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Effects of Resilience, Family Support, and Spiritual Well-Being on Posttraumatic Growth in Patients with Lung Cancer Undergoing Chemotherapy

항암화학요법을 받은 폐암 환자의 회복탄력성, 가족 지지, 영적 안녕이 외상 후 성장에 미치는 영향

  • Moon, Ha Young (Department of Nursing, The Catholic University of Korea Seoul St. Mary's hospital) ;
  • Nam, Ki Sook (Department of Nursing, The Catholic University of Korea Seoul St. Mary's hospital) ;
  • Oh, Hye Won (Department of Nursing, The Catholic University of Korea Seoul St. Mary's hospital) ;
  • Cho, Yeon Soo (Department of Nursing, The Catholic University of Korea Seoul St. Mary's hospital) ;
  • Choi, Ju Yeon (Department of Nursing, The Catholic University of Korea Seoul St. Mary's hospital)
  • 문하영 (가톨릭대학교 서울성모병원 간호부) ;
  • 남기숙 (가톨릭대학교 서울성모병원 간호부) ;
  • 오혜원 (가톨릭대학교 서울성모병원 간호부) ;
  • 조연수 (가톨릭대학교 서울성모병원 간호부) ;
  • 최주연 (가톨릭대학교 서울성모병원 간호부)
  • Received : 2024.05.20
  • Accepted : 2024.06.19
  • Published : 2024.08.31

Abstract

Purpose: The purpose of this study is to confirm the effect of resilience, family support, and spiritual well-being on posttraumatic growth(PTG) in lung cancer patients undergoing chemotherapy. Methods: The study collected data from January 20 to July 6, 2023 on 124 lung cancer patients who were admitted to hospital of C university in Seoul and received chemotherapy treatment. Patients were asked to complete a questionnaire consisting of general characteristics, disease characteristics, resilience, family support, spiritual well-being and PTG. Data were analyzed using t-tests, One-way ANOVA, Pearson's correlation and multiple regression analysis. Results: The mean score for PTG in lung cancer patients was 55.17, resilience was 72.46, family support was 49.00, and spiritual well-being was 53.50. Significant positive correlations were found for PTG with resilience (r=.62, p<.001), family support (r=.40, p<.001) and spiritual well-being (r=.47, p<.001). Factors contributing to PTG of lung cancer patients were resilience (β=.50, p<.001), spiritual well-being (β=.20, p=.008), and gender (β =.14, p=.043). Conclusion: This study aims to provide basic data for the PTG intervention program by identifying factors affecting the PTG of lung cancer patients. It is necessary to develop new nursing intervention programs to improve PTG for patients with lung cancer based on strategies to enhance resilience and spiritual well-being.

Keywords

Acknowledgement

Thank you from the bottom of my heart to advisor Heejin Lee and professor Minjeong Jo for generously helping to create this precious research. Thanks to your wise guidance and patient support, we can provide better care to lung cancer patients. I express my thanks to you and look forward to continued learning from your expertise in the future.

