DOI QR코드

DOI QR Code

Predictors of Resilience in Adolescents with Leukemia

백혈병 청소년의 회복력 영향 요인

  • Received : 2014.12.04
  • Accepted : 2015.05.28
  • Published : 2015.08.31

Abstract

Purpose: The purpose of this study was to identify the factors relating to resilience for adolescents with leukemia and examine the relationship between these factors. Methods: From June to September in 2014, 199 adolescents aged 11 to 21 participated in the study as they visited the out-patient clinic at C university hospital for follow-up care. To verify the predictors and the effects of resilience, uncertainty, symptom distress, perceived social support, spiritual perspective, defensive coping, courageous coping, hope, and self-transcendence were measured. Collected data were analyzed using hierarchical regression analysis with the SAS statistics program. Results: The final regression model showed that courageous coping, hope, and self-transcendence were significant predictors related to resilience in adolescents with leukemia and explained for 63% of the variance in resilience. Conclusion: The findings indicate that adolescent-oriented intervention programs enhancing courageous coping, hope, and self-transcendence should be provide for adolescents with leukemia in order to overcome illness-related stress and support physical, psychological and social adjustment.

Keywords

References

  1. Ministry of Health & Welfare, Korea Central Cancer Registry, National Cancer Center. Annual report of cancer statistics in Korea in 2011. Seoul: Ministry of Health & Welfare; 2013.
  2. You MA. Content analysis on psychosocial adjustment of adolescent survivors of leukemia. Journal of Korean Academy of Child Health Nursing. 2006;12(3):304-313.
  3. Lof CM, Winiarski J, Giesecke A, Ljungman P, Forinder U. Health-related quality of life in adult survivors after paediatric allo-SCT. Bone Marrow Transplantation. 2009;43(6):461-468. http://dx.doi.org/10.1038/bmt.2008.338
  4. Garmezy N. Resilience in children's adaptation to negative life events and stressed environments. Pediatric Annals. 1991;20(9): 459-460, 463-466. https://doi.org/10.3928/0090-4481-19910901-05
  5. Haase JE, Heiney SP, Ruccione KS, Stutzer C. Research triangulation to derive meaning-based quality-of-life theory: Adolescent resilience model and instrument development. International Journal of Cancer Supplement. 1999;12:125-131.
  6. Haase JE. The adolescent resilience model as a guide to interventions. Journal of Pediatric Oncology Nursing. 2004;21(5):289-304. http://dx.doi.org/10.1177/1043454204267922
  7. Haase JE, Kintner EK, Monahan PO, Robb SL. The resilience in illness model, part 1: Exploratory evaluation in adolescents and young adults with cancer. Cancer Nursing. 2014;37(3):E1-E12. http://dx.doi.org/10.1097/NCC.0b013e31828941bb
  8. Park YO, Son Hong GR, Tak YR. Predictors of resilience in adolescents with cancer. Child Health Nursing Research. 2013;19(3): 177-186. https://doi.org/10.4094/chnr.2013.19.3.177
  9. Kim DH, Yoo IY. Development of a questionnaire to measure resilience in children with chronic diseases. Journal of Korean Academy of Nursing. 2010;40(2):236-246. http://dx.doi.org/10.4040/jkan.2010.40.2.236
  10. Faul F, Erdfelder E, Lang AG, Buchner A. G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods. 2007;39(2): 175-191. https://doi.org/10.3758/BF03193146
  11. Stewart JL, Lynn MR, Mishel MH. Psychometric evaluation of a new instrument to measure uncertainty in children and adolescents with cancer. Nursing Research. 2010;59(2):119-126. http://dx.doi.org/10.1097/NNR.0b013e3181d1a8d5
  12. Hinds PS, Quargnenti AG, Wentz TJ. Measuring symptom distress in adolescents with cancer. Journal of Pediatric Oncology Nursing. 1992;9(2):84-86. https://doi.org/10.1177/104345429200900238
  13. Zimet GD, Dahlem NW, Zimet SG, Farley GK. The multidimensional scale of perceived social support. Journal of Personality Assessment. 1988;52(1):30-41. http://dx.doi.org/10.1207/s15327752jpa5201_2
  14. Reed PG. Spirituality and well-being in terminally ill hospitalized adults. Research in Nursing and Health. 1987;10(5):335-344. https://doi.org/10.1002/nur.4770100507
  15. Kim SS, Reed PG, Kang Y, Oh J. Translation and psychometric testing of the Korean versions of the spiritual perspective scale and the self-transcendence scale in Korean elders. Journal of Korean Academy of Nursing. 2012;42(7):974-983. http://dx.doi.org/10.4040/jkan.2012.42.7.974
  16. Jalowiec A. The Jalowiec coping scale. In: Strickland OL, Dilorio C, editors. Measurement of nursing outcomes. Vol. 3: Self care and coping. 2nd ed. New York, NY: Springer; 2003. p. 71-87.
  17. Herth K. Abbreviated instrument to measure hope: Development and psychometric evaluation. Journal of Advanced Nursing. 1992; 17(10):1251-1259. https://doi.org/10.1111/j.1365-2648.1992.tb01843.x
  18. Reed PG. Religiousness among terminally ill and healthy adults. Research in Nursing and Health. 1986;9(1):35-41. https://doi.org/10.1002/nur.4770090107
  19. Woodgate RL. Conceptual understanding of resilience in the adolescent with cancer: Part I. Journal of Pediatric Oncology Nursing. 1999;16(1):35-43. https://doi.org/10.1177/104345429901600105
  20. Son SY. Illness experience of adolescents with hematologic malignancies. Journal of Korean Academy of Nursing. 2011;41(5):603-612. http://dx.doi.org/10.4040/jkan.2011.41.5.603
  21. Fortier MA, Batista ML, Wahi A, Kain A, Strom S, Sender LS. Illness uncertainty and quality of life in children with cancer. Journal of Pediatric Hematology Oncology. 2013;35(5):366-370. http://dx.doi.org/10.1097/MPH.0b013e318290cfdb
  22. Oh SM, Lee HJ, Kim GS, Park KD. Factors affecting social adjustment of childhood cancer survivors. Child Health Nursing Research. 2013;19(3):238-245. https://doi.org/10.4094/chnr.2013.19.3.238
  23. Enskar K, von Essen L. Prevalence of aspects of distress, coping, support and care among adolescents and young adults undergoing and being off cancer treatment. European Journal of Oncology Nursing. 2007;11(5):400-408. http://dx.doi.org/10.1016/j.ejon.2007.01.003
  24. Mandleco BL, Peery JC. An organizational framework for conceptualizing resilience in children. Journal of Child and Adolescent Psychiatric Nursing. 2000;13(3):99-111. https://doi.org/10.1111/j.1744-6171.2000.tb00086.x
  25. Hockenberry MJ, Wilson D. Wong's essentials of pediatric nursing. 8th ed. St. Louis, MO: Mosby; 2008.
  26. Trask PC, Paterson AG, Trask CL, Bares CB, Birt J, Maan C. Parent and adolescent adjustment to pediatric cancer: Associations with coping, social support, and family function. Journal of Pediatric Oncology Nursing. 2003;20(1):36-47. http://dx.doi.org/10.1053/jpon.2003.5
  27. Wu LM, Chin CC, Chen CH, Lai FC, Tseng YY. Development and validation of the paediatric cancer coping scale. Journal of Advanced Nursing. 2011;67(5):1142-1151. http://dx.doi.org/10.1111/j.1365-2648.2010.05567.x
  28. Wu LM, Sheen JM, Shu HL, Chang SC, Hsiao CC. Predictors of anxiety and resilience in adolescents undergoing cancer treatment. Journal of Advanced Nursing. 2013;69(1):158-166. http://dx.doi.org/10.1111/j.1365-2648.2012.06003.x
  29. Ho SM, Ho JW, Bonanno GA, Chu AT, Chan EM. Hopefulness predicts resilience after hereditary colorectal cancer genetic testing: A prospective outcome trajectories study. BMC Cancer. 2010;10:279. http://dx.doi.org/10.1186/1471-2407-10-279
  30. Fegg MJ, Wasner M, Neudert C, Borasio GD. Personal values and individual quality of life in palliative care patients. Journal of Pain and Symptom Management. 2005;30(2):154-159. http://dx.doi.org/10.1016/j.jpainsymman.2005.02.012

