KMID : 0367020170290040432
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Journal of Korean Academic of Adult Nursing 2017 Volume.29 No. 4 p.432 ~ p.440
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Influences of Resilience and Social Support on Postoperative Recovery among Patients with Gastrointestinal Cancer
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Kim Young-Man
Jung Hye-Jeong Oh Eui-Geum
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Abstract
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Purpose: The purpose of this study was to investigate patients¡¯ perceived postoperative recovery over time and to identify the influences of resilience and social support on postoperative recovery among patients with gastrointestinal cancer.
Methods: 101 patients with GI cancer who underwent surgery at S tertiary hospital were recruited from October 29th, 2015 to January 19th, 2016. Data was collected 3 times at postoperative day (POD)3, and POD5 in the hospital and at POD14 at home. Statistical analyses used were descriptive statistics, t-test, ANOVA, ANCOVA, correlation, and linear mixed model.
Results: The patients¡¯ perceived postoperative recovery(reverse cording) decreased at home rather than time during hospital stay (POD3: 16.70, POD5: 15.74, POD14: 17.08). Postoperative recovery at POD5 showed negative correlation with resilience (r=-.36, p=.002). Postoperative recovery scores at POD14 were negatively correlated with resilience (r=-.60, p<.001) and social support (r=-.34, p=.019). There was a positive correlation (r=-.36, p=.002) between resilience and social support. Resilience was a significant associated factor with postoperative recovery over time (¥â=-0.29, p=.001).
Conclusion: Since the degree of postoperative recovery after hospital discharge was perceived lower than that of during hospital stay, nursing interventions such as nurse-led telephone follow-up programs should be applied during the transition period.
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KEYWORD
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Gastrointestinal neoplasms, Postoperative period, Recovery of function, Resilience, Psychological, Social support
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