Purpose: The increasing survival rate of colorectal cancer demands various nursing interventions and continuous care for patients to adapt to their psychosocial daily lives. The purpose of this study was to identify factors associated with psychosocial adjustment in colorectal cancer survivors. Meth...
Purpose: The increasing survival rate of colorectal cancer demands various nursing interventions and continuous care for patients to adapt to their psychosocial daily lives. The purpose of this study was to identify factors associated with psychosocial adjustment in colorectal cancer survivors. Methods: A cross-sectional descriptive study with face-to-face interviews was conducted of 156 colorectal cancer survivors after surgery visiting an outpatient cancer clinic at a tertiary hospital in S city, Korea. Posttraumatic growth, health-promoting behavior, length of treatment, difficulty in activities of daily living, and having a stoma were entered into the linear regression model. Results: The strongest factor influencing the level of psychosocial adjustment was health-promoting behavior (${\beta}=.33$, p<.001), followed by difficulty in activities of daily living (${\beta}=-.24$, p=.001), posttraumatic growth (${\beta}=.20$, p=.004), and having a stoma (${\beta}=-.19$, p=.004). Conclusion: Nursing interventions for psychosocial adjustment in colorectal cancer survivors need to include the contents for posttraumatic growth, as well as health-promoting behavior, and activities of daily living.
Purpose: The increasing survival rate of colorectal cancer demands various nursing interventions and continuous care for patients to adapt to their psychosocial daily lives. The purpose of this study was to identify factors associated with psychosocial adjustment in colorectal cancer survivors. Methods: A cross-sectional descriptive study with face-to-face interviews was conducted of 156 colorectal cancer survivors after surgery visiting an outpatient cancer clinic at a tertiary hospital in S city, Korea. Posttraumatic growth, health-promoting behavior, length of treatment, difficulty in activities of daily living, and having a stoma were entered into the linear regression model. Results: The strongest factor influencing the level of psychosocial adjustment was health-promoting behavior (${\beta}=.33$, p<.001), followed by difficulty in activities of daily living (${\beta}=-.24$, p=.001), posttraumatic growth (${\beta}=.20$, p=.004), and having a stoma (${\beta}=-.19$, p=.004). Conclusion: Nursing interventions for psychosocial adjustment in colorectal cancer survivors need to include the contents for posttraumatic growth, as well as health-promoting behavior, and activities of daily living.
* AI 자동 식별 결과로 적합하지 않은 문장이 있을 수 있으니, 이용에 유의하시기 바랍니다.
문제 정의
Posttraumatic growth was reported by colorectal cancer survivors and promoted their psychosocial adjustment in this study. Previous studies of breast cancer survivors also highlighted the importance of psychological intervention focusing on depressive symptoms, distress, and spirituality, which are associated with posttraumatic growth [24,25].
The purpose of this study was to identify the factors associated with psychosocial adjustment in Korean colorectal cancer survivors after surgery. The study addressed the following research objectives:
제안 방법
General characteristics were collected, including: gender, age, marital status, educational level, religion, attitude toward religion, monthly income, unemployment due to treatment, length of treatment, difficulty in activities of daily living, cancer stage, treatment method, having a stoma, person caring for stoma, and attending the stoma support group.
The individuals were contacted voluntarily through the study flyers, and the researcher explained the study procedure, including the participants’ rights, before obtaining the informed consents.
Several limitations existed in this study. The study used a cross-sectional design, and the causal relationship between independent and dependent variables should be carefully inferred. However, the significant factors such as health-promoting behavior, difficulty in activities of daily living, posttraumatic growth, and having a stoma are theoretically ahead of psychosocial adjustment, and those factors may be useful for nursing interventions, to facilitate the psychosocial adjustment of colorectal cancer survivors.
대상 데이터
After the IRB approval, the data were collected at the outpatient cancer clinic of the colorectal surgery department from March 14th, 2016 to May 21th, 2016. The colorectal cancer survivors voluntarily contacted us via the study flyers attached on the clinic bulletin board.
15 for multiple regression, and five independent variables (posttraumatic growth, health-promoting behavior, difficulty in activities of daily living, length of treatment, and having a stoma). Considering an expected attrition rate of 30%, 183 individuals were recruited. The final sample was 156 participants with the exclusion of 27 individuals who wanted to stop participating during interview arrangements due to a scheduling conflict (n=19) or who were reported to pall on the survey queries during the interview (n=8).
