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Hong and Park: Predictors of Resilience in Adolescents with Leukemia
Original Article

Journal of Korean Academy of Nursing 2015; 45(4): 595-603.

Published online: 31 August 2015

DOI: https://doi.org/10.4040/jkan.2015.45.4.595

Predictors of Resilience in Adolescents with Leukemia

Sung Sil Hong1, Ho Ran Park2

1Department of Nursing, Kangwon National University, Samcheok, Korea.

2College of Nursing, The Catholic University of Korea, Seoul, Korea.

Address reprint requests to: Park, Ho Ran. College of Nursing, The Catholic University of Korea, 222 Banpo-daero, Seocho-gu, Seoul 06591, Korea. Tel: +82-2-2258-7406, Fax: +82-2-2258-7772, hrpark@catholic.ac.kr

Received 4 December 2014       Revised 15 December 2014       Accepted 28 May 2015

© 2015 Korean Society of Nursing Science

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution NoDerivs License. (http://creativecommons.org/licenses/by-nd/4.0/) If the original work is properly cited and retained without any modification or reproduction, it can be used and re-distributed in any format and medium.

Abstract

Purpose

The purpose of this study was to identify the factors relating to resilience for adolescents with leukemia and examine the relationship between these factors.

Methods

From June to September in 2014, 199 adolescents aged 11 to 21 participated in the study as they visited the out-patient clinic at C university hospital for follow-up care. To verify the predictors and the effects of resilience, uncertainty, symptom distress, perceived social support, spiritual perspective, defensive coping, courageous coping, hope, and self-transcendence were measured. Collected data were analyzed using hierarchical regression analysis with the SAS statistics program.

Results

The final regression model showed that courageous coping, hope, and self-transcendence were significant predictors related to resilience in adolescents with leukemia and explained for 63% of the variance in resilience.

Conclusion

The findings indicate that adolescent-oriented intervention programs enhancing courageous coping, hope, and self-transcendence should be provide for adolescents with leukemia in order to overcome illness-related stress and support physical, psychological and social adjustment.

Keywords: Leukemia, Adolescent, Resilience

Figures and Tables

Figure 1

Conceptual framework.

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Table 1

General Characteristics and Disease-specific Characteristics (N=199)

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Table 2

Descriptive Statistics of the Measured Variables (N=199)

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Table 3

Intercorrelations Coefficients among the Measured Variables (N=199)

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Table 4

Hierarchical Regression Analysis for Resilience in Adolescents with Leukemia

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Notes

This manuscript is based on a part of the 1st author's doctoral dissertation from The Catholic University of Korea.

