KMID : 0367020120240060557
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Journal of Korean Academic of Adult Nursing 2012 Volume.24 No. 6 p.557 ~ p.568
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Relationship of Spiritual Well-being, Hope on Fatigue in Cancer Patients on Chemotherapy
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Jun So-Yeun
Ko Il-Sun
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Abstract
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Purpose: This was a correlation study to identify the relationship of spiritual well-being, hope on fatigue in cancer patients on chemotherapy.
Methods: The subjects completed structured questionnaires: the ¡®Spiritual Well-being Scale", developed by Paloutzian & Ellison, "Hope Scale", developed by Kim & Lee and "Fatigue Scale", developed by Mendoza et al. Data were collected from 120 patientsat two general hospitals and were analyzed using t-test, ANOVA & Sheffe"s test, Pearson¡¯s correlation coefficients and multiple stepwise regression.
Results: Participants with higher fatigue had lower scores for hope (r=-.36, p<.001) and lower scores for spiritual well-being (r=-.23, p = .011). Participants with higher scores for hope had higher scores for spiritual well-being (r=.61, p<.001). The factors seen as contributing to fatigue were hope, financial burden of treatment, period of religious life, living with spouse, and reported pain. These variables explained 32.3% of the variance in fatigue. Hope with 13% was the most influential.
Conclusion: The fatigue of the cancer patients on chemotherapy can be reduced if hope is improved, and hope can be improved if the spiritual well-being is improved. Therefore, we suggest developing a nursing intervention program that leads to improve hope and spiritual well-being of the cancer patients on chemotherapy for reducing fatigue.
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KEYWORD
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Neoplasm, Chemotherapy, Spirituality, Hope, Fatigue
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