical Imaging Radiation Sciences, 43, 168-74. https://doi.org/10.1016/j.jmir.2011.10.002
  24. Hann D, Baker F, Denniston M, et al (2002). The influence of social support ondepressive symptoms in cancer patients: age and gender differences. J Psychosom Res, 52, 279-83. https://doi.org/10.1016/S0022-3999(01)00235-5
  25. Herth K (1992). Abbreviated instrument to measure hope: development and psychometric evaluation. J Adv Nurs, 17, 1251-9. https://doi.org/10.1111/j.1365-2648.1992.tb01843.x
  26. Holt J (2000). Exploration of the concept of hope in the Dominican Republic. J Adv Nurs, 32, 1116-25. https://doi.org/10.1046/j.1365-2648.2000.01582.x
  27. Juvakka T, Kylma J (2009). Hope in adolescents with cancer. Eur J Oncol Nurs, 13, 193-9. https://doi.org/10.1016/j.ejon.2008.12.004
  28. Kamangar F, Dores GM, Anderson WF (2006). Patterns of cancer incidence, mortality and prevalence across five continents: defining priorities to reduce cancer disparities in different geographic regions of the world. J Clin Oncol, 24, 2137-50. https://doi.org/10.1200/JCO.2005.05.2308
  29. Kanavos P (2006). The rising burden of cancer in the developing world. Ann Oncol, 17, 15-23.
  30. Kang K-A, Im J-I, Kim H-S, et al (2009). The effect of logotherapy on the suffering, finding meaning, and spiritual well-being of adolescents with terminal cancer. J Korean Acad Child Health Nursing, 15, 136-44. https://doi.org/10.4094/jkachn.2009.15.2.136
  31. Mack JW, Wolfe J, Cook EF, et al (2007). Hope and prognostic disclosure. J Clin Oncol, 25, 5636-42. https://doi.org/10.1200/JCO.2007.12.6110
  32. McClement SE, Chochinov HM (2008). Hope in advanced cancer patients. Eur J Cancer, 44, 1169-74. https://doi.org/10.1016/j.ejca.2008.02.031
  33. Missel M, Birkelund R (2011). Living with incurable oesophageal cancer. A phenomenological hermeneutical interpretation of patient stories. Eur J Oncol Nurs, 15, 296-301. https://doi.org/10.1016/j.ejon.2010.10.006
  34. Mogimian M, Salmani F (2010). The Study of correlation between spiritual well-being and hope in cancer patients referring to seyyedoshohada training-therapy center of Isfahan University of medical sciences. J Qom University of Medical Sciences, 6, 40-5 (in Persian).
  35. Mousavi SM, Gouya MM, Ramazani R, et al (2009). Cancer incidence and mortality in Iran. Ann Oncol, 20, 556-63.
  36. Mun Hong IW OR (2007). Hope among terminally ill patients in Singapore: An exploratory study. Soc Work Health Care, 45, 85-106. https://doi.org/10.1300/J010v45n03_05
  37. Nekolaichuk CL, Jevne RF, Maguire TO (1999). Structuring the meaning of hope inhealth and illness. Soc Sci Med, 48, 591-605. https://doi.org/10.1016/S0277-9536(98)00348-7
  38. Overcash JA (2004). Using narrative research to understand the quality of life of older women with breast cancer. Oncol Nurs Forum, 31, 1153-9. https://doi.org/10.1188/04.ONF.1153-1159
  39. Oztunc G, Yesil P, Paydas S, Erdogan S (2013). Social support and hopelessness in patients with breast cancer. Asian Pac J Cancer Prev, 14. 571-78. https://doi.org/10.7314/APJCP.2013.14.1.571
  40. Pourghaznein T (2004). Study of the relationship between hope and self-esteem in renalTransplantation patients. J Yazd University of Medical Sciences, 13, 57-61 (in Persian).
  41. Pourghaznein T, Hoshmand P, Firouzi ET, Esmailli H (2003). The sources of inspiration and the level of hopeamong cancer patients. Iranian Psychiatry Clinical Psychology, 4, 82-7. (Persian)
  42. Puchalski CM (2001). The role of spirituality in health care. Proc Bayl Univ Med Cent, 14, 352-57.
  43. Rafii F, Rambod M, Hosseini F (2009). Perceived social support in hemodialysispatients. Hayat, 15, 5-12. (Persian)
  44. Rahmani A (2011). The process of inspiring hope in Iranian cancer patients: Agrounded theory: Tabriz faculty of nursingand midwifery.Tabriz University of Medical Sciences.
  45. Reynolds MAH (2008). Hope in adults, ages 20-59, with advanced stage cancer. Palliat Support Care, 6, 259-64.
  46. Rustoen T, Wiklund I (2000). Hope in newly diagnosed patients with cancer. Cancer Nurs, 23, 214-9. https://doi.org/10.1097/00002820-200006000-00009
  47. Sajadian AS, Montazeri A (2011). Exploring the experiences of Iranian women with breast cancer: A qualitative study. Iranian J Epidemiol, 7, 8-16. (Persian)
  48. Saleh US, Brockopp DY (2001). Hope among patients with cancer hospitalized for bonemarrow transplantation: a phenomenologic study. Cancer Nurs, 24, 308-14. https://doi.org/10.1097/00002820-200108000-00012
  49. Tavakol M, Naseri RM (2012). Health and social capital inequalities among people affected/not affected by cancer referring to cancer institute of Tehran, Iran. Payavard, 6, 10-21 (in Persian).
  50. Tutton E, Seers K, Langstaff D (2009). An exploration of hope as a concept fornursing. J Orthopaedic Nursing, 13, 119-27. https://doi.org/10.1016/j.joon.2009.07.006
  51. Vellone E, Rega ML, Galletti C, Cohen MZ (2006). Hope and related variables in Italian cancer patients. Cancer Nurs, 29, 356-66. https://doi.org/10.1097/00002820-200609000-00002
  52. Zhang J, Gao W, Wang P, Wu Z-h (2010). Relationships among hope, coping style and social support for breast cancer patients. Chin Med J, 123, 2331-35.

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