References

1. Ministry of Health & Welfare. Korea Central Cancer Registry. National Cancer Center. Annual report of cancer statistics in Korea in 2011. Seoul: Ministry of Health & Welfare;2013.
2. You MA. Content analysis on psychosocial adjustment of adolescent survivors of leukemia. J Korean Acad Child Health Nurs. 2006; 12(3):304–313.
3. Löf CM, Winiarski J, Giesecke A, Ljungman P, Forinder U. Health-related quality of life in adult survivors after paediatric allo-SCT. Bone Marrow Transplant. 2009; 43(6):461–468. DOI: 10.1038/bmt.2008.338.
4. Garmezy N. Resilience in children's adaptation to negative life events and stressed environments. Pediatr Ann. 1991; 20(9):459–460. 463–466.
5. Haase JE, Heiney SP, Ruccione KS, Stutzer C. Research triangulation to derive meaning-based quality-of-life theory: Adolescent resilience model and instrument development. Int J Cancer Suppl. 1999; 12:125–131.
6. Haase JE. The adolescent resilience model as a guide to interventions. J Pediatr Oncol Nurs. 2004; 21(5):289–304. DOI: 10.1177/1043454204267922.
7. Haase JE, Kintner EK, Monahan PO, Robb SL. The resilience in illness model, part 1: Exploratory evaluation in adolescents and young adults with cancer. Cancer Nurs. 2014; 37(3):E1–E12. DOI: 10.1097/NCC.0b013e31828941bb.
8. Park YO, Son Hong GR, Tak YR. Predictors of resilience in adolescents with cancer. Child Health Nurs Res. 2013; 19(3):177–186.
9. Kim DH, Yoo IY. Development of a questionnaire to measure resilience in children with chronic diseases. J Korean Acad Nurs. 2010; 40(2):236–246. DOI: 10.4040/jkan.2010.40.2.236.
10. Faul F, Erdfelder E, Lang AG, Buchner A. G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007; 39(2):175–191.
11. Stewart JL, Lynn MR, Mishel MH. Psychometric evaluation of a new instrument to measure uncertainty in children and adolescents with cancer. Nurs Res. 2010; 59(2):119–126. DOI: 10.1097/NNR.0b013e3181d1a8d5.
12. Hinds PS, Quargnenti AG, Wentz TJ. Measuring symptom distress in adolescents with cancer. J Pediatr Oncol Nurs. 1992; 9(2):84–86.
13. Zimet GD, Dahlem NW, Zimet SG, Farley GK. The multidimensional scale of perceived social support. J Pers Assess. 1988; 52(1):30–41. DOI: 10.1207/s15327752jpa5201_2.
14. Reed PG. Spirituality and well-being in terminally ill hospitalized adults. Res Nurs Health. 1987; 10(5):335–344.
15. Kim SS, Reed PG, Kang Y, Oh J. Translation and psychometric testing of the Korean versions of the spiritual perspective scale and the self-transcendence scale in Korean elders. J Korean Acad Nurs. 2012; 42(7):974–983. DOI: 10.4040/jkan.2012.42.7.974.
16. Jalowiec A. The Jalowiec coping scale. In : Strickland OL, Dilorio C, editors. Measurement of nursing outcomes. Vol. 3: Self care and coping. 2nd ed. New York, NY: Springer;2003. p. 71–87.
17. Herth K. Abbreviated instrument to measure hope: Development and psychometric evaluation. J Adv Nurs. 1992; 17(10):1251–1259.
18. Reed PG. Religiousness among terminally ill and healthy adults. Res Nurs Health. 1986; 9(1):35–41.
19. Woodgate RL. Conceptual understanding of resilience in the adolescent with cancer: Part I. J Pediatr Oncol Nurs. 1999; 16(1):35–43.
20. Son SY. Illness experience of adolescents with hematologic malignancies. J Korean Acad Nurs. 2011; 41(5):603–612. DOI: 10.4040/jkan.2011.41.5.603.
21. Fortier MA, Batista ML, Wahi A, Kain A, Strom S, Sender LS. Illness uncertainty and quality of life in children with cancer. J Pediatr Hematol Oncol. 2013; 35(5):366–370. DOI: 10.1097/MPH.0b013e318290cfdb.
22. Oh SM, Lee HJ, Kim GS, Park KD. Factors affecting social adjustment of childhood cancer survivors. Child Health Nurs Res. 2013; 19(3):238–245.
23. Enskär K, von Essen L. Prevalence of aspects of distress, coping, support and care among adolescents and young adults undergoing and being off cancer treatment. Eur J Oncol Nurs. 2007; 11(5):400–408. DOI: 10.1016/j.ejon.2007.01.003.
24. Mandleco BL, Peery JC. An organizational framework for conceptualizing resilience in children. J Child Adolesc Psychiatr Nurs. 2000; 13(3):99–111.
25. Hockenberry MJ, Wilson D. Wong's essentials of pediatric nursing. 8th ed. St. Louis, MO: Mosby;2008.
26. Trask PC, Paterson AG, Trask CL, Bares CB, Birt J, Maan C. Parent and adolescent adjustment to pediatric cancer: Associations with coping, social support, and family function. J Pediatr Oncol Nurs. 2003; 20(1):36–47. DOI: 10.1053/jpon.2003.5.
27. Wu LM, Chin CC, Chen CH, Lai FC, Tseng YY. Development and validation of the paediatric cancer coping scale. J Adv Nurs. 2011; 67(5):1142–1151. DOI: 10.1111/j.1365-2648.2010.05567.x.
28. Wu LM, Sheen JM, Shu HL, Chang SC, Hsiao CC. Predictors of anxiety and resilience in adolescents undergoing cancer treatment. J Adv Nurs. 2013; 69(1):158–166. DOI: 10.1111/j.1365-2648.2012.06003.x.
29. Ho SM, Ho JW, Bonanno GA, Chu AT, Chan EM. Hopefulness predicts resilience after hereditary colorectal cancer genetic testing: A prospective outcome trajectories study. BMC Cancer. 2010; 10:279. DOI: 10.1186/1471-2407-10-279.
30. Fegg MJ, Wasner M, Neudert C, Borasio GD. Personal values and individual quality of life in palliative care patients. J Pain Symptom Manage. 2005; 30(2):154–159. DOI: 10.1016/j.jpainsymman.2005.02.012.
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