The Effect of Symptom Experience and Resilience on Quality of Life in Patients with Colorectal Cancers

Kyung Sook Choi; Jung Ae Park; Joohyun Lee

doi:10.5388/aon.2012.12.1.61

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Choi, Park, and Lee: The Effect of Symptom Experience and Resilience on Quality of Life in Patients with Colorectal Cancers

Original Article

Asian Oncology Nursing

Asian Oncology Nursing 2012; 12(1): 61-68.

Published online: 29 February 2012

DOI: https://doi.org/10.5388/aon.2012.12.1.61

The Effect of Symptom Experience and Resilience on Quality of Life in Patients with Colorectal Cancers

Kyung Sook Choi¹, Jung Ae Park², Joohyun Lee³

¹Professor, Department of Nursing, Chung-Ang University, Seoul, Korea.

²Full-time Lecturer, Department of Nursing, Jinju Health College, Jinju, Korea.

³Researcher, Research Institute of Nursing Science, Chung-Ang University, Seoul, Korea.

Address reprint requests to: Lee, Joohyun. Research Institute of Nursing Science, Chung-Ang University, 221 Heukseokdong, Dongjakgu, Seoul 156-756, Korea. Tel: +821099563614, Fax: +8228247961, leejoohyun@hanmail.net

Received 5 January 2012 Accepted 2 February 2012

Abstract

Purpose

This study aimed to investigate the influence of resilience and symptom experience on quality of life.

Methods

Seventy five patients in an active treatment stage were recruited from 2 hospitals between October and December 2010. A survey including perceived health status, physical functional status, the symptom experience index, resilience, and the functional assessment of cancer therapy-colorectal (FACT-C) was completed.

Results

The level of FACT-C was 86.61 (±18.91), which was higher than for patients with colostomy, but lower than for patients in a rehabilitation stage. Participants without physical functional limitations showed higher level of both resilience and quality of life. Participants with bad health status showed a lower level of both resilience and quality of life and higher level of symptom experience. The quality of life was related to the level of resilience (β=.373), symptom experience (β=-.292), and perceived health status (β=-3.961).

Conclusion

Proactive nursing approaches to manage symptoms and to improve perceived health status would enhance the quality of life of colorectal cancer patients. Furthermore, various strategies to strengthen the level of resilience should be developed.

Keywords: Colorectal Neoplasms, Psychological Resilience, Quality of Life, Symptoms

Figures and Tables

Table 1

General Characteristics of Participants (N=75)

^*One missing value exists.

ADL=activity of daily life.

Table 2

Symptom Experience, Resilience, and Quality of Life among Participants (N=75)

QOL=quality of life; FACT-C=functional assessment of cancer therapy-colorectal; PWB=physical well-being; SWB=social/family well-being; EWB=emotional well-being; FWB=functional well-being; CCS=colorectal cancer subscale.

Table 3

Symptom Experience, Resilience, and Quality of Life by the Characteristics of Participants (N=75)

^*One missing values exists; ^†Three participants who had finished all treatments were excluded; ^‡LSD post hoc analysis.

Table 4

Correlations among Symptom Experience, Resilience, and Quality of Life (N=75)

SEI=Symptom experience index; R=Resilience; QOL=Quality of life; PWB=Physical well-being; SWB=Social/family well-being; EWB=Emotional well-being; FWB=Functional well-being; CCS=Colorectal cancer subscale.

Table 5

Influencing Factors on Quality of Life (N=75)

Notes

This research was supported by the Chung-Ang Univercity Research Scholarship Grants in 2009.

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