References

  1. Cancer registration statistics, 2016-2022 [Internet]. Daejeon: Korean Statistical Information Service; 2022 [cited 2022 Apr 11]. Available from: https://kosis.kr/statHtml/statHtml.do?orgId=117&tblId=DT_117N_A00021&vw_cd=MT_ZTITLE&list_id=F_35&scrId=&seqNo=&lang_mode=ko&obj_var_id=&itm_id=&conn_path=MT_ZTITLE&path=%252FstatisticsList%252FstatisticsListIndex.do.
  2. Kim YS, Moon JH, Lee YS, Kim YW, Heo GR, Oh SK. Factors influencing posttraumatic growth in patients with lung cancer. Journal of Korean Clinical Nursing Research. 2021; 27(1):98-108. https://doi.org/10.22650/JKCNR.2021.27.1.98
  3. Kim GD. Impact of symptom clusters on the quality of life in lung cancer patients undergoing chemotherapy. Asian Oncology Nursing. 2021;21(4):241-250. https://doi.org/10.5388/aon.2021.21.4.241
  4. 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): 148-156. https://doi.org/10.5953/JMJH.2018.25.2.148
  5. Piao SJ, Oh PJ. Posttraumatic growth and health promotion behavior in patients with cancer: The mediating effect of spiritual well-being. Asian Oncology Nursing. 2021;21(1):33-41. https://doi.org/10.5388/aon.2021.21.1.33
  6. 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
  7. 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
  8. 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
  9. Kwak SY, Byeon YS. Factors influencing resilience of patients with hematologic malignancy. Korean Journal of Adult Nursing. 2013;25(1):95-104. https://doi.org/10.7475/kjan.2013.25.1.95
  10. An HN, Kim JH. Cancer coping, family support, and posttraumatic growth in female genital cancer patients. Asian Oncology Nursing. 2023;23(1):38-45. https://doi.org/10.5388/aon.2023.23.1.38
  11. 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
  12. 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
  13. Liu Z, Doege D, Thong MS, Arndt V. The relationship between posttraumatic growth and health-related quality of life in adult cancer survivors: A systematic review. Journal of Affective Disorders. 2020;276:159-168. https://doi.org/10.1016/j.jad.2020.07.044
  14. Knauer K, Bach A, Schaffeler N, Stengel A, Graf J. Personality traits and coping strategies relevant to posttraumatic growth in patients with cancer and survivors: A systematic literature review. Current Oncology. 2022;29(12):9593-9612. https://doi.org/10.3390/curroncol29120754
  15. Connor KM, Davidson JR. Development of a new resilience scale: The Connor-Davidson resilience scale (CD-RISC). Depression and Anxiety. 2003;18(2):76-82. https://doi.org/10.1002/da.10113
  16. Baek HS, Lee KU, Joo EJ, Lee MY, Choi KS. Reliability and validity of the Korean version of the Connor-Davidson resilience scale. Psychiatry Investigation. 2010;7(2):109-115. https://doi.org/10.4306/pi.2010.7.2.109
  17. 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
  18. Lee MH, Kang HS. A study on perceived family support and anxiety in hemiplegic patients. Journal of Korean Academy of Nursing. 1991;21(1):50-62. https://doi.org/10.4040/jnas.1991.21.1.50
  19. Paloutzian RF, Ellison CW. Loneliness, spiritual well-being and the quality of life. In: Peplau LA, Perlman D, editors. Loneliness: A sourcebook of current theory, research and therapy. New York: John Wiley & Sons; 1982. p. 224-236.
  20. Cheung SD, Lee JB, Park HB, Kim JS, Bai DS, Lee KH, et al. A study on reliability and validity of the Korean version of spiritual well being scale. Journal of Korean Neuropsychiatric Association. 2001;40(2):230-241.
  21. Yun MN, Kim KM. Relationship between self-efficacy and resilience among patients with colorectal cancer with stoma: Mediating effects of family support and medical staff support. Korean Journal of Adult Nursing. 2020;32(6):599-609. https://doi.org/10.7475/kjan.2020.32.6.599
  22. Seo EY, Kwon SH. The influence of spiritual well-being, self-esteem, and perceived social support on post-traumatic growth among breast cancer survivors. Asian Oncology Nursing. 2018;18(4):232-240. https://doi.org/10.5388/aon.2018.18.4.232
  23. Joo YS, Kim HS. Effects of spiritual nursing intervention on spiritual well-being and anxiety in elders with cancer. Journal of Korean Gerontological Nursing. 2020;22(2):95-104. https://doi.org/10.17079/jkgn.2020.22.2.95
  24. Yang SG, Boo SJ. Factors influencing post-traumatic growth in patients with gastrointestinal cancer. Journal of Korean Clinical Nursing Research. 2023;29(1):85-94. https://doi.org/10.22650/JKCNR.2023.29.1.85
  25. Park HY, Choi JY. Factors associated with post-traumatic growth in patients with breast cancer based on a model of post-traumatic growth. Asian Oncology Nursing. 2022;22(2): 65-73. https://doi.org/10.5388/aon.2022.22.2.65
  26. 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
  27. 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