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.	陆琴, 王丽. 全程护理对肿瘤手术患者应对方式及希望水平的影响. 国际护理学杂志, 2014, 33(4): 797-799.
3.	林小静, 胡萍, 周宏, 等. 乳腺癌患者希望水平的影响因素及其与应对方式的关系. 中华现代护理杂志, 2014, 49(9): 993-996.
4.	路虹, 吴丽萍, 苏伟才, 等. 卵巢癌复发患者的希望水平与社会支持的相关性研究. 护理管理杂志, 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.	刘珺, 葛连峰, 王莉莉, 等. 食道癌患者的社会支持与希望的相关性研究. 中国健康心理学杂志, 2006, 14(1): 115-116.
7.	周茹珍, 王海霞, 赵继军, 等. 癌症患者希望水平相关因素及护理措施的研究现状. 中华现代护理杂志, 2015, 21(4): 373-375.
8.	吴明隆. 结构方程模型: AMOSE的操作与应用. 重庆: 重庆大学出版社, 2009.
9.	赵彩萍, 方建群, 李媛, 等. 胃癌患者希望水平与人格特征、焦虑抑郁情绪的相关性研究. 中华护理杂志, 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.	刘志强. 江苏省苏北地区离异家庭高职生社会支持状况研究. 医学与社会, 2010, 23(4): 89-90.
14.	张静, 陈力, 吴忠辉. 心理干预对乳腺癌患者希望水平和生活质量的影响. 中华行为医学与脑科学杂志, 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. 陆琴, 王丽. 全程护理对肿瘤手术患者应对方式及希望水平的影响. 国际护理学杂志, 2014, 33(4): 797-799.
3. 林小静, 胡萍, 周宏, 等. 乳腺癌患者希望水平的影响因素及其与应对方式的关系. 中华现代护理杂志, 2014, 49(9): 993-996.
4. 路虹, 吴丽萍, 苏伟才, 等. 卵巢癌复发患者的希望水平与社会支持的相关性研究. 护理管理杂志, 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. 刘珺, 葛连峰, 王莉莉, 等. 食道癌患者的社会支持与希望的相关性研究. 中国健康心理学杂志, 2006, 14(1): 115-116.
7. 周茹珍, 王海霞, 赵继军, 等. 癌症患者希望水平相关因素及护理措施的研究现状. 中华现代护理杂志, 2015, 21(4): 373-375.
8. 吴明隆. 结构方程模型: AMOSE的操作与应用. 重庆: 重庆大学出版社, 2009.
9. 赵彩萍, 方建群, 李媛, 等. 胃癌患者希望水平与人格特征、焦虑抑郁情绪的相关性研究. 中华护理杂志, 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. 刘志强. 江苏省苏北地区离异家庭高职生社会支持状况研究. 医学与社会, 2010, 23(4): 89-90.
14. 张静, 陈力, 吴忠辉. 心理干预对乳腺癌患者希望水平和生活质量的影响. 中华行为医学与脑科学杂志, 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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