Published online Feb 29, 2012.
https://doi.org/10.5388/aon.2012.12.1.61
The Effect of Symptom Experience and Resilience on Quality of Life in Patients with Colorectal Cancers
Abstract
Purpose
This study aimed to investigate the influence of resilience and symptom experience on quality of life.
Methods
Seventy five patients in an active treatment stage were recruited from 2 hospitals between October and December 2010. A survey including perceived health status, physical functional status, the symptom experience index, resilience, and the functional assessment of cancer therapy-colorectal (FACT-C) was completed.
Results
The level of FACT-C was 86.61 (±18.91), which was higher than for patients with colostomy, but lower than for patients in a rehabilitation stage. Participants without physical functional limitations showed higher level of both resilience and quality of life. Participants with bad health status showed a lower level of both resilience and quality of life and higher level of symptom experience. The quality of life was related to the level of resilience (β=.373), symptom experience (β=-.292), and perceived health status (β=-3.961).
Conclusion
Proactive nursing approaches to manage symptoms and to improve perceived health status would enhance the quality of life of colorectal cancer patients. Furthermore, various strategies to strengthen the level of resilience should be developed.
Table 1
General Characteristics of Participants (N=75)
Table 2
Symptom Experience, Resilience, and Quality of Life among Participants (N=75)
Table 3
Symptom Experience, Resilience, and Quality of Life by the Characteristics of Participants (N=75)
Table 4
Correlations among Symptom Experience, Resilience, and Quality of Life (N=75)
Table 5
Influencing Factors on Quality of Life (N=75)
This research was supported by the Chung-Ang Univercity Research Scholarship Grants in 2009.
References
-
National Cancer Information CenterNational cancer statistics. [accessed on 2 October 2011].Available at: http://www.cancer.go.kr/cms/statics/survival_
rate/index.html.
-
-
Ministry for Health, Welfare and Family AffairsAnnual report of national cancer registration project (The cancer statistics in 2009). [accessed on 10 October 2011].Available at: http://stat.mw.go.kr.
-
-
Hwang DY. In: The Secret of 1.5 meters. Seoul: The Early Morning Publisher; 2003.
-
-
Park HM, Ha NS. Influencing predictors of quality of life in colorectal cancer patient with colostomy. Clin Nurs Res 2006;12:123–131.
-
-
Kim HS. In: The concept development of the resilience [dissertation]. Seoul: Chung-Ang Univ.; 1996.
-
-
Kadner KD. Resilience: responding to adversity. J Psychosoc Nurs Ment Health Serv 1989;27:20–59.
-
-
Wagnild GM, Young HM. Development and psychometric evaluation of the resilience scale. J Nurs Meas 1993;1:165–178.
-
-
Sim MK. Influence of resiliency factors on adaptation in families of children with cancer. Korean J Child Health Nurs 2004;10:383–394.
-
-
Shin YH, Sim MK, Kim TI. Resilience and health-related quality of life in children with chronic illness. J Korean Acad Child Health Nurs 2006;12:295–303.
-
-
Shin HW, Lee JH. A correlation study on the resilience of children with cancer and their mothers. J Korean Oncol Nurs 2008;8:24–31.
-
-
Moon JR, Jung YY, Huh J, Kang IS, Park SW, Yang JH, et al. Relationship between depression and resilience in adolescents with congenital heart disease. Korean J Pediatr 2006;49:523–528.
-
-
Lee IS, Park YS, Song MS, Lee EO, Kim HS, Park YH, et al. A Study on the development of the Korean family resilience scale. J Korean Acad Nurs 2002;32:560–569.
-
-
Lee EK. A study on factors affecting cancer patients. J Korean Acad Soc Nurs Educ 2007;13:52–58.
-
-
Jun YI. In: Resilience on the therapeutic process of cancer patients who receive chemotherapy [dissertation]. Seoul: Korea Univ.; 2008.
-
-
Song YS. In: Determinants of resilience of the physically disabled at home [dissertation]. Busan: Kosin Univ.; 2004.
-
-
Kim H, Yoo HJ, Kim YJ, Han OS, Lee KH, Lee JH, et al. Development and validation of Korean functional assessment cancer therapy-general (FACT-G). Korean J Clin Psychol 2003;22:215–229.
-
-
Kim YJ, Yoo HJ, Kim JC, Han OS. Preoperative quality of life in rectal cancer patients: male vs female. Korean J Clin Psychol 2003;22:743–762.
-
-
Han MR. In: Resilience, social support, spiritualty in wives of alcoholics [dissertation]. Seoul: Yonsei Univ.; 2004.
-
-
Kwon IG, Hwang MS, Kwon KM. Quality of life of the terminal cancer patients receiving home care nursing. J Korean Clin Nurs Res 2008;14:103–114.
-
-
Yoon C, Joo HZ, Shin YD, Lee HM. A Study of the quality of life following after curative surgery for gastric cancer. J Korean Surg Soc 2001;60:405–412.
-