Open Access, Peer-reviewed
eISSN 2288-338X
    Korean J Adult Nurs. 2013 Feb;25(1):95-104. Korean.
    Published online Feb 28, 2013.
    https://doi.org/10.7475/kjan.2013.25.1.95
    © 2013 Korean Society of Adult Nursing
    Original Article

    Factors Influencing Resilience of Patients with Hematologic Malignancy

    So Young Kwak,1 and Young Soon Byeon2
      • 1Division of Hematology, Yonsei University Health System, Severance Hospital, Seoul, Korea.
      • 2Division of Nursing Science, College of Health Science, Ewha Womans University, Seoul, Korea.
    • Corresponding author: Byeon, Young Soon. Division of Nursing Science, College of Health Science, Ewha Womans University, 11-1 Daehyun-dong, Seodaemun-gu, Seoul 120-750, Korea. Tel: +82-2-3277-2884, Fax: +82-2-3277-2850, Email: ysbyeon@ewha.ac.kr
    Received October 02, 2012; Revised February 17, 2013; Accepted February 21, 2013.

    Abstract

    Purpose

    The purpose of this study was to investigate the level of resilience, family support, anxiety and depression in patients with hematologic malignancy, and to determine modifiable psychosocial factors that affect their resilience.

    Methods

    Data were collected from 104 patients undergoing curative therapy at 'S' hospital in Seoul. The data were collected from April to May, 2012. The questionnaires included Korean Version of Connor-Davidson Resilience Scale, Family Support Scale and Hospital Anxiety-Depression Scale. The data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation and stepwise multiple regression.

    Results

    Resilience had statistically significant correlation with family support (r=.43, p<.001), anxiety (r=-.49, p<.001) and depression (r=-.52, p<.001). Factors influencing resilience were depression, family support, anxiety and time since diagnosis with R-sq. value of 36%.

    Conclusion

    The results of the study show that family support, anxiety and depression have important influences on resilience of patients with hematologic malignancy. Thus, family support needs to be reinforced when developing and implementing nursing intervention, and nurses need to intervene to reduce anxiety and depression of patients with hematologic malignancy.

    Keywords
    Hematologic neoplasms; Psychological resilience; Social support; Anxiety; Depression

    Tables

    Table 1
    Resilience, Family Support, Anxiety, and Depression (N=104)

    Table 2
    Differences of Resilience, Family Support, Anxiety, and Depression according to Demographic and Medical Characteristics (N=104)

    Table 3
    Correlation between Resilience and Family Support, Anxiety and Depression (N=104)

    Table 4
    Stepwise Multiple Linear Regression of Resilience (N=104)

    Notes

    This article is a revision of the first author's master's thesis from Ewha Womans University.

