Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
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Psychosocial Adjustment in Korean Colorectal Cancer Survivors

  • Sun, Hyejin (College of Nursing Science, Kyung Hee University) ;
  • Lee, Jia (College of Nursing Science, Kyung Hee University)
  • Received : 2018.03.14
  • Accepted : 2018.09.03
  • Published : 2018.10.31
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Abstract

Purpose: The increasing survival rate of colorectal cancer demands various nursing interventions and continuous care for patients to adapt to their psychosocial daily lives. The purpose of this study was to identify factors associated with psychosocial adjustment in colorectal cancer survivors. Methods: A cross-sectional descriptive study with face-to-face interviews was conducted of 156 colorectal cancer survivors after surgery visiting an outpatient cancer clinic at a tertiary hospital in S city, Korea. Posttraumatic growth, health-promoting behavior, length of treatment, difficulty in activities of daily living, and having a stoma were entered into the linear regression model. Results: The strongest factor influencing the level of psychosocial adjustment was health-promoting behavior (${\beta}=.33$, p<.001), followed by difficulty in activities of daily living (${\beta}=-.24$, p=.001), posttraumatic growth (${\beta}=.20$, p=.004), and having a stoma (${\beta}=-.19$, p=.004). Conclusion: Nursing interventions for psychosocial adjustment in colorectal cancer survivors need to include the contents for posttraumatic growth, as well as health-promoting behavior, and activities of daily living.