Considering an expected attrition rate of 30%, 183 individuals were recruited. The final sample was 156 participants with the exclusion of 27 individuals who wanted to stop participating during interview arrangements due to a scheduling conflict (n=19) or who were reported to pall on the survey queries during the interview (n=8).
The participants were 156 colorectal cancer survivors visiting an outpatient cancer clinic after surgery in a tertiary hospital in S city, Korea. The inclusion criteria were: 1) individuals over 18 years old who were receiving continuous colorectal cancer treatments after surgery; 2) individuals who were experiencing no recurrence of cancer; and 3) individuals who were not taking any antipsychotic agents.
데이터처리
The correlations between posttraumatic growth, health-promoting behavior, general characteristics (having a stoma and difficulty in activities of daily living), and psychosocial adjustment were analyzed using the Pearson Correlation Coefficient. A multiple linear regression analysis was carried out to determine the influencing factors on psychosocial adjustment in colorectal cancer survivors.
Tests for normality were conducted using the Shapiro-Wilk test and Kolmogorov-Smirnov before the parametric statistics and revealed normal distributions of continuous variables. Differences in the level of psychosocial adjustment by the general characteristics were analyzed using t-test and ANOVA. The post-hoc test was conducted with the Scheffe test.
Descriptive statistics were used to describe the general characteristics and study variables. Tests for normality were conducted using the Shapiro-Wilk test and Kolmogorov-Smirnov before the parametric statistics and revealed normal distributions of continuous variables. Differences in the level of psychosocial adjustment by the general characteristics were analyzed using t-test and ANOVA.
The post-hoc test was conducted with the Scheffe test. The correlations between posttraumatic growth, health-promoting behavior, general characteristics (having a stoma and difficulty in activities of daily living), and psychosocial adjustment were analyzed using the Pearson Correlation Coefficient. A multiple linear regression analysis was carried out to determine the influencing factors on psychosocial adjustment in colorectal cancer survivors.
이론/모형
Differences in the level of psychosocial adjustment by the general characteristics were analyzed using t-test and ANOVA. The post-hoc test was conducted with the Scheffe test. The correlations between posttraumatic growth, health-promoting behavior, general characteristics (having a stoma and difficulty in activities of daily living), and psychosocial adjustment were analyzed using the Pearson Correlation Coefficient.
성능/효과
The results of the multiple regression analysis showed that the regression model of psychosocial adjustment was significant (F=22.00, p<.001).
후속연구
In addition, nurses should develop intervention programs to explore efficient strategies that can increase continuous and systematic psychosocial adjustment. The study findings suggest that more research is needed to identify and facilitate posttraumatic growth for colorectal cancer survivors, to increase the level of psychosocial adjustment.
참고문헌 (29)
Statistics Korea. The incidence of cancer by type [Internet]. Daejeon: Statistics Korea; c2017 [cited 2018 Jan 20]. Available from: http://www.index.go.kr/potal/main/EachDtlPageDetail.do?idx_cd2770.
National Cancer Information Center. The 5-year relative survival rate of cancer by type [Internet]. Goyang: National Cancer Information Center; c2016 [cited 2017 Jan 10]. Available from: https://www.cancer.go.kr/lay1/S1T648C650/contents.do.
Gautam S, Poudel A. Effect of gender on psychosocial adjustment of colorectal cancer survivors with ostomy. Journal of Gastrointestinal Oncology. 2016;7(6):938-945. https://doi.org/10.21037/jgo.2016.09.02
Weiss T. Correlates of posttraumatic growth in married breast cancer survivors. Journal of Social and Clinical Psychology. 2004;23(5):733-746. https://doi.org/10.1521/jscp.23.5.733.50750
Cercek A, Holt PR. The care of the colorectal cancer survivor. Current Opinion in Gastroenterology. 2017;33(1):26-33. https://doi.org/10.1097/MOG.0000000000000321
Laskowska AE. Non-adaptive reaction to disease - coping, demographic variables and trauma symptoms in cancer patients. Psychiatria Polska. 2015;49(4):811-819. https://doi.org/10.12740/PP/27107
Jim HSL, Jacobsen PB. Posttraumatic stress and posttraumatic growth in cancer survivorship: A review. The Cancer Journal. 2008;14(6):414-419. https://doi.org/10.1097/PPO.0b013e31818d8963
Jang SH, Lee HR, Yeu HN, Choi SO. The effects of posttraumatic growth and meaning in life on health promotion behavior in cancer patients. Asian Oncology Nursing. 2014;14(2):100-108. https://doi.org/10.5388/aon.2014.14.2.100
Suh SR, Kim HJ. The resourcefulness and the health-promoting behaviors of cancer patients. Journal of Korean Academy of Adult Nursing. 2000;12(1):112-121.
