Impact of Uncertainty on Resilience in Cancer Patients

Kyungsuk Cha; Kyunghee Kim

doi:10.5388/aon.2012.12.2.139

Journal List > Asian Oncol Nurs > v.12(2) > 1081726

Go to TopGo to Top Go to BottomGo to Bottom

TOOLS

Cha and Kim: Impact of Uncertainty on Resilience in Cancer Patients

Original Article

Asian Oncology Nursing

Asian Oncology Nursing 2012; 12(2): 139-146.

Published online: 30 June 2012

DOI: https://doi.org/10.5388/aon.2012.12.2.139

Impact of Uncertainty on Resilience in Cancer Patients

Kyungsuk Cha¹, Kyunghee Kim²

¹Gachon Unviersity Gill Hopsital, Incheon, Korea.

²Department of Nursing, Chung-Ang University, Seoul, Korea.

Address reprint requests to: Kim, Kyunghee. Department of Nursing, Chung-Ang University, 84 Heukseok-ro, Dongjak-gu, Seoul 156-765, Korea. Tel: +82-2-820-5670, Fax: +82-2-824-7961, kyung@cau.ac.kr

Received 1 May 2012 Accepted 7 June 2012

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

This study was designed to identify the impact of uncertainty degree and uncertainty appraisal on cancer patients resilience.

Methods

A sample of 181 patients with cancer was recruited from a hospital in Incheon. Data were collected from May 20 to August 25, 2011. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient and multiple regression with the SPSS/WIN 12.0 program.

Results

The resilience for cancer patients showed a significant relationship with uncertainty degree and uncertainty appraisal. The significant factors influencing resilience were uncertainty degree and uncertainty appraisal, they explained 26.5% of the variance.

Conclusion

Patients with cancer were adversely affected by uncertaint which led to a negative effect on resilience. The result suggests that intervention programs to reduce the level of uncertainty among patients could improve the resilience of cancer patients.

Keywords: Uncertainty, Resilience, Neoplasms

Figures and Tables

Table 1

General Characteristics of the Participants (N=181)

CTx=chemotherapy; OP=operation; RTx=radiotherapy.

Table 2

Level of Descriptive Statistics for Study Variables (N=181)

Table 3

The Difference of the Resilience to General Characteristics (N=181)

CTx=chemotherapy; OP=operation; RTx=radiotherapy.

Table 4

Correlation among Uncertainty Degree, Uncertainty Appraisal and Resilience (N=181)

1A=ambiguity; C=complexity; U=unpredictableness; I=inconsistency; DA=danger appraisal; OA=opportunity appraisal; IP=individual property; RLE=reception of life and ego.

Table 5

Impact of Uncertainty Degree and Uncertainty Appraisal on the Resilience (N=181)

R²=.27, F=10.44, p≤.001. VIF=variance inflation factor.

Notes

This article is a condensed form of the first author's master's thesis from Chung-Ang University.

References

1. The Korea Central Cancer Registry, National Cancer Center. Annual report of cancer statistics in Korea in 2008. 2010. Ministry of Health and Welfare.

2. da Costa Vargens OM, Bertero CM. Living with breast cancer: its effect on the life situation and the close relationship of women in Brazil. Cancer Nurs. 2007. 30:471–478.

3. Kim YJ, Lee KJ. Relationship of social support and meaning of life to suicidal thoughts in cancer patients. J Korean Acad Nurs. 2010. 40:524–532.

4. Cappiello M, Cunningham RS, Knobf MT, Erdos D. Breast cancer survivors: information and support after treatment. Clin Nurs Res. 2007. 16:278–293.

5. Koo BJ. The development and effect of longotherapy-based resilience promotion program for gynecologic cancer women [dissertation]. 2008. Seoul: Korea Univ..

6. Haase JE. The adolescent resilience model as a guide to intervensions. J Pediatr Oncol Nurs. 2004. 21:289–299.

7. Kinsel B. Resilience as adaptation in older women. J Women Aging. 2005. 17(3):23–39.

8. Sammarco A, Konecny LM. Quality of life, social support, and uncertainty among Latina breast cancer survivors. Oncol Nurs Forum. 2008. 35:844–849.

9. Yang NY, Kim MJ. Concept analysis of uncertainity related to illness. J Korean Gerontol Nurs. 2002. 4:187–194.

10. Mishel MH, Sorenson DS. Uncertainty and gynecological cancer: a test of the mediating function of mastery and coping. Nurs Res. 1991. 40:167–171.

11. Lee EK, Ryu EJ, Kim KH. Structual equation modeling on adjustment of cancer patients receiving chemotherapy. J Korean Oncol Nurs. 2011. 11:101–107.

12. Ahn HJ, Tae YS, Han YI. The relationship between spiritual health and uncertainty in cancer patients having chemotherapy. J Korean Oncol Nurs. 2007. 7:107–118.

13. Lee MS. A study on uncertainty and nursing need of cancer patients according to the phases of illness [dissertation]. 2005. Daegu: Kyungpook National Univ..

14. Lee IS. Uncertainty, appraisal and quality of life in patients with breast cancer across treatment phases [dissertation]. 2005. Seoul: Yonsei Univ..

15. Hong SK. Concept development of resilience: focusing on cancer patients. J Korean Acad Soc Nurs Educ. 2009. 15:109–119.

16. Jean YE. Resilience on the therapeutic process of cancer patients who receive chemotherapy [dissertation]. 2008. Seoul: Korea Univ..

17. Tegner I, Fox J, Philipp R, Thorne P. Evaluating the use of poetry to improve well-being and emotional resilience in cancer patients. J Poetry Ther. 2009. 22:121–131.

18. Sammarco A. Perceived social support, uncertainty, and quality of life of younger breast cancer survivors. Cancer Nurs. 2001. 24:212–219.

19. Yoo KH. An exploratory study of factors affecting on adaptation to uncertainty in rheumatoid arthritis patients. J Rheumatol Health. 2001. 8:230–249.

20. Yoo KH. A correlational study on uncertainty, mastery and appraisal of uncertainty in hospitalized children’s mothers. J Korean Acad Nurs. 2007. 37:594–602.

21. Mishel MH. Uncertainty in illness. Image J Nurs Sch. 1988. 20:225–232.

22. Chung CW, Kim MJ, Rhee MH, Do HG. Functional status and psychosocial adjustment in gynecologic cancer patients receiving chemotherapy. Korean J Women Health Nurs. 2005. 11:58–66.

23. Wagnild GM, Young HM. Development and psychometric evaluation of resilience scale. J Nurs Meas. 1993. 1:165–178.

24. Song YS. Determinants of resilience of the physically disabled at home [dissertation]. 2004. Busan: Kosin Univ..

25. Cohen C. A power primer. Psychological Bulletin. 1992. 112:155–159.

26. Koo JY. Uncertainty and quality of life in ostomates with colorectal cancer patients [dissertation]. 2008. Seoul: Yonsei Univ..

27. Kim SE. The influence of preoperative uncertainty upon anxiety [dissertation]. 2006. Seoul: Hanyang Univ..

28. Mishel MH. Perceived uncertainty and stress in illness. Res Nurs Health. 1984. 7:163–171.

29. Lee MJ. Uncertainty, appraisal of uncertainty and health-related quality of life in recovering clients discharged from hospital after CABG [dissertation]. 2009. Seoul: Ewha Womans Univ..

30. Han MR. Resilience, social support, spirituality in wives of alcoholics. [dissertation]. 2004. Seoul: Yonsei Univ..

TOOLS

Similar articles