• Title/Summary/Keyword: Quality of hope

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The Association between Hope and Quality of Life among Adolescents with Chronic Diseases: A Systematic Review

  • Mardhiyah, Ai;Philip, Koshy;Mediani, Henny Suzana;Yosep, Iyus
    • Child Health Nursing Research
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    • v.26 no.3
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    • pp.323-328
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    • 2020
  • Purpose: Hope has been identified as a protective factor that contributes to achieving a better quality to life, especially in patients with chronic disease. The purpose of this review was to synthesize current knowledge about the relationship between hope and quality of life among adolescents living with chronic illnesses. Methods: We searched major English-language databases (PsycINFO, PubMed, and CINAHL) for studies from January 1, 2002 to July 12, 2019. Studies were included if they provided data on hope and its relationship with quality of life among adolescents with chronic diseases. Results: In total, five articles were selected from the 336 studies that were retrieved. All five studies reported a positive correlation between hope and quality of life, such that people with a higher level of hope had a better quality of life. Hope was found to have direct and indirect effects on quality of life in adolescents with chronic diseases. Conclusion: Healthcare professionals should make more efforts to enhance hope in adolescents with chronic diseases in order to improve their quality of life. Future studies exploring how hope develops in adolescents with chronic diseases and the long-term impact of hope on quality of life are necessary.

Hope, Self-esteem and Quality of Life in People with Spinal Cord Injury (척수손상 환자의 희망, 자아존중감과 삶의 질에 관한 연구)

  • Hwang, Hye-Min;Yi, Myung-Sun
    • Korean Journal of Adult Nursing
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    • v.23 no.2
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    • pp.189-197
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    • 2011
  • Purpose: The purpose of the study was to identify levels of hope, self-esteem, and quality of life, and to find correlations among these variables in people with spinal cord injury. Methods: This study was a cross-sectional descriptive survey. The data were collected by survey interview in 2010 from 120 people with spinal cord injury living in the community. To measure hope, self-esteem and quality of life, the Dispositional Hope Scale, Self-Esteem Scale, and World Health Organization's Quality of Life Instrument were utilized respectively. The data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation and stepwise multiple regression analysis using SPSS version 12.0. Results: Mean score of hope was 2.56 and that of self-esteem was 3.23. Mean score of quality of life was 3.01. Statistically significant relationships were found between quality of life and hope (r=.73, p<.001), and between quality of life and self-esteem (r=.67, p<.001). Multiple regression analyses showed that hope and self-esteem were statistically significant in predicting quality of life with the explanatory power of 59.1%. Conclusion: The results of this study indicate that nursing interventions fostering hope and self-esteem should be integrated in developing rehabilitation programs to improve quality of life for people with spinal cord injury.

Analysis of the Hope and Influencing Factors in Hemodialysis Patients (혈액투석환자의 희망정도와 영향요인)

  • Park Ho Ran;Park Sun Nam;Lee Jong Eun
    • Journal of Korean Public Health Nursing
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    • v.15 no.2
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    • pp.314-323
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    • 2001
  • The purpose of this study was to investigate the levels of hope and the influencing factors on the hope in the hemodialysis patients. The subjects of this study consisted 101 patients who had received hemodialysis In two hospitals affiliated with Catholic University from June to August, 2000. The instruments used for the study were the Hope scale by Miller(1998) and Quality of life scale, Self esteem scale and Social support scale. Cronbach's $\alpha$ of measurement tools used in the study were 0.93 for the hope, 0.96 for quality of life, 0.78 for self-esteem and 0.92 for the social support. The data were analyzed by mean, t-test, ANOVA. Scheffe test, Pearson correlation coefficients and Stepwise multiple regression using the SAS program. The results were as follows; 1. Out of a score of 164 the mean score of the hope was $107.3\pm16.7$. The mean quality of life score was 102.5 out of 160. The scores concerning social support turned out to have a mean of 67.8 out of 100. The levels concerning self-esteem and self respect had a mean of 25.1 out of 40. 2. There was a positive relation between the quality of life and social support. Furthermore, the hope level was proportional to factors such as quality of life and social support. 3. Social support accounted for $32\%$ of influential variable on the hope. If transportation way to the hospital and quality of life were added. the total predictors explained $45\%$. The results suggested that the hope levels of hemodialysis patients were influenced by their social support and quality of life. Therefore nurses are encouraged to elevate the levels of patients' hope by using the social support and quality of life in caring the patients receiving hemodyalysis.