Baek Y, Yi M. Factors influencing quality of life during chemotherapy for colorectal cancer patients in South Korea. Journal of Korean Academy of Nursing. 2015;45(4):604-612. https://doi.org/10.4040/jkan.2015.45.4.604
Yun YH, Sim JA, Jung JY, Noh DY, Lee ES, Kim YW, et al. The association of self-leadership, health behaviors, and posttraumatic growth with health-related quality of life in patients with cancer. Psycho-oncology. 2014;23(12):1423-1430. https://doi.org/10.1002/pon.3582
Walker SN, Sechrist KR, Pender NJ. The health-promoting lifestyle profile: Development and psychometric characteristics. Nursing Research. 1987;36(2):76-81. https://doi.org/10.1097/00006199-198703000-00002
Oh PJ. A structural model for health promotion and quality of life in people with cancer. The Journal of Academy of Nursing. 1996;26(3):632-652. https://doi.org/10.4040/jnas.1996.26.3.632
Derogatis LR. The Psychosocial adjustment to illness scale (PAIS). Journal of Psychosomatic Research. 1986;30(1):77-91. https://doi.org/10.1016/0022-3999(86)90069-3
Lee ES, Park JS. The comparison of health promotion behavior, post traumatic growth and quality of life according to stages of survivorship in patients with female genital neoplasm. Korean Journal of Adult Nursing. 2013;25(3):312-321. https://doi.org/10.7475/kjan.2013.25.3.312
Jeong KS, Park GJ. Relationships among body image, self-esteem and health promotion behavior in mastectomy patients. Asian Oncology Nursing. 2007;7(1):36-46.
Bae H, Kim A, Nam S, Youn J, Youn H, Kim G, et al. The influence of expectations regarding aging on health-promoting behaviors. Journal of the Korean Data and Information Science Society. 2014;25(1):77-85. https://doi.org/10.7465/jkdi.2014.25.1.77
Cha BK, Beak ES. Psychosocial adaptation and related factors in patients with a permanent colostomy. Journal of Korean Academy of Fundamental Nursing. 2009;16(4):506-514.
Lee MS, Kim JH, Park EY, Kim JN, Yoo ES. Focus group study on psychosocial distress of cancer patients. Korean Journal of Adult Nursing. 2010;22(1):19-30.
Chun SY, Park H, Lee TH, Park EC. Do long term cancer survivors have better health-promoting behavior than non-cancer populations?: Case-control study in Korea. Asian Pacific Journal of Cancer Prevention. 2015;16(4):1415-1420.
Baker N, Armour K, Meystre C, Redwood S, Dawson A. PA14 the legacy of cancer: Why a health promoting approach is so important in palliative care. BMJ Supportive & Palliative Care. 2015;5(Suppl 1):A23-24. https://doi.org/10.1136/bmjspcare-2015-000906.74
Phillips SM, McAuley E. Associations between self-reported post-diagnosis physical activity changes, body weight changes, and psychosocial well-being in breast cancer survivors. Supportive Care in Cancer. 2015;23(1):159-167. https://doi.org/10.1007/s00520-014-2346-5
Gesselman AN, Bigatti SM, Garcia JR, Coe K, Cella D, Champion VL. Spirituality, emotional distress, and post-traumatic growth in breast cancer survivors and their partners: An actor-partner interdependence modeling approach. Psycho-oncology. 2017;26(10):1691-1699. https://doi.org/10.1002/pon.4192
Romeo A, Ghiggia A, Tesio V, Di Tella M, Torta R, Castelli L. Post-traumatic growth, distress and attachment style among women with breast cancer. Journal of Psychosocial Oncology. 2017;35(3):309-322. https://doi.org/10.1080/07347332.2017.1289291
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
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
Cotrim H, Pereira G. Impact of colorectal cancer on patient and family: Implications for care. European Journal of Oncology Nursing. 2008;12(3):217-226. https://doi.org/10.1016/j.ejon.2007.11.005
Karadag A, Mentes BB, Ayaz S. Colostomy irrigation: Result of 25 cases with particular reference to quality of life. Journal of Clinical Nursing. 2005;14(4):479-485. https://doi.org/10.1111/j.1365-2702.2004.01083.x
※ AI-Helper는 부적절한 답변을 할 수 있습니다.