J Korean Acad Nurs.  2015 Aug;45(4):595-603. 10.4040/jkan.2015.45.4.595.

Predictors of Resilience in Adolescents with Leukemia

Affiliations
  • 1Department of Nursing, Kangwon National University, Samcheok, Korea.
  • 2College of Nursing, The Catholic University of Korea, Seoul, Korea. hrpark@catholic.ac.kr

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.

Keyword

Leukemia; Adolescent; Resilience

MeSH Terms

Adaptation, Psychological
Adolescent
Antineoplastic Agents/therapeutic use
Female
Hope
Humans
Leukemia/drug therapy/*psychology/radiotherapy
Male
Psychology, Adolescent
*Resilience, Psychological
Self Concept
Social Support
Stem Cell Transplantation
Surveys and Questionnaires
Uncertainty
Young Adult
Antineoplastic Agents

Figure

  • Figure 1 Conceptual framework.


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