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Hope Effects in Simple Mediation Models in Patients with Cancer (단순 매개모형에서 희망의 효과 - 암환자를 중심으로 -)

  • Choi, So-Young;Rui, Eun-Jung;Choi, Kyung-Sook
    • The Journal of Korean Academic Society of Nursing Education
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    • v.12 no.2
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    • pp.280-286
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    • 2006
  • Purpose: To test whether a hope carries the influence of pain to health related quality of life in patients with cancer. Method: 114 cancer patients recruited with. Data were collected through the Visual analog Scale, the Herth Hope Index, and the SF-36 Standard Korean Version. Results: The results showed that the measurement variables (pain, hope and health-related quality of life) were all significantly interrelated. The results of MedGraph revealed that the full mediation effect of hope in the relation between pain and mental component summary of quality of life was significant. Conclusion: These results imply that hope need to be considered in planning intervention programs for the enhancement of quality of life in patients with cancer.

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The Effects of Hope Intervention on the Hope and Quality of Life of Cancer Patients Staying at Home and Cared in Public Health Center (희망중재가 보건소 관리 재가 암환자의 희망과 삶의 질에 미치는 효과)

  • Kim, Chung-Nam;Shin, A-Mi;Park, Kyung-Min;Park, Myong-Hwa;Kim, Yeong-Ah
    • Research in Community and Public Health Nursing
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    • v.19 no.2
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    • pp.177-187
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    • 2008
  • Purpose: This study was to identify the effects of hope intervention on the hope and quality of life of cancer patients staying at home. Method: The study adopted the randomized control group design. The subjects consisted of randomly selected forty cancer patients who were registered at S-Gu Public Health Center. Hope intervention which was composed of hope assessment, positive self identity formation, hope objective setting. therapeutic relationship and spiritual & transcendental process improving, and hope evaluation was provided from October 22, 2007 to November 30, 2007. Result: Hypothesis 1-1 "The experimental group that received hope intervention will have a higher score of hope than the control group", was supported(t=-3.108, p=.004). Hypothesis 1-2 "The experimental group that received hope intervention will have a higher level of hope index than the control group". was supported(t=-4.219. p=.000). Therefore, Hypothesis 1 "The experimental group that received hope intervention will have a higher level of hope than the control group" was supported. Hypothesis 2 "The experimental group that received hope intervention will have a higher level of quality of life than the control group", was not supported(t=-1.726, p=.092). Conclusion: Hope intervention is an effective nursing intervention to enhance hope for patients with cancer staying at home.

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The Relationship of Uncertainty, Hope and Quality of Life in Patients with Breast Cancer (유방암 환자의 불확실성, 희망 및 삶의 질과의 관계)

