Journal of Korean Clinical Nursing Research (임상간호연구)

Hospital Nurses Association (병원간호사회)
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Factors Influencing Posttraumatic Growth in Patients with Lung Cancer

폐암 환자의 외상 후 성장에 영향을 미치는 요인

  • Kim, Young Suk (Department of Nursing, The Catholic University St. Vincent Hospital.College of Nursing, Ajou University) ;
  • Moon, Jin Ha (Department of Nursing, Yeoju Institute of Technology) ;
  • Lee, Young Suk (Department of Nursing, The Catholic University St. Vincent Hospital) ;
  • Kim, Yeon Woo (Department of Nursing, The Catholic University St. Vincent Hospital) ;
  • Heo, Gyu Rim (Department of Nursing, The Catholic University St. Vincent Hospital) ;
  • Oh, Soon Keum (Department of Nursing, The Catholic University St. Vincent Hospital)
  • 김영숙 (가톨릭대학교 성빈센트병원.아주대학교 간호대학) ;
  • 문진하 (여주대학교 간호학과) ;
  • 이영숙 (가톨릭대학교 성빈센트병원) ;
  • 김연우 (가톨릭대학교 성빈센트병원) ;
  • 허규림 (가톨릭대학교 성빈센트병원) ;
  • 오순금 (가톨릭대학교 성빈센트병원)
  • Received : 2020.09.25
  • Accepted : 2021.02.22
  • Published : 2021.04.30
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Abstract

Purpose: This study was conducted to identify the factors influencing the posttraumatic growth (PTG) in patients with lung cancer and to provide basic data for nursing intervention development to improve PTG and adaptation. Methods: The study included 126 non-small cell lung cancer patients initially diagnosed at the Lung Cancer Center, C University Hospital in S city, Gyeonggi-do. Patients were asked to complete a questionnaire consisting of demographic characteristics, disease characteristics, posttraumatic growth, cancer coping, social support, and resilience. Data were analyzed using t-tests, ANOVA, and Pearson's correlation and multiple regression analysis. Results: The mean score for PTG in lung cancer patients was 56.39, cancer coping was 61.31, social support was 61.09, and resilience was 92.77. Significant positive correlations were found for PTG and cancer coping (r=.75, p<.001), social support (r=.52, p<.001) and resilience (r=.63, p<.001). Factors contributing to PTG of lung cancer patients were cancer coping (β=.53 p<.001), perceived health status(β=.20, p=.002), resilience (β=.21, p=.010) and importance of religion (β=.15, p=.013). This model explained about 64.0% of variances of PTG (F=29.58, p<.001). Conclusion: It is necessary to develop new nursing intervention programs to improve PTG for patients with lung cancer based on strategies to enhance coping and resilience to recovery. Longitudinal studies examining temporal changes in PTG among patients with lung cancer are suggested for future studies in this regard.

Keywords

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