The Relationships among Symptom Distress , Social Support and Hope of Newly Diagnosed Lung Cancer Patients Receiving Chemotherapy
| Autor: | Su-Lan Liu, 劉素蘭 |
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| Druh dokumentu: | 學位論文 ; thesis |
| Popis: | 100 The purpose of this study was to examine the relationships among symptom distress, social support, and hope of newly diagnosed lung cancer patients receiving chemotherapy. This study used a cross-sectional design with a purpose sampling. The structured questionnaire was used to collect data. The sample of 136 patients from the chest medical ward in a medical center in central Taiwan. The instruments include “Demographic data”, “Symptom Distress Scale”, “Profile of the Mood State”, “Interpersonal Support Evaluation List”, and “Herth Hope Index”. The data were analyzed by using descriptive statistics, t-test, one way ANOVA, Pearson correlation, and multiple regression analysis. The findings of this were as follows: (1) The average score of lung cancer patients' physical symptom distress was 1.76 points which a mild degree of symptom distress. The average score of psychological and emotional distress was 0.86 which a mild degree of emotional distress. (2) The average score of social support from family and friends was 2.81 points. In terms of health care professionals, the average score was 1.89 points. These were middle to high degree of support. (3) The average score of Herth Hope Index in lung cancer patients with chemotherapy was 2.87 which a moderate degree of hope. (4) Age, the educational level, the occupational status, and religion were related to hope. Age had a negative association with hope. The education level, the occupational status, and religion had positive associations with hope. (5) The physical functional status was positively correlated with hope. (6) There was no association between physical symptom distress and hope. (7) There was a negative association between psychological and emotional distress, and hope. Lung cancer patients' with higher degree of depression had lower hope. (8) There was a positive association between social support and hope. The patients with more social support had higher hope. (9) Overall support from health care professionals, the educational level, the physical functional status, the material support from family and friends, occupation, and the evaluation support from medical professionals were predictors of hope which explained 44.0% of total variances of hope. According to results of this study, the following suggestions were proposed: Using various simple assessment scales in clinical care can identify the individual needs. Understanding their support network and helping them to seek more support will increase their hope. Nurses should provide appropriate nursing guidance and symptom care and seek adequate social support to enhance patients' hope. |
| Databáze: | Networked Digital Library of Theses & Dissertations |
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