KMID : 0806120080380020270
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´ëÇÑ°£È£ÇÐȸÁö 2008 Volume.38 No. 2 p.270 ~ p.277
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Predictors of Fighting Spirit or Helplessness/Hopelessness in People with Cancer
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Oh Pok-Ja
Lee Yeon-Joo
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Abstract
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Purpose: This study was done to identify predictors of the fighting spirit or helplessness/hopelessness in the patients¡¯ mental adjustment to cancer. Cancer patients¡¯ characteristics like performance status, metastasis and duration of diagnosis with demographic factors, spiritual support and social support were used as predictors of a fighting spirit or helplessness/hopelessness.
Methods: A total of 124 ambulatory cancer patients completed the Mental Adjustment to Cancer (MAC) scale and responded in a structured instrument about their characteristics, spiritual and social support.
Results: The results of multiple regression analysis revealed that confidence in the supporter (R2=.114, p=.000), duration of cancer diagnosis (R2=.041, p=.000) and faith (R2=.030, p=.000) were predictive of a fighting spirit (R2=.185, p=.000); whereas, education (R2=.074, p=.001), performance status (R2=.055, p=.000), satisfaction with social support (R2=.046, p=.000), and metastasis(R2=.037, p=.000) were predictive of helplessness/hopelessness (R2=.202, p=.000).
Conclusion: Social support, spiritual support and disease related factors like metastasis, performance status, and duration of cancer diagnosis need to be considered in a psychosocial nursing intervention for a fighting spirit or helplessness/hopelessness.
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KEYWORD
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Cancerpatient, FightingSpirit, Helplessness
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