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http://dx.doi.org/10.5953/JMJH.2018.25.2.148

Relationships among Uncertainty, Distress, and Quality of Life in Lung Cancer Patients: Mediating effect of Resilience  

Lee, Jungah (Dongnam Inst. of Radiological & Medical Science)
Kim, Minju (Department of Nursing, Dong-A University College of Medicine)
Publication Information
Journal of muscle and joint health / v.25, no.2, 2018 , pp. 148-156 More about this Journal
Abstract
Purpose: The purposes of this study were to examine health-related quality of life and to identify the mediating effect of resilience on the relationship among uncertainty, distress, and health-related quality of life in lung cancer patients. Methods: A total of 149 lung cancer patients visiting the D hospital in B city completed a questionnaire, including demographic and disease-specific characteristics, uncertainty, distress, resilience, and health-related quality of life. Data were analyzed with descriptive analysis, t-tests, ANOVA, and multiple regression analyses via SPSS 24. Results: Health-related quality of life was $81.00{\pm}21.39$ (range 0~136) in lung cancer patients. In the results of hierarchical regression analyses, the health-related quality of life was associated with education, uncertainty, distress, and resilience. However, there was no mediating effect of resilience on the relationship among uncertainty, distress, and health-related quality of life. Conclusion: Lung cancer patients with high uncertainty and distress and low resilience could experience low health-related quality of life. In order to reduce uncertainty and distress, it is necessary to provide more detailed, systematic information and support, while reinforcing positive thinking.
Keywords
Health-related quality of life; Lung cancer; Uncertainty; Distress; Resilience;
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1 Aubin, M., Vzina, L., Verreault, R., Fillion, L., Hudon, E, Lehmann, F., et al. (2011). Family physician involvement in cancer care and lung cancer patient emotional distress and quality of life. Supportive Care in Cancer, 19(11), 1719-1727. https://doi.org/10.1007/s00520-010-1010-y   DOI
2 Bang, M., & Lee, J. (2017). Factors influencing on resilience of elderly gastric cancer patients. Asian Oncology Nursing, 17(3), 170-179. https://doi.org/10.5388/aon.2017.17.3.170   DOI
3 Baron, R. M., & Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51, 1173-1182. https://doi.org/10.1037//0022-3514.51.6.1173   DOI
4 Byun, H., Kim, E., & Kim, G. (2015). Impacts of stigma and distress on the quality of life in patients with lung cancer. Crisisonomy, 11(8), 223-240.
5 Cella, D. F., Bonomi, A. E., Lloyd, S. R., Tulsky, D. S., Kaplan, E., & Bonomi, P. (1995). Reliability and validity of the functional assessment of cancer therapy-lung (FACT-L) quality of life instrument. Lung Cancer, 12(3), 199-220. https://doi.org/10.1016/0169-5002(95)00450-F   DOI
6 Cha, K., & Kim, K. (2012). Impact of uncertainty on resilience in cancer patients. Asian Oncology Nursing, 12(2), 139-146. https://doi.org/10.5388/aon.2012.12.2.139   DOI
7 Chae, Y. J., & Park, J. S. (2017). A comparison of symptoms, depression, and quality of life according to stages of survivorship in lung cancer patients. Asian Oncology Nursing, 17(2), 79-86. https://doi.org/10.5388/aon.2017.17.2.79   DOI
8 Connor, K. M., & Davidson, J. R. (2003). Development of a new resilience scale: The Connor Davidson resilience scale (CD RISC). Depression and Anxiety, 18(2), 76-82. https://doi.org/10.1002/da.10113   DOI
9 Haase, J. E. (2004). The adolescent resilience model as a guide to interventions. Journal of Pediatric Oncology Nursing, 21(5), 289-299. https://doi.org/10.1177/1043454204267922   DOI
10 Hamer, M., Chida, Y., & Molloy, G. J. (2009). Psychological distress and cancer mortality. Journal of Psychosomatic Research, 66(3), 255-258. https://doi.org/10.1016/j.jpsychores.2008.11.002   DOI
11 Holland, J. C., Andersen, B., Breitbart, W. S., Buchmann, L. O., Compas, B., Deshields, T. L., et al. (2013). Distress management. Journal of the National Comprehensive Cancer Network, 11(2), 190-209. https://doi.org/10.6004/jnccn.2013.0027   DOI
12 Jang, H. S., Lee, C. S., & Yang, Y. H. (2015). Influence of uncertainty and uncertainty appraisal on self-management in hemodialysis patients. Journal of Korean Academy of Nursing, 45(2), 271-279. https://doi.org/10.4040/jkan.2015.45.2.271   DOI
13 Kim, D. H., Jeon, D. S., Park, S. C., Lee, S. E., Cho, W. H., Han, C. W., et al. (2014). Effectiveness of additional acupuncture therapy for lung cancer patients: A single group before-andafter, preliminary study. Korean Journal of Oriental Physiology & Pathology, 28, 82-88. https://doi.org/10.15188/kjopp.2014.02.28.1.82
14 Kim, J. (2009). Development of recommendation for distress management toward improvement of quality of life in cancer patients. Seoul: Ministry of Health & Welfare.