  • Jo Kae-Hwa;Son Bo-Kyung
    • Journal of Korean Academy of Nursing
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    • v.34 no.7
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    • pp.1184-1193
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    • 2004
  • Purpose: The purpose of this study was to explore the relationship of uncertainty, hope and quality of life in patients with breast cancer. Method: The subjects of the study were 113 breast cancer patients treated at 3 university hospitals in Daegu and Busan from June 1 to September 30, 2003. Uncertainty was measured by the Mishel Uncertainty in Il1ness Scale (MUIS), Hope was measured by Nowotny's Hope Scale, and quality of life by Ro's Korean Quality of Life(QOL). Data was analyzed with the SPSS program by t-test, ANOVA, Spearman's rank correlation and Multiple Regression Analysis. Result: The scores of uncertainty were negatively correlated with hope and QOL(all p's<0.05). Uncertainty revealed that there was a negative correlation among subitems of hope such as confidence, relationship with others, possibility of future, and inner motivation(r=-.333, p=.000; r=-.230, p=.015; r=-.260, p=.006; r=-.291, p=.003). Uncertainty also showed a negative correlation among subitems of QOL such as emotional status, self esteem, and relationship with family(r=-.29, p=.004; r=-.326, p=.000; r=-.197, p=.044), whereas hope revealed a positive correlation among subitems of QOL such as emotional status, self esteem, relationship with neighbor, and relationship with family(r=.243, p=.011; r=.487, p=.000; r=.29, p=.001; r=.29, p=.001). The score of uncertainty was low in graduate school students and subjects using problem solving as a coping method. However, the score of hope was high in college students and subjects using a problem solving method, and the score of QOL was high in professionals. Conclusion: Based on the study results, breast cancer patients experienced living with uncertainty and maintaining hope. Thus the study's findings can be useful in directing a comprehensive nursing care plan to improve QOL of breast cancer patients.

Influences of Social Support and Social Stigma on Quality of Life of HIV Infected People : Mediating Effect of Hope (HIV 감염인의 사회적 지지, 사회적 낙인이 삶의 질에 미치는 영향 : 희망의 매개효과)

  • Kim, Il-Ok;Shin, Sun-Hwa
    • The Journal of the Korea Contents Association
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    • v.16 no.8
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    • pp.247-256
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    • 2016
  • The purpose of this study was to identify the mediating effect of hope relationships among social support, social stigma and quality of life. It was conducted to measure social support, social stigma, hope and quality of life from 197 HIV-infected people. Data collection was carried out through one-on-one interviews by counselling nurse. The mediating effect was analyzed through Structure Equation Model using AMOS 21.0 program and indirect effect was analyzed by bootstrapping method. As a result of analysis, first, social support had a significant positive effect on quality of life. But social stigma had a significant negative effect on quality of life. Second, social support had a significant positive effect on hope. But social stigma had a significant negative effect on hope. Third, hope had significant mediating effect within the influence of social support and social stigma on quality of life. It is suggested to develop and apply comprehensive intervention program for improve quality of life of HIV infected people in community.

The Relationship Among Personality, Hope and Quality of Life of Breast Cancer Patients (유방암 환자의 성격특성, 희망 및 삶의 질의 관련성)

  • Jo, Kae-Hwa
    • The Journal of Korean Academic Society of Nursing Education
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    • v.10 no.1
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    • pp.115-124
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    • 2004
  • The purpose of the study was to explore the relationship among personality characteristics, hope and quality of life(QOL) of breast cancer patients. The subjects of the study were the 113 breast cancer patients treated at 3 university hospitals in Daegu and Busan from June 1 to Sep. 30, 2003. Personality characteristics was measured by using Personality Inventory(NEO-PI), hope measured by using Nowotny's Hope Scale, and QOL by using a questionnaire developed by Ro(1988). Data were analyzed with SPSS program by frequency, range, t-test, ANOVA, and Pearson correlation coefficients. The findings of this survey indicate 1) The mean personality characteristics item score was 2.64, hope was 2.78, and QOL was 3.19. It appeared that there was a slightly negative tendency about personality characteristics, hope and QOL of breast cancer patients. 2) There was a significant difference between personality characteristics, hope and QOL according to demographic factor. 3) There was a positive correlation between personality characteristics and hope(r=.49), hope and QOL(r=.377). Among subitem of hope and QOL especially confident, possibility of future, active participation, inner motivation and self esteem were positively correlated with personality characteristics especially extroversion, openness and conscientiousness. 4) There was a negative correlation between neuroticism and relation with neighbor(r=-.452), neuroticism and relation with family(r=-.344). It was found that personality characteristics, hope and QOL were essential concept for qualitive care of breast cancer patients and there were negative correlation with neuroticism toward relation with neighbor and relation with family. This study suggests that there would be further study to find out the importance and relationship among personality characteristics, hope and QOL of breast cancer patients.

