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KMID : 0367020200320050494
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Journal of Korean Academic of Adult Nursing
2020 Volume.32 No. 5 p.494 ~ p.503
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Stigma, Adjustment, and Quality of Life of Middle-aged Male Patients with Lung Cance
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Yoo Mi-Young
Suh Eun-Young E.
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Abstract
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Purpose: To investigate the relationship between stigma, adjustment, and quality of life of middle-aged malepatients with lung cancer and the influences of those factors on the patients’ quality of life.
Methods: A descriptivesurvey design was used. A total of 120 male patients between 45 to 64 years participated in the study. Theyanswered a self-reported survey composed of Cataldo Lung Cancer Stigma Scale, Korean Mini-Mental Adjustmentto Cancer Scale, and The Functional Assessment of Cancer Therapy Scale-General Version 4. The data wereanalyzed using Pearson’s correlation coefficients, stepwise multiple regression by the SPSS 25 version.
Results:The stigma showed a positive correlation with “helplessness-hopelessness” and “anxious preoccupation” (r=.30,p=.001; r=.41, p<.001, respectively), and a negative correlation with emotional well-being (r=-.24, p=.008). “Helplessness-hopelessness” and “anxious preoccupation” were negatively correlated with quality of life (r=-.61,p<.001; r=-.46, p<.001, respectively). “Fatalism”, “fighting spirit”, and “cognitive avoidance” showed positivecorrelations with quality of life (r=.37, p<.001; r=.42, p<.001; r=.19, p=.035, respectively). Factors influencingquality of life by multiple regression were identified as helpless-hopelessness, fatalism, performance status, andanxious preoccupation (F=35.76, p<.001, Adjusted R2=54%).
Conclusion: Maximizing positive adjustmentresponse and improving performance status were effective in improving quality of life of middle-aged male patientswith lung cancer. The development of nursing interventions focusing on psychological adjustment and physicalactivity should be warranted for the given patient population
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KEYWORD
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Middle aged, Lung neoplasms, Social stigma, Emotional adjustment, Quality of life
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