15 Kim, K. O., & Kim, J. A. (2017). Influences of uncertainty and social support on the quality of life among elderly cancer patients. Asian Oncology Nursing, 17(3), 180-187. https://doi.org/10.5388/aon.2017.17.3.180   DOI
16 Lee, J. (2013). Quality of life in non-small cell lung cancer patients: A structural equation model approach. Unpublished doctoral dissertation, Seoul National University, Seoul.
17 Mo, M. H., & Chung, B. Y. (2017). Influencing factors on uncertainty of patients undergoing chemotherapy for lung neoplasms. Journal of Korea Academia-Industrial cooperation Society, 18(4), 248-259. https://doi.org/10.5762/KAIS.2017.18.4.248   DOI
18 Lee, J. L., & Kim, K. S. (2011). The relationships between stigma, distress, and quality of life in patients with lung cancer. Journal of Korean Oncology Nursing, 11(3), 237-246. https://doi.org/10.5388/jkon.2011.11.3.237   DOI
19 Mishel, M. H. (1988). Uncertainty in illness. Journal of Nursing Scholarship, 20(4), 225-232. https://doi.org/10.1111/j.1547-5069.1988.tb00082.x   DOI
20 Mishel, M. H., & Clayton, M. F. (2008). Theories of uncertainty in illness. Middle Range Theory for Nursing, 2, 55-84.
21 Nam, K. (2018). The structural equation modeling on prostate cancer patients after radical prostatectomy. Unpublished doctoral dissertation, Kosin University, Busan.
22 National Cancer Information Center. (2017). Lung cancer. Retrieved May 20, 2018, from http://www.cancer.go.kr/
23 Oken, M. M., Creech, R. H., Tormey, D. C., Horton, J., Davis, T. E., McFadden, E. T., et al. (1982). Toxicity and response criteria of the Eastern Cooperative Oncology Group. American Journal of Clinical Oncology, 5(6), 649-656. https://doi.org/10.1097/00000421-198212000-00014   DOI
24 Sanson-Fisher, R., Bailey, L., Aranda, S., D'este, C., Stojanovski, E., Sharkey, K., et al. (2010). Quality of life research: Is there a difference in output between the major cancer types? European Journal of Cancer Care, 19(6), 714-720. https://doi.org/10.1111/j.1365-2354.2009.01158.x   DOI
25 Seo, J. Y., & Yi, M. (2015). Distress and quality of life in cancer patients receiving chemotherapy. Asian Oncology Nursing, 15(1), 18-27. https://doi.org/10.5388/aon.2015.15.1.18   DOI
26 Yun, Y. H., Kim, Y. A., Sim, J. A., Shin, A. S., Chang, Y. J., Lee, J., et al. (2016). Prognostic value of quality of life score in disease-free survivors of surgically-treated lung cancer. BMC Cancer, 16(1), 505. https://doi.org/10.1186/s12885-016-2504-x   DOI
27 Wagnild, G. M., & Yong, H. M. (1993). Development and psychometric evaluation of the resilience scale. Journal of Nursing Measurement, 1(2), 165-178.
28 Wallace, M. (2003). Uncertainty and quality of life of older men who undergo watchful waiting for prostate cancer. Oncology Nursing Forum, 30(2), 303-330. https://doi.org/10.1188/03.ONF.303-309   DOI
29 Wu, W. W., Tsai, S. Y., Liang, S. Y., Liu, C. Y., Jou, S. T., & Berry, D. L. (2015). The mediating role of resilience on quality of life and cancer symptom distress in adolescent patients with cancer. Journal of Pediatric Oncology Nursing, 32, 304-313. https://doi.org/10.1177/1043454214563758   DOI