DOI QR코드

DOI QR Code

Factors Influencing Posttraumatic Growth in Patients with Lung Cancer

폐암 환자의 외상 후 성장에 영향을 미치는 요인

  • Kim, Young Suk (Department of Nursing, The Catholic University St. Vincent Hospital.College of Nursing, Ajou University) ;
  • Moon, Jin Ha (Department of Nursing, Yeoju Institute of Technology) ;
  • Lee, Young Suk (Department of Nursing, The Catholic University St. Vincent Hospital) ;
  • Kim, Yeon Woo (Department of Nursing, The Catholic University St. Vincent Hospital) ;
  • Heo, Gyu Rim (Department of Nursing, The Catholic University St. Vincent Hospital) ;
  • Oh, Soon Keum (Department of Nursing, The Catholic University St. Vincent Hospital)
  • 김영숙 (가톨릭대학교 성빈센트병원.아주대학교 간호대학) ;
  • 문진하 (여주대학교 간호학과) ;
  • 이영숙 (가톨릭대학교 성빈센트병원) ;
  • 김연우 (가톨릭대학교 성빈센트병원) ;
  • 허규림 (가톨릭대학교 성빈센트병원) ;
  • 오순금 (가톨릭대학교 성빈센트병원)
  • Received : 2020.09.25
  • Accepted : 2021.02.22
  • Published : 2021.04.30

Abstract

Purpose: This study was conducted to identify the factors influencing the posttraumatic growth (PTG) in patients with lung cancer and to provide basic data for nursing intervention development to improve PTG and adaptation. Methods: The study included 126 non-small cell lung cancer patients initially diagnosed at the Lung Cancer Center, C University Hospital in S city, Gyeonggi-do. Patients were asked to complete a questionnaire consisting of demographic characteristics, disease characteristics, posttraumatic growth, cancer coping, social support, and resilience. Data were analyzed using t-tests, ANOVA, and Pearson's correlation and multiple regression analysis. Results: The mean score for PTG in lung cancer patients was 56.39, cancer coping was 61.31, social support was 61.09, and resilience was 92.77. Significant positive correlations were found for PTG and cancer coping (r=.75, p<.001), social support (r=.52, p<.001) and resilience (r=.63, p<.001). Factors contributing to PTG of lung cancer patients were cancer coping (β=.53 p<.001), perceived health status(β=.20, p=.002), resilience (β=.21, p=.010) and importance of religion (β=.15, p=.013). This model explained about 64.0% of variances of PTG (F=29.58, p<.001). Conclusion: It is necessary to develop new nursing intervention programs to improve PTG for patients with lung cancer based on strategies to enhance coping and resilience to recovery. Longitudinal studies examining temporal changes in PTG among patients with lung cancer are suggested for future studies in this regard.