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References

  1. Statistics Korea. The incidence of cancer by type [Internet]. Daejeon: Statistics Korea; c2017 [cited 2018 Jan 20]. Available from: http://www.index.go.kr/potal/main/EachDtlPageDetail.do?idx_cd=2770.
  2. National Cancer Information Center. The 5-year relative survival rate of cancer by type [Internet]. Goyang: National Cancer Information Center; c2016 [cited 2017 Jan 10]. Available from: https://www.cancer.go.kr/lay1/S1T648C650/contents.do.
  3. Gautam S, Poudel A. Effect of gender on psychosocial adjustment of colorectal cancer survivors with ostomy. Journal of Gastrointestinal Oncology. 2016;7(6):938-945. https://doi.org/10.21037/jgo.2016.09.02
  4. Weiss T. Correlates of posttraumatic growth in married breast cancer survivors. Journal of Social and Clinical Psychology. 2004;23(5):733-746. https://doi.org/10.1521/jscp.23.5.733.50750
  5. Cercek A, Holt PR. The care of the colorectal cancer survivor. Current Opinion in Gastroenterology. 2017;33(1):26-33. https://doi.org/10.1097/MOG.0000000000000321
  6. Laskowska AE. Non-adaptive reaction to disease - coping, demographic variables and trauma symptoms in cancer patients. Psychiatria Polska. 2015;49(4):811-819. https://doi.org/10.12740/PP/27107
  7. Tedeschi RG, Calhoun LG. Target article: "Posttraumatic growth: Conceptual foundations and empirical evidence". Psychological Inquiry. 2004;15(1):1-18. https://doi.org/10.1207/s15327965pli1501_01
  8. Jim HSL, Jacobsen PB. Posttraumatic stress and posttraumatic growth in cancer survivorship: A review. The Cancer Journal. 2008;14(6):414-419. https://doi.org/10.1097/PPO.0b013e31818d8963
  9. Jang SH, Lee HR, Yeu HN, Choi SO. The effects of posttraumatic growth and meaning in life on health promotion behavior in cancer patients. Asian Oncology Nursing. 2014;14(2):100-108. https://doi.org/10.5388/aon.2014.14.2.100
  10. Suh SR, Kim HJ. The resourcefulness and the health-promoting behaviors of cancer patients. Journal of Korean Academy of Adult Nursing. 2000;12(1):112-121.
  11. Baek Y, Yi M. Factors influencing quality of life during chemotherapy for colorectal cancer patients in South Korea. Journal of Korean Academy of Nursing. 2015;45(4):604-612. https://doi.org/10.4040/jkan.2015.45.4.604
  12. Yun YH, Sim JA, Jung JY, Noh DY, Lee ES, Kim YW, et al. The association of self-leadership, health behaviors, and posttraumatic growth with health-related quality of life in patients with cancer. Psycho-oncology. 2014;23(12):1423-1430. https://doi.org/10.1002/pon.3582
  13. Walker SN, Sechrist KR, Pender NJ. The health-promoting lifestyle profile: Development and psychometric characteristics. Nursing Research. 1987;36(2):76-81. https://doi.org/10.1097/00006199-198703000-00002
  14. Oh PJ. A structural model for health promotion and quality of life in people with cancer. The Journal of Academy of Nursing. 1996;26(3):632-652. https://doi.org/10.4040/jnas.1996.26.3.632
  15. Derogatis LR. The Psychosocial adjustment to illness scale (PAIS). Journal of Psychosomatic Research. 1986;30(1):77-91. https://doi.org/10.1016/0022-3999(86)90069-3
  16. Lee ES, Park JS. The comparison of health promotion behavior, post traumatic growth and quality of life according to stages of survivorship in patients with female genital neoplasm. Korean Journal of Adult Nursing. 2013;25(3):312-321. https://doi.org/10.7475/kjan.2013.25.3.312
  17. Jeong KS, Park GJ. Relationships among body image, self-esteem and health promotion behavior in mastectomy patients. Asian Oncology Nursing. 2007;7(1):36-46.
  18. Bae H, Kim A, Nam S, Youn J, Youn H, Kim G, et al. The influence of expectations regarding aging on health-promoting behaviors. Journal of the Korean Data and Information Science Society. 2014;25(1):77-85. https://doi.org/10.7465/jkdi.2014.25.1.77
  19. Cha BK, Beak ES. Psychosocial adaptation and related factors in patients with a permanent colostomy. Journal of Korean Academy of Fundamental Nursing. 2009;16(4):506-514.
  20. Lee MS, Kim JH, Park EY, Kim JN, Yoo ES. Focus group study on psychosocial distress of cancer patients. Korean Journal of Adult Nursing. 2010;22(1):19-30.
  21. Chun SY, Park H, Lee TH, Park EC. Do long term cancer survivors have better health-promoting behavior than non-cancer populations?: Case-control study in Korea. Asian Pacific Journal of Cancer Prevention. 2015;16(4):1415-1420. https://doi.org/10.7314/APJCP.2015.16.4.1415
  22. Baker N, Armour K, Meystre C, Redwood S, Dawson A. PA14 the legacy of cancer: Why a health promoting approach is so important in palliative care. BMJ Supportive & Palliative Care. 2015;5(Suppl 1):A23-24. https://doi.org/10.1136/bmjspcare-2015-000906.74
  23. Phillips SM, McAuley E. Associations between self-reported post-diagnosis physical activity changes, body weight changes, and psychosocial well-being in breast cancer survivors. Supportive Care in Cancer. 2015;23(1):159-167. https://doi.org/10.1007/s00520-014-2346-5
  24. Gesselman AN, Bigatti SM, Garcia JR, Coe K, Cella D, Champion VL. Spirituality, emotional distress, and post-traumatic growth in breast cancer survivors and their partners: An actor-partner interdependence modeling approach. Psycho-oncology. 2017;26(10):1691-1699. https://doi.org/10.1002/pon.4192
  25. Romeo A, Ghiggia A, Tesio V, Di Tella M, Torta R, Castelli L. Post-traumatic growth, distress and attachment style among women with breast cancer. Journal of Psychosocial Oncology. 2017;35(3):309-322. https://doi.org/10.1080/07347332.2017.1289291
  26. Lee HJ, Jun SS. Factors related to posttraumatic growth in patients with colorectal cancer. Korean Journal of Adult Nursing. 2016;28(3):247-255. https://doi.org/10.7475/kjan.2016.28.3.247
  27. Jung YM, Park JH. Development and validation of the cancer-specific posttraumatic growth inventory. Journal of Korean Academy of Nursing. 2017;47(3):319-331. https://doi.org/10.4040/jkan.2017.47.3.319
  28. Cotrim H, Pereira G. Impact of colorectal cancer on patient and family: Implications for care. European Journal of Oncology Nursing. 2008;12(3):217-226. https://doi.org/10.1016/j.ejon.2007.11.005
  29. Karadag A, Mentes BB, Ayaz S. Colostomy irrigation: Result of 25 cases with particular reference to quality of life. Journal of Clinical Nursing. 2005;14(4):479-485. https://doi.org/10.1111/j.1365-2702.2004.01083.x

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