Women's Health Nursing (여성건강간호학회지)

Korean Society of Women Health Nursing (한국여성건강간호학회)
권호 표지
DOI QR코드

DOI QR Code

Factors Influencing Posttraumatic Growth of Gynecologic Oncology Patients Undergoing Chemotherapy

항암화학요법을 받는 부인암 환자의 외상 후 성장 영향 요인

  • Received : 2019.10.17
  • Accepted : 2019.12.08
  • Published : 2019.12.20
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The purpose of this study was to investigate the factors impacting the posttraumatic growth (PTG) factors during chemotherapy in gynecologic oncology patients. Method: The data were collected at six hospitals at a university hospital, general hospital, women's hospital, and 3 oncology hospitals in D metropolitan city. The participants of the study were 135 female patients undergoing chemotherapy for their gynecologic oncology. To identify the factors that influence PTG, we used the questionnaires for the family support, sexual distress, health promoting behavior, and PTG. Results: There was a significant positive correlation between family support and health promoting behavior and PTG. There was significant negative correlation between sexual distress and PTG. Factors impacting the PTG of gynecologic oncology women undergoing chemotherapy were age, recurrence, family support, sexual distress, and health promoting behavior. These factors accounted for 47.0% of PTG. Conclusion: It is necessary to develop and apply programs that include sexual distress management education, and health promotion with families. PTG programs for gynecologic oncology patients undergoing chemotherapy should be approached considering these results.