Cited by

  1. 건강장애아동의 어머니가 인식한 아동의 병원학교 참여경험 vol.29, pp.3, 2015, https://doi.org/10.5932/jkphn.2015.29.3.515
  2. 골수이형성 증후군 환자의 질병 적응과정: 불확실성 안에서 최선 다하기 vol.29, pp.5, 2015, https://doi.org/10.7475/kjan.2017.29.5.472
  3. Impact of resilience on the health‐related quality of life of adolescents with a chronic health problem: A structural equation approach vol.75, pp.4, 2019, https://doi.org/10.1111/jan.13888
  4. The Effects of Illness Cognition on Resilience and Quality of Life in Korean Adolescents and Young Adults with Leukemia vol.8, pp.5, 2015, https://doi.org/10.1089/jayao.2018.0152
  5. Health-related Quality of Life of Children and Adolescents after Hematopoietic Stem Cell Transplantation vol.26, pp.4, 2015, https://doi.org/10.4094/chnr.2020.26.4.402
  6. Identification of Evidence for Key Positive Psychological Constructs in Pediatric and Adolescent/Young Adult Patients with Cancer: A Scoping Review vol.10, pp.3, 2015, https://doi.org/10.1089/jayao.2020.0184
  7. Factors Influencing Resilience among Korean adolescents and young adult survivors of childhood cancer vol.53, pp.None, 2021, https://doi.org/10.1016/j.ejon.2021.101977