The Level of Hope of Patients with Tumor Recurrence and Its Affecting Factors: A Cross-sectional Survey_Chinese Journal of Evidence-Based Medicine

Authors：

 LIHua-ming ,  ZHANGXiao-xia , LIUQiong-fang , FULan , JIAYi

umor Center, West China Hospital, Sichuan University, Chengdu 610041, China;

Corresponding?author：

ZHANGXiao-xia, Email: zhangxiaoxia@scu.edu.cn

Keywords：

Tumor recurrence; Level of hope; Coping style; Social support; Influencing factor

DOI：

10.7507/1672-2531.20160009

Video：

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Objective To explore the level of hope of patients with tumor recurrence and its affecting factors. Methods Patients with tumor recurrence admitted in West China Hospital from March 2014 to March 2015 were included in this study. Questionnaire survey was conducted to collect the general information of the patients and the information on their coping style, level of hope and social support. The structural equation model was used to analyze the factors that affect the level of hope in patients with tumor recurrence. Results A total of 431 patients were included. The average score of hope in patients with tumor recurrence was 32.88±5.83. Among these patients, 27 (6.26%) had low level of hope, 277 (64.27%) had medium level of hope and 127 (29.47%) had high level of hope. The result of univariate analysis showed that, the level of hope in different genders, marital status, education levels, income levels and types of tumors had significant differences (all P values＜0.05). The result of structural equation model showed that gender (r=-0.322, P<0.001), marital status (r=-0.243, P<0.001), education level (r=-0.219, P<0.001), income (r=0.116, P=0.021) and coping style (r=0.182, P=0.029) had direct effect on the level of hope in patients with tumor recurrence. Social support (r=0.255, P=0.027) and income (r=0.224, P=0.019) could indirectly affect patients’ coping style and therefore the level of hope. Conclusion Most patients with tumor recurrence have medium to high level of hope. Gender, marital status, education level, income and coping style have influence on the level of hope. More attention should be given to patients with low level of hope, and measures should be taken to improve the level of hope basing on the individual situations of patients with tumor recurrence.

Citation： LIHua-ming, ZHANGXiao-xia, LIUQiong-fang, FULan, JIAYi. The Level of Hope of Patients with Tumor Recurrence and Its Affecting Factors: A Cross-sectional Survey. Chinese Journal of Evidence-Based Medicine, 2016, 16(1): 36-40. doi: 10.7507/1672-2531.20160009 Copy

1.	Meggiolaro E, Berardi MA, Andritsch E, et al. Cancer patients' emotional distress, coping styles and perception of doctor-patient interaction in European cancer settings. Palliat Support Care, 2015, 9: 1-8.
2.	陸琴, 王麗. 全程護理對腫瘤手術患者應對方式及希望水平的影響. 國際護理學雜志, 2014, 33(4): 797-799.
3.	林小靜, 胡萍, 周宏, 等. 乳腺癌患者希望水平的影響因素及其與應對方式的關系. 中華現代護理雜志, 2014, 49(9): 993-996.
4.	路虹, 吳麗萍, 蘇偉才, 等. 卵巢癌復發患者的希望水平與社會支持的相關性研究. 護理管理雜志, 2010, 10(11): 766-767, 770.
5.	Afrooz R, Rahmani A, Zamanzadeh V, et al. The nature of hope among Iranian cancer patients. Asian Pac J Cancer Prev, 2014, 15(21): 9307-9312.
6.	劉珺, 葛連峰, 王莉莉, 等. 食道癌患者的社會支持與希望的相關性研究. 中國健康心理學雜志, 2006, 14(1): 115-116.
7.	周茹珍, 王海霞, 趙繼軍, 等. 癌癥患者希望水平相關因素及護理措施的研究現狀. 中華現代護理雜志, 2015, 21(4): 373-375.
8.	吳明隆. 結構方程模型: AMOSE的操作與應用. 重慶: 重慶大學出版社, 2009.
9.	趙彩萍, 方建群, 李媛, 等. 胃癌患者希望水平與人格特征、焦慮抑郁情緒的相關性研究. 中華護理雜志, 2012, 47(1): 65-67.
10.	Fraser C, Keating M. The effect of a creative art program on self-esteem, hope, perceived social support, and self-efficacy in individuals with multiple sclerosis: a pilot study. J Neurosci Nurs, 2014, 46(6): 330-336.
11.	Applebaum AJ, Stein EM, Lord-Bessen J, et al. Optimism, social support, and mental health outcomes in patients with advanced cancer. Psychooncology, 2014, 23(3): 299-306.
12.	Hasson-Ohayon I, Goldzweig G, Dorfman C, et al. Hope and social support utilisation among different age groups of women with breast cancer and their spouses. Psychol Health, 2014, 29(11): 1303-1319.
13.	劉志強. 江蘇省蘇北地區離異家庭高職生社會支持狀況研究. 醫學與社會, 2010, 23(4): 89-90.
14.	張靜, 陳力, 吳忠輝. 心理干預對乳腺癌患者希望水平和生活質量的影響. 中華行為醫學與腦科學雜志, 2010, 19(4): 341-343.
15.	Tokem Y, Ozcelik H, Cicik A. Examination of the relationship between hopelessness levels and coping strategies among the family caregivers of patients with cancer. Cancer Nurs, 2015, 38(4): E28-34.