Keywords

References

  1. National Cancer Center. Korea Central Cancer Registry. Annual report of cancer statistics in Korea in 2015 [Internet]. Goyang: Korea Central Cancer Registry; 2017 [cited 2018 Nov 24]. Available from: http://ncc. re.kr/cancerStatsView.ncc?bbsnum=438&searchKey=total&searchValue=&pageNum=1
  2. Kiser DW, Greer TB, Wilmoth MC, Dmochowski J, Naumann RW. Peripheral neuropathy in patients with gynecologic cancer receiving chemotherapy: patient reports and provider assessments. Oncology Nursing Forum. 2010;37(6):758-764. https://doi.org/10.1188/10.ONF.758-764
  3. Kim KY, Lee SH, Oh PJ. Chemotherapy-induced peripheral neuropathy and depression in cancer patients. Asian Oncology Nursing. 2015;15(3):149-155. https://doi.org/10.5388/aon.2015.15.3.149
  4. Kim GN. The changing patterns of fatigue in lung cancer patients during chemotherapy cycle [master's thesis]. Daejeon: Daejeon University; 2003.69 p.
  5. Noh GO, Park EJ, Jeong JH, Cho EJ, Kim JY, et al. Nursing needs and satisfaction of family of pediatric cancer patients during chemotherapy. Asian Oncology Nursing. 2017;17(2):97-106. https://doi.org/10.5388/aon.2017.17.2.97
  6. Sukegawa T, Itoga M, Seno H, Miura S, Inagaki T, Saito W, et al. Sleep disturbances and depression in the elderly in Japan. Psychiatry and Clinical Neurosciences. 2003;57(3):265-270. https://doi.org/10.1046/j.1440-1819.2003.01115.x
  7. Tedeschi RG, Calhoun LG. Posttraumatic growth:conceptual foundations and empirical evidence. Psychological Inquiry. 2004;15(1):1-18. https://doi.org/10.1207/s15327965pli1501_01
  8. Jung YM, Park JH. Development and validation of the cancer-specific posttraumatic growth inventory. Journal of Korean Academy of Nursing. 2017;47(3):319-331. https://doi.org/10.4040/jkan.2017.47.3.319
  9. Kim JY, Hwang HK, Choi YL, Lee H. The effect of positive family relationship on posttraumatic growth in cancer patients-moderating effect of spiritual sensitivity. Korean Association of Family Relations. 2018;22(4):223-238.
  10. Hill EK, Sandbo S, Abramsohn E, Makelarski J, Wroblewski K, Wenrich ER, et al. Assessing gynecologic and breast cancer survivors' sexual health care needs. Cancer. 2011;117(12):2643-2651. https://doi.org/10.1002/cncr.25832
  11. Jang EJ. Sexual life, marital intimacy and depression on pre-post operation of gynecologic cancer patients [master's thesis]. Seoul: Hanyang University; 2010. 57 p.
  12. Jeong KS, Park GJ. Relationships among body image, self-esteem and health promotion behavior in mastectomy patients. Journal of Korean Oncology Nursing. 2007;7(1):36-46.
  13. Hardcastle SJ, Maxwell-Smith C, Zeps N, Platell C, O'Connor M, Hagger MS. A qualitative study exploring health perceptions and factors influencing participation in health behaviors in colorectal cancer survivors. Psycho-oncology. 2017;26(2):199-205. https://doi.org/10.1002/pon.4111
  14. Choi SH, Lee YW. Influencing factors for post-traumatic growth in patients with breast cancer. Journal of the Korea Contents Association. 2016;16(11):499-509. https://doi.org/10.5392/JKCA.2016.16.11.499
  15. Song SH, Lee HS, Park JH, Kim KH. Validity and reliability of the Korean version of the posttraumatic growth inventory. Korean Journal of Health Psychology. 2009;14(1):193-214. https://doi.org/10.17315/kjhp.2009.14.1.012
  16. Moon DH. Effect of sexual function improvement program for breast cancer survivors on sexual distress, sexual satisfaction and marital intimacy. Korean Journal Women Health Nursing. 2016;22(1):30-38. https://doi.org/10.4069/kjwhn.2016.22.1.30
  17. Cobb S. Presidential Address-1976. Social support as a moderator of life stress. Psychosomatic Medicine. 1976;38(5):300-314. https://doi.org/10.1097/00006842-197609000-00003
  18. Kang HS. An experimental study of the effects of reinforcement education for rehabilitation on hemiplegia patients' self-care activities [dissertation]. Seoul: Yonsei University; 1984. 125 p.
  19. Derogatis LR, Rosen R, Leiblum S, Burnett A, Heiman J. The Female Sexual Distress Scale (FSDS): initial validation of a standardized scale for assessment of sexually related personal distress in women. Journal of Sex & Marital Therapy. 2002;28(4):317-330. https://doi.org/10.1080/00926230290001448
  20. Han C, Kim HC, Kang SH, Moon DG, Kim JJ, Choi JY. Validity and reliability of Korean version of the Female Sexual Distress Scale (FSDS). Korean Journal of Andrology. 2004;22(2):68-74.
  21. Walker SN, Sechrist KR, Pender NJ. The Health-Promoting Lifestyle Profile: development and psychometric characteristics. Nursing Research. 1987;36(2):76-81.
  22. Oh PJ. A structural model for health promotion and quality of life in people with cancer. The Journal of Nurses Academic Society. 1996;26(3):632-652. https://doi.org/10.4040/jnas.1996.26.3.632
  23. Tedeschi RG, Calhoun LG. The Posttraumatic Growth Inventory: measuring the positive legacy of trauma. Journal of Traumatic Stress. 1996;9(3):455-471. https://doi.org/10.1002/jts.2490090305
  24. Cho HM, Yoo EK. Effects of depression, family support on resilience in patients with gynecological cancer. The Journal of Korea Society for Wellness. 2015;10(4):183-195.
  25. Han SJ. A study on the family functioning in the family with the cancer patient. Journal of Korean Oncology Nursing. 2003;3(2):155-163.
  26. Lee ES, Park JS. The comparison of health promotion behavior, post traumatic growth and quality of life according to stages of survivorship in patients with female genital neoplasm. Korean Journal of Adult Nursing. 2013;25(3):312-321. https://doi.org/10.7475/kjan.2013.25.3.312
  27. Lee S, Kim YJ. Posttraumatic growth of patients with breast cancer. Journal of Korean Academy of Nursing. 2012;42(6):907-915. https://doi.org/10.4040/jkan.2012.42.6.907
  28. Jeong KS, Heo JE, Tae YS. Relationships among distress, family support, and health promotion behavior in breast cancer survivors. Asian Oncology Nursing. 2014;14(3):146-154. https://doi.org/10.5388/aon.2014.14.3.146
  29. Kim JH, Kim S, Kang HS. Development of a Sexual Health Care Scale-Practice (SHCS-P) for oncology nursing care. Korean Journal Women Health Nursing. 2010;16(4):360-369. https://doi.org/10.4069/kjwhn.2010.16.4.360
  30. Beckham JC, Calhoun PS, Glenn DM, Barefoot JC. Posttraumatic stress disorder, hostility, and health in women: a review of current research. Annals of Behavioral Medicine. 2002;24(3):219-228. https://doi.org/10.1207/s15324796abm2403_07

Cited by

  1. Impact of Posttraumatic Growth and Health Promoting Behavior on Quality of Life in Patients with Gastrointestinal Cancer vol.28, pp.1, 2019, https://doi.org/10.7739/jkafn.2021.28.1.32