    References

      1. Amble TC, Naus MJ, Ishler MD, Bailey DL, Samsi MA. The impact of resilience on anxiety in African-American breast cancer survivors and cancer-free women; Poster session presented at the annual meeting of the Health Psychology Research Group; University of Houston; 2007.
      1. Baek HS, Lee KU, Joo EJ, Lee MY, Choi KS. Reliability and validity of the Korean version of the Connor-Davidson Resilience Scale. Psychiatry Investigation 2010;7:109–115. [doi: 10.4306/pi.2010.7.2.109]
      1. Battle J. Relationship between self-esteem and depression. Psychological Reports 1978;42:745–746. [doi: 10.2466/pr0.1978.42.3.745]
      1. Byar KL, Berger AM, Bakken SL, Cetak MA. Impact of adjuvant breast cancer chemotherapy on fatigue, other symptoms, and quality of life. Oncology Nursing Forum 2006;33:E18–E26. [doi: 10.1188/06.ONF.E18-E26]
      1. Catalano D, Chan F, Wilson L, Chiu CY. The buffering effect of resilience on depression among individuals with spinal cord injury: A structural equation model. American Psychological Association 2011;56:200–211. [doi: 10.1037/a0024571]
      1. Choi KS, Park JA, Lee JH. The effect of symptom experience and resilience on quality of life in patients with colorectal cancers. Journal of Korean Oncology Nursing 2012;12:61–68. [doi: 10.5388/aon.2012.12.1.61]
      1. Choi SE, Park HR, Ban JY. Anxiety in patients undergone hemopoietic stem cell transplantation. Journal of Korean Oncology Nursing 2006;6:37–46.
      1. Chong SO, Chang SB, Lee WH, Kim JH. Relationship between spiritual health and depression of patients with hematologic malignancy. Journal of Korean Oncology Nursing 2007;7:56–67.
      1. Cobb S. Presidential address: Social support as a moderator of life stress. Psychosomatic Medicine 1976;38:300–314.
      1. Connor KM, Davidson JRT. Development of a new resilience scale: The Connor-Davidson Resilience Scale (CD-RISC). Depression and Anxiety 2003;18:76–82. [doi: 10.1002/da.10113]
      1. De Sousa A. Psychological aspects of paediatric burns (A clinical review). Ann Burns Fire Disasters 2010;23:155–159.
      1. Grulke N, Larbig W, Kächele H, Bailer H. Pretransplant depression as risk factor for survival of patients undergoing allogeneic hematopoietic stem cell transplantation. Psycho-Oncology 2008;17:480–487. [doi: 10.1002/pon.1261]
      1. Hjemdal O, Vogel PA, Solem S, Hagen K, Stiles TC. The relationship between resilience and levels of anxiety, depression, and obsessive-compulsive symptoms in adolescents. Clinical Psychology and Psychotherapy 2011;18(4):314–321. [doi: 10.1002/cpp.719]
      1. Jung AR, Yi MS. Predictive factors of supportive care needs in patients with hematologic malignancy. Journal of Korean Academic Society of Adult Nursing 2011;23:460–471.
      1. Kang HS. In: An experimental study of the effects of reinforcement education for rehabilitation on hemiplegia patients' self-care activities. Seoul: Yonsei University; 1984.
        Unpublished doctoral dissertation.
      1. Koo BJ. The influence of resilience, hope, marital intimacy, and family support on quality of life for middleaged women. Journal of Korean Academy of Psychiatric and Mental Health Nursing 2008;17:421–430.
      1. Lee EK. A study on factors affecting cancer patients. Journal of Korean Academic Society of Nursing Education 2007;13:52–58.
      1. Loprinzi CE, Prasad K, Schroeder DR, Sood A. Stress Management and Resilience Training (SMART) program to decrease stress and enhance resilience among breast cancer survivors: A pilot randomized clinical trial. Clinical Breast Cancer 2011;11:364–368. [doi: 10.1016/j.clbc.2011.06.008]
      1. McGrath P. Positive outcomes for survivors of haematological malignancies from a spiritual perspective. International Journal of Nursing Practice 2004;10:280–291. [doi: 10.1111/j.1440-172x.2004.00490.x]
      1. Ministry of Health and Welfare. Annual report of cancer statistics in Korea in 2009. Goyang: The Korean Central Cancer Registry, National Cancer Center; 2011.
      1. Murphy-Ende K, Chernecky C. Assessing adults with leukemia. The Nurse Practitioner 2002;27:49–60.
      1. Oh PJ. Correlation between mental adjustment to cancer and anxiety. Journal of Korean Oncology Nursing 2009;9:23–30.
      1. Oh SM, Min KJ, Park DB. A study on the standardization of the hospital anxiety and depressed scale for Koreans: A comparison of normal, depressed and anxious groups. Journal of the Korean Neuropsychiatric Association 1999;38:289–296.
      1. Park YK. Functional status, depression, and family support in head and neck cancer patients. Journal of Korean Oncology Nursing 2005;5:31–39.
      1. Sandler IN, Wolchik SA, Ayers TS. Resilience rather than recovery: A contextual framework on adaptation following bereavement. Death Studies 2007;32:59–73. [doi: 10.1080/07481180701741343]
      1. So WK, Marsh G, Ling WM, Leung FY, Lo JC, Yeung M, et al. The symptom cluster of fatigue, pain, anxiety, and depression and the effect on the quality of life of women receiving treatment for breast cancer: A multicenter study. Oncology Nursing Forum 2009;36:205–214. [doi: 10.1188/09.ONF.E205-E214]
      1. Spielberger CD. Anxiety as an emotional state. In: Speilberger CD, editor. Anxiety: Current trends theory and research. New York: Academies Press; 1972.
      1. The Korean Society of Hematology. Hematology. Seoul: Epublic; 2011.
      1. Velikova G, Weis J, Hjermstad MJ, Kopp M, Morris P, Watson M, et al. The EORTC QLQ-HDC29: A supplementary module assessing the quality of life during and after high-dose chemotherapy and stem cell transplantation. European Journal of Cancer 2007;43:87–94.
      1. Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica 1983;67:361–370. [doi: 10.1111/j.1600-0447.1983.tb09716.x]
    Cited by
    Crossref 19
    Google Scholar 
    MeSH Terms
    Anxiety
    Depression
    Hematologic Neoplasms
    Humans
    Resilience, Psychological
    Surveys and Questionnaires
    Metrics
    Share
    Tables
    slide
    slide
    slide
    slide

    1 / 4

    PERMALINK