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A Structural Model for Health Promotion and Quality of Life in People with Cancer (건강증진과 삶의 질 구조모형 II-암환자 중심-)

  • 오복자
    • Journal of Korean Academy of Nursing
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    • v.26 no.3
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    • pp.632-652
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    • 1996
  • It has been noted that a genetic alteration of cells influenced by unhealthy lifestyle in addition to a series of other carcinogens increases the incidence of various neoplasmic diseases. Therefore the importance of a lifestyle that minimizes such an impact on health should be emphasized. Since stomach cancer, the most common neoplasmic disease in Korea, is related to personal lifestyle and as there is a possibility of its recurrence, patients with stomach cancer need to lead a healthy lifestyle. Also the quality of life which patients experience is negatively affected by the side effects of treatments and the possibility of recurrence. Therefore an effective nursing intervention to enhance quality of life and encourage healthy lifestyle is needed. The purpose of this study is to provide a basis for nursing intervention strategies to promote health and thus enhance quality of life. A hypothetical model for this purpose was constructed based on Pender's Health Promotion Model and Becker's Health Belief Model, with the inclusion of some influential factors such as hope for quality of life and health promoting behavior. The aims of study were to : 1) evaluate the effectiveness of patient's cognitive-perceptual factors on health promoting behaviors and quality of life ; 2) examine the causal relationships among perceived benefit, perceived barrier, perceived susceptibility and severity, internal locus of control, perceived health status, hope, health concept, self efficacy, self esteem health promoting behaviors & quality of life ; 3) build and test a global hypothetical model. The subjects for this study were 164 patients who were being treated for stomach cancer were approached in the outpatient clinic on a University Hospital. The data from the completed questionnaires were analyzed using Linear Structural Relationships (LISREL). The results of research are as follows : 1) Hypothetical model and the modified model showed a good fit to the empirical data, revealing considerable explanational power for health promoting behaviors(54.9%) and quality of life(87.6%) 2) Self efficacy and hope had significant effects on health promoting behaviors. Of these, hope was affected indirectly through self efficacy and self esteem. 3) Perceived health status, hope and self esteem had significant direct effect on the quality of life. Of these variables, perceived health status was the most essential factor affecting general satisfaction in life. 4) Self-efficacy, as a mediating variable, was positively affected by perceived benefit and hope. 5) Self-esteem, as a mediating variable, was positively affected by perceived health status and hope. 6) Hope was the main variable affecting self efficacy, self esteem, health promoting behaviors and quality of life. The derived model in this study could effectively be used as a reference model for further study and could suggests a direction for nursing practices

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Effects of Post-traumatic, Self-Esteem, and Hope on Quality of life among Middle-aged Female (중년여성의 외상 후 성장, 자아존중감, 희망이 삶에 질에 미치는 영향)

  • Kang, Hye-seung;Lee, So-young
    • The Journal of the Korea Contents Association
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    • v.17 no.10
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    • pp.518-525
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    • 2017
  • The purpose of this study was to investigate factors as post-traumatic, self-esteem and hope that affect the quality of life in middle-aged women. Number of middle-aged women participated in the survey were 118. Data were collected by means of self reported questionnaires from June 1 to 30. and analyzed by using descriptive statistics, t-test, ANOVA, Scheffe's test, Pearson's correlation coefficients and multiple regression with SPSS windows version 21.0. There were statistically significant differences in the quality of life health according to the frequency of hope, frequency of perceiver health status, frequency of self esteem and post traumatic state. There were significant positive correlations between quality of life and hope, perceiver health status, self esteem, post traumatic state. Negative correlations were found between quality of life and aged. Hope, perceiver health status, self esteem, post traumatic state were predictors of a quality of life Nurses should focus on factors identified in this study when developing nursing interventions to quality of life for middle-aged women.