Keywords

References

  1. Statistics Korea. 2018 cancer registration ststistic tables for Korea [Internet]. Daejeon: Statistics Korea; 2020 [cited 2020 March 1]. Available from: https://kosis.kr/statHtml/statHtml.do.
  2. Lee JA, Kim MJ. Relationships among uncertainty, distress, and quality of life in lung cancer patients: Mediating effect of resilience. Journal of Muscle and Joint Health. 2018;25(2): 48-156. https://doi.org/10.5953/JMJH.2018.25.2.148
  3. Chambers SK, Baade P, Youl P, Aitken J, Occhipinti S, Vinod S, et al. Psychological distress and quality of life in lung cancer: The role of health-related stigma, illness appraisals and social constraints. Psycho-Oncology. 2015;24(11):1569-1577. https://doi.org/10.1002/pon.3829
  4. Kim KS, Yi MS, Bang KS, Cho YA, Lee JL, Lee E. Relationships among activity status, anxiety, depression, social support, symptom experience, and functional status in lung cancer patients based on the theory of unpleasant symptoms. Perspectives in Nursing Science. 2013;10(2):87-96.
  5. Tedeschi RG, Calhoun LG. The posttraumatic growth inventory: Measuring the positive legacy of trauma. Journal of Traumatic Stress. 1996;9(3):455-471. https://doi.org/10.1002/jts.2490090305
  6. Tedeschi RG, Calhoun LG. Posttraumatic growth: Conceptual foundations and empirical evidence. Psychological Inquiry. 2004;15(1):1-18. https://doi.org/10.1207/s15327965pli1501_01
  7. Kim MA. The effects of post-traumatic growth and health promotion behavior on quality of life in patients with gastrointestinal cancer [master's thesis]. Pusan: Catholic University; 2020. p. 1-65.
  8. Dougall AL, Swanson J, Kyutoku Y, Belani CP, Baum A. Posttraumatic symptoms, quality of life, and survival among lung cancer patients. Journal of Applied Biobehavioral Research. 2017;22(3):e12065. https://doi.org/10.1111/jabr.12065
  9. Cho HM. Effects of psychological acceptance and social support on posttraumatic growth in stomach cancer patients. Journal of Korean Clinical Nursing Research. 2019;25(3):65-274. https://doi.org/10.22650/JKCNR.2019.25.3.265
  10. Yun SJ, Kim HY. Factors influencing posttraumatic growth of gynecologic oncology patients undergoing chemotherapy. Korean Journal of Women Health Nursing. 2019;25(4):409-422. https://doi.org/10.4069/kjwhn.2019.25.4.409
  11. Paredes AC, Pereira MG. Spirituality, distress and posttraumatic growth in breast cancer patients. Journal of Religion and Health. 2018;57(5):1606-1617. https://doi.org/10.1007/s10943-017-0452-7
  12. Park JH, Jung YS, Jung YM. Factors influencing posttraumatic growth in survivors of breast cancer. Journal of Korean Academy of Nursing. 2016;46(3):454-462. https://doi.org/10.4040/jkan.2016.46.3.454
  13. Sim BY, Lee YW, Kim HS, Kim SH. Post-traumatic growth in stomach cancer survivors: Prevalence, correlates and relationship with health-related quality of life. European Journal of Oncology Nursing. 2015;19(3):230-236. https://doi.org/10.1016/j.ejon.2014.10.017
  14. Kim MY. Post-traumatic growth due to emotional approach coping, emotional control, and inner strength of breast cancer survivors [master's thesis]. Daegu: Keimyung University; 2019. p. 1-65.
  15. Lee HJ, Jun SS. Factors related to posttraumatic growth in patients with colorectal cancer. Korean Journal of Adult Nursing. 2016;28(3):247-255. https://doi.org/10.7475/kjan.2016.28.3.247
  16. Cao W, Qi X, Cai DA, Han X. Modeling posttraumatic growth among cancer patients: The roles of social support, appraisals, and adaptive coping. Psycho-Oncology. 2018;27(1):208-215. https://doi.org/10.1002/pon.4395
  17. Thornton AA, Owen JE, Kernstine K, Koczywas M, Grannis F, Cristea M, et al. Predictors of finding benefit after lung cancer diagnosis. Psycho-Oncology. 2012;21(4):365-373. https://doi.org/10.1002/pon.1904
  18. Huang CY, Hsu MC. Social support as a moderator between depressive symptoms and quality of life outcomes of breast cancer survivors. European Journal of Oncology Nursing. 2013;17(6):767-774. https://doi.org/10.1016/j.ejon.2013.03.011
  19. Dong X, Li G, Liu C, Kong L, Fang Y, Kang X, et al. The mediating role of resilience in the relationship between social support and posttraumatic growth among colorectal cancer survivors with permanent intestinal ostomies: A structural equation model analysis. European Journal of Oncology Nursing. 2017;29:47-52. https://doi.org/10.1016/j.ejon.2017.04.007
  20. Park JS, Kim YJ, Ryu YS, Park MH. Factors influencing posttraumatic growth in cancer survivors. Asian Oncology Nursing. 2018;18(1):30-39. https://doi.org/10.5388/aon.2018.18.1.30
  21. Ha YM, Yang SK. The effects of cancer-related characteristics and cancer coping on posttraumatic growth of cancer survivors. Journal of Health Informatics and Statistics. 2015;40(2): 1-12.
  22. Song SH, Lee HS, Park JH, Kim KH. Validity and reliability of the Korean version of the posttraumatic growth inventory. Korean Journal of Health Psychology. 2009;14(1):193-214. https://doi.org/10.17315/kjhp.2009.14.1.012
  23. Jung YM, Park JH. Development and validation of the cancer-specific posttraumatic growth inventory. Journal of Korean Academy of Nursing. 2017;47(3):319-331. https://doi.org/10.4040/jkan.2017.47.3.319
  24. Lazarus RS, DeLongis A, Folkman S, Gruen R. Stress and adaptational outcomes: The problem of confounded measures. American Psychologist. 1985;40(7):770-779. https://doi.org/10.1037/0003-066X.40.7.770
  25. Moorey S, Frampton M, Greer S. The cancer coping questionnaire: A self-rating scale for measuring the impact of adjuvant psychological therapy on coping behaviour. Psycho-Oncology. 2003;12(4):331-344. https://doi.org/10.1002/pon.646
  26. Kim JN, Kwon JH, Kim SY, Yu BH, Hur JW. Validation of Korean-Cancer Coping Questionnaire(K-CCQ). Korean Journal of Health Psychology. 2004;9(2):395-414.
  27. Cobb S. Social support as a moderator of life stress. Psychosomatic Medicine. 1976;38(5):300-314. https://doi.org/10.1097/00006842-197609000-00003
  28. Zimet GD, Dahlem NW, Zimet SG, Farley GK. The multi-dimensional scale of perceived social support. Journal of Personality Assessment. 1988;52(1):30-41. https://doi.org/10.1207/s15327752jpa5201_2
  29. Shin JS, Lee YB. The effects of social supports on psychosocial well-being of the unemployed. Korean Journal of Social Welfare. 1999;37:241-269.
  30. Shin WY, Kim MG, Kim JH. Developing measures of resilience for Korean adolescents and testing cross, convergent and discriminant validity. Studies on Korean Youth. 2009;20 (4):105-131.