J Korean Clin Nurs Res.  2021 Apr;27(1):98-108. 10.22650/JKCNR.2021.27.1.98.

Factors Influencing Posttraumatic Growth in Patients with Lung Cancer

• Kim YS
• Moon JH
• Lee YS
• Kim YW
• Heo GR
• Oh SK

• KMID: 2515791
• DOI: http://doi.org/10.22650/JKCNR.2021.27.1.98

Abstract

Purpose
This study was conducted to identify the factors influencing the posttraumatic growth (PTG) in patients with lung cancer and to provide basic data for nursing intervention development to improve PTG and adaptation.
Methods
The study included 126 non-small cell lung cancer patients initially diagnosed at the Lung Cancer Center, C University Hospital in S city, Gyeonggi-do. Patients were asked to complete a questionnaire consisting of demographic characteristics, disease characteristics, posttraumatic growth, cancer coping, social support, and resilience. Data were analyzed using t-tests, ANOVA, and Pearson's correlation and multiple regression analysis.
Results
The mean score for PTG in lung cancer patients was 56.39, cancer coping was 61.31, social support was 61.09, and resilience was 92.77. Significant positive correlations were found for PTG and cancer coping (r=.75, p<.001), social support (r=.52, p<.001) and resilience (r=.63, p<.001). Factors contributing to PTG of lung cancer patients were cancer coping (β=.53 p<.001), perceived health status(β=.20, p=.002), resilience (β=.21, p=.010) and importance of religion (β=.15, p=.013). This model explained about 64.0% of variances of PTG (F=29.58, p<.001).
Conclusion
It is necessary to develop new nursing intervention programs to improve PTG for patients with lung cancer based on strategies to enhance coping and resilience to recovery. Longitudinal studies examining temporal changes in PTG among patients with lung cancer are suggested for future studies in this regard.

Keyword

Lung Neoplasms; Posttraumatic Growth; Coping Behaviors; Social Support; Psychological Resilience