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http://dx.doi.org/10.7475/kjan.2012.24.6.557

Relationship of Spiritual Well-being, Hope on Fatigue in Cancer Patients on Chemotherapy  

Jun, So Yeun (Kyung Hee University Hospital at Gangdong)
Ko, Il Sun (College of Nursing, Yonsei University)
Publication Information
Korean Journal of Adult Nursing / v.24, no.6, 2012 , pp. 557-568 More about this Journal
Abstract
Purpose: This was a correlation study to identify the relationship of spiritual well-being, hope on fatigue in cancer patients on chemotherapy. Methods: The subjects completed structured questionnaires: the 'Spiritual Well-being Scale', developed by Paloutzian & Ellison, 'Hope Scale', developed by Kim & Lee and 'Fatigue Scale', developed by Mendoza et al. Data were collected from 120 patientsat two general hospitals and were analyzed using t-test, ANOVA & Sheffe's test, Pearson's correlation coefficients and multiple stepwise regression. Results: Participants with higher fatigue had lower scores for hope (r=-.36, p<.001) and lower scores for spiritual well-being (r=-.23, p=.011). Participants with higher scores for hope had higher scores for spiritual well-being (r=.61, p<.001). The factors seen as contributing to fatigue were hope, financial burden of treatment, period of religious life, living with spouse, and reported pain. These variables explained 32.3% of the variance in fatigue. Hope with 13% was the most influential. Conclusion: The fatigue of the cancer patients on chemotherapy can be reduced if hope is improved, and hope can be improved if the spiritual well-being is improved. Therefore, we suggest developing a nursing intervention program that leads to improve hope and spiritual well-being of the cancer patients on chemotherapy for reducing fatigue.
Keywords
Neoplasm; Chemotherapy; Spirituality; Hope; Fatigue;
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