1. Meggiolaro E, Berardi MA, Andritsch E, et al. Cancer patients' emotional distress, coping styles and perception of doctor-patient interaction in European cancer settings. Palliat Support Care, 2015, 9: 1-8.
2. 陸琴, 王麗. 全程護理對腫瘤手術患者應對方式及希望水平的影響. 國際護理學雜志, 2014, 33(4): 797-799.
3. 林小靜, 胡萍, 周宏, 等. 乳腺癌患者希望水平的影響因素及其與應對方式的關系. 中華現代護理雜志, 2014, 49(9): 993-996.
4. 路虹, 吳麗萍, 蘇偉才, 等. 卵巢癌復發患者的希望水平與社會支持的相關性研究. 護理管理雜志, 2010, 10(11): 766-767, 770.
5. Afrooz R, Rahmani A, Zamanzadeh V, et al. The nature of hope among Iranian cancer patients. Asian Pac J Cancer Prev, 2014, 15(21): 9307-9312.
6. 劉珺, 葛連峰, 王莉莉, 等. 食道癌患者的社會支持與希望的相關性研究. 中國健康心理學雜志, 2006, 14(1): 115-116.
7. 周茹珍, 王海霞, 趙繼軍, 等. 癌癥患者希望水平相關因素及護理措施的研究現狀. 中華現代護理雜志, 2015, 21(4): 373-375.
8. 吳明隆. 結構方程模型: AMOSE的操作與應用. 重慶: 重慶大學出版社, 2009.
9. 趙彩萍, 方建群, 李媛, 等. 胃癌患者希望水平與人格特征、焦慮抑郁情緒的相關性研究. 中華護理雜志, 2012, 47(1): 65-67.
10. Fraser C, Keating M. The effect of a creative art program on self-esteem, hope, perceived social support, and self-efficacy in individuals with multiple sclerosis: a pilot study. J Neurosci Nurs, 2014, 46(6): 330-336.
11. Applebaum AJ, Stein EM, Lord-Bessen J, et al. Optimism, social support, and mental health outcomes in patients with advanced cancer. Psychooncology, 2014, 23(3): 299-306.
12. Hasson-Ohayon I, Goldzweig G, Dorfman C, et al. Hope and social support utilisation among different age groups of women with breast cancer and their spouses. Psychol Health, 2014, 29(11): 1303-1319.
13. 劉志強. 江蘇省蘇北地區離異家庭高職生社會支持狀況研究. 醫學與社會, 2010, 23(4): 89-90.
14. 張靜, 陳力, 吳忠輝. 心理干預對乳腺癌患者希望水平和生活質量的影響. 中華行為醫學與腦科學雜志, 2010, 19(4): 341-343.
15. Tokem Y, Ozcelik H, Cicik A. Examination of the relationship between hopelessness levels and coping strategies among the family caregivers of patients with cancer. Cancer Nurs, 2015, 38(4): E28-34.

Chinese Journal of Evidence-Based Medicine

The Level of Hope of Patients with Tumor Recurrence and Its Affecting Factors: A Cross-sectional Survey

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