Asian Oncol Nurs.  2013 Dec;13(4):256-264. 10.5388/aon.2013.13.4.256.

A Study on the Factors Affecting Resilience in Patients with Colon Cancer

• Kim JI
• Byeon YS

• KMID: 2269483
• DOI: http://doi.org/10.5388/aon.2013.13.4.256

Abstract

PURPOSE
The purpose of this study was to identify the level of resilience, social support, depression, anxiety and self-efficacy in patients with colon cancer, and to examine factors affecting resilience.
METHODS
Data were collected from 121 patients who had been diagnosed with colon cancer, at the 'B' hospital in Gyeonggi province and 'J' hospital in Jeju from October 30th to November 20th in the year of 2012. The collected data were analyzed using descriptive statistics, t-test, one-way ANOVA, Scheffe's test, Pearson correlation coefficients and stepwise multiple regression in SPSS WIN 18.0 program.
RESULTS
The level of resilience significantly differed by occupation, average monthly household income, education level and existence of stoma. Resilience had significant positive correlation with family members support, friends supports, medical staff support and self-efficacy. Resilience had a significant negative correlation with anxiety and depression. Factors affecting resilience were education level, existence of stoma, friends supports, anxiety and depression with R2 value of 65.9%.
CONCLUSION
Measures to improve the resilience of colon cancer patients are needed as well as nursing intervention that includes social support such as medical staff support. Education level, existence of stoma, anxiety and depression should also be taken into account.

Keyword

Resilience; Colonic Neoplasms; Social Support; Depression; Anxiety

MeSH Terms

Anxiety
Colon*
Colonic Neoplasms*
Depression
Education
Family Characteristics
Friends
Gyeonggi-do
Humans
Medical Staff
Nursing
Occupations

Reference

1. World Health Organization. Accessed October 1, 2012. http://www.who.int/cancer/en.

2. National Cancer Information Center. Accessed August 14, 2012. http://www.cancer.go.kr/ncic/cics_f/01/011/index.html.

3. Park JA. The survival journey of patients with colorectal cancer surgery [dissertation]. Seoul: Chungang Univ.;2012.

4. Lee KM, Bae JW, Kim YH, Lim HS, Lee JH, Cheong SH, et al. Effect of anesthetic methods on gastrointestinal bowel movement after colon surgery. Korean J Anesthesiol. 2006; 51(6):659–662.

5. Kim YS. A study on the psychosocial needs of clients with colon cancer [dissertation]. Seoul: Ewha womans Univ.;2004.

6. Williams J. Flatus, odour and the ostomist: coping strategies and interventions. Br J Nurs. 2008; 17(2):S10S12–S14.

7. Lange MM, Marijnen CA, Maas CP. Risk factors for sexual dysfunction after rectal cancer treatment. Eur J Cancer. 2009; 45:1578–1588.

8. Oh EH, Hong SJ, Mo MH, Woo MY, Kim SJ, Chung BY. Distress of the patients with ostomy. J Korean Oncol Nurs. 2011; 11(1):9–19.

9. Hong SK. Concept development of resilience. J Korean Acad Soc Nurs Educ. 2009; 15(1):109–119.

10. Luthar SS, Cicchetti D, Becker B. The construct of resilience: a critical evaluation and guidelines for future work. Child Dev. 2000; 71(3):543–562.

11. Kwak SY. The relationship between resilience and levels of family support, anxiety and depression in patients with hematologic malignancy [dissertation]. Seoul: Ewha womans Univ.;2012.

12. Kim SR, Chung SJ, Shin NM, Shin HW, Kim MS, Lee SJ. Resilience in patients with parkinson's disease. J Korean Acad Adult Nurs. 2010; 22(1):60–69.

13. Kim HK, Lee MK. Factors influencing resilience of adult children of alcoholics among college students. J Korean Acad Nurs. 2011; 41(5):642–651.

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

15. An JY. Effect of self efficacy enhancing individual education on self-care behavior of ostomates [dissertation]. Seoul: Seoul National Univ.;2006.

16. Bekkers MJ, Van Knippenberg FC, Van Den Borne HW, Van Berge-Henegouwen GP. Prospective evaluation of psychosocial adaption to stoma surgery: the role of self-efficacy. Psychosom Med. 1996; 58(2):183–191.

17. Luthar SS, Cicchetti D, Becker B. The construct of resilience: a critical evaluation and guidelines for future work. Child Dev. 2000; 71(3):543–562.

18. Connor KM, Davidson JR. Development of a new resilience scale: the Connor-Davidson Resilience Scale (CD-RISC). Depress Anxiety. 2003; 18(2):76–82.

19. Baek HS, Lee KU, Joo EJ, Lee MY, Choi KS. Reliability and validity of the Korean version of the Connor-Davidson Resilience Scale. Psychiatry Investig. 2010; 7(2):109–115.

20. Zimet GD, Dahlem NW, Zimet SG, Farley GK. The multidimensional scale of perceived social support. J Pers Assess. 1988; 52:30–41.

21. Shin JS. Lee YB. The effects social supports on psychosocial well-being of the unemployed. Korean J Soc Welf. 1999; 37(4):241–269.

22. Zigmond AS, Snaith RP. The hospital Anxiety and Depression Scale. Acta Psychiatr Scand. 1983; 67(6):361–370.

23. Oh SM, Min KJ, Park DB. A study on the standardization of the hospital anxiety and depression scale for koreans. J Korean Neuropsychiatry Assoc. 1999; 38(2):289–296.

24. Kim JH. An effect of guided imagery applied to hemodialysis patients. Unpublished doctoral [dissertation]. Seoul: Seoul National Univ.;1995.

25. Lee HJ, Park YS. The comparative study on the quality of life, health perception, self-efficacy of ostomates by the fecal control type [dissertation]. Daegu: Keimyung Univ.;1999.

26. Kang HW. The effect of self-efficacy and family support promoting ostomy management program on ostomates's self-care [dissertation]. Incheon: Inha Univ.;2003.

27. Park JH. Effectiveness of resilience-promoting program in depressive patients [dissertation]. Gimhae: Inje Univ.;2012.

28. Lee EK. A study on factors affecting cancer patients. J Korean Acad Soc Nurs Educ. 2007; 13(1):52–58.

29. Choi KS, Park JA, Lee JH. The effect of symptom experience and resilience on quality of life in patients with colorectal cancers. Asian Oncol Nurs. 2012; 12(1):61–68.