Factors influencing resilience in patients with advanced cancer: A cross-sectional study

Background: Advanced cancer and its treatments lead to various detrimental impacts on patients. Resilience is an important ability to adapt to such adversity, but there is limited information about its influencing factors, specifically in patients with advanced cancer. Objective: This study aimed t...

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Main Authors: Pimonpan Niamhom, Tipaporn Wonghongkul, Jindarat Chaiard, Chomphoonut Srirat
Format: Article
Language:English
Published: Belitung Raya Foundation 2023-06-01
Series:Belitung Nursing Journal
Subjects:
Online Access:https://www.belitungraya.org/BRP/index.php/bnj/article/view/2553
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author Pimonpan Niamhom
Tipaporn Wonghongkul
Jindarat Chaiard
Chomphoonut Srirat
author_facet Pimonpan Niamhom
Tipaporn Wonghongkul
Jindarat Chaiard
Chomphoonut Srirat
author_sort Pimonpan Niamhom
collection DOAJ
description Background: Advanced cancer and its treatments lead to various detrimental impacts on patients. Resilience is an important ability to adapt to such adversity, but there is limited information about its influencing factors, specifically in patients with advanced cancer. Objective: This study aimed to examine the influence of social support, depression, anxiety, hope, optimism, spiritual well-being, religious belief,and hardiness on resilience among adults with advanced cancer. Methods: This cross-sectional research used multi-stage sampling to select 288 participants from a university hospital and three tertiary hospitalsin northern Thailand. Data were collected using a demographic data collection form, the Hospital Anxiety and Depression Scale (HADS), the Thai version of the Social Support Questionnaire (SSQ), the Herth Hope Index (HHI), Life Orientation Test-Revised (LOT-R), Buddhist Belief Questionnaire, Health-Related Hardiness Scale (HRHS), and Connor-Davidson Resilience Scale (CD-RISC), from February 2021 to February 2022. Data were analyzed using descriptive statistics, Pearson correlation, and regression analysis. Results: Depression (r = -0.47, p <0.01) and anxiety (r = -0.39, p <0.01) had a significant negative relationship with resilience. Spiritual well-being(r = 0.74, p <0.01), hope (r = 0.67, p <0.01), religious belief (r = 0.53, p <0.01), optimism (r = 0.40, p <0.01), social support (r = 0.33, p <0.01), and hardiness (r = 0.21, p <0.01) had significant positive relationships with resilience. Only hope (β = 0.29, p <0.01) and spiritual well-being (β = 0.59, p<0.01) together influenced resilience by 64.70%. Conclusion: Spiritual well-being and hope are crucial to resilience in patients with advanced cancer. Nurses should provide spiritual support to strengthen patients’ ability to adapt successfully to life with advanced cancer.
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spelling doaj.art-77aa688bc6e54f698eb9cb0c97ea08082023-06-26T05:14:01ZengBelitung Raya FoundationBelitung Nursing Journal2477-40732023-06-019310.33546/bnj.2553Factors influencing resilience in patients with advanced cancer: A cross-sectional studyPimonpan Niamhom0Tipaporn Wonghongkul1Jindarat Chaiard2Chomphoonut Srirat3Faculty of Nursing, Chiang Mai University, ThailandFaculty of Nursing, Chiang Mai University, ThailandFaculty of Nursing, Chiang Mai University, ThailandFaculty of Nursing, Chiang Mai University, ThailandBackground: Advanced cancer and its treatments lead to various detrimental impacts on patients. Resilience is an important ability to adapt to such adversity, but there is limited information about its influencing factors, specifically in patients with advanced cancer. Objective: This study aimed to examine the influence of social support, depression, anxiety, hope, optimism, spiritual well-being, religious belief,and hardiness on resilience among adults with advanced cancer. Methods: This cross-sectional research used multi-stage sampling to select 288 participants from a university hospital and three tertiary hospitalsin northern Thailand. Data were collected using a demographic data collection form, the Hospital Anxiety and Depression Scale (HADS), the Thai version of the Social Support Questionnaire (SSQ), the Herth Hope Index (HHI), Life Orientation Test-Revised (LOT-R), Buddhist Belief Questionnaire, Health-Related Hardiness Scale (HRHS), and Connor-Davidson Resilience Scale (CD-RISC), from February 2021 to February 2022. Data were analyzed using descriptive statistics, Pearson correlation, and regression analysis. Results: Depression (r = -0.47, p <0.01) and anxiety (r = -0.39, p <0.01) had a significant negative relationship with resilience. Spiritual well-being(r = 0.74, p <0.01), hope (r = 0.67, p <0.01), religious belief (r = 0.53, p <0.01), optimism (r = 0.40, p <0.01), social support (r = 0.33, p <0.01), and hardiness (r = 0.21, p <0.01) had significant positive relationships with resilience. Only hope (β = 0.29, p <0.01) and spiritual well-being (β = 0.59, p<0.01) together influenced resilience by 64.70%. Conclusion: Spiritual well-being and hope are crucial to resilience in patients with advanced cancer. Nurses should provide spiritual support to strengthen patients’ ability to adapt successfully to life with advanced cancer. https://www.belitungraya.org/BRP/index.php/bnj/article/view/2553influencing factorsresiliencepatients with advanced cancernursesThailand
spellingShingle Pimonpan Niamhom
Tipaporn Wonghongkul
Jindarat Chaiard
Chomphoonut Srirat
Factors influencing resilience in patients with advanced cancer: A cross-sectional study
Belitung Nursing Journal
influencing factors
resilience
patients with advanced cancer
nurses
Thailand
title Factors influencing resilience in patients with advanced cancer: A cross-sectional study
title_full Factors influencing resilience in patients with advanced cancer: A cross-sectional study
title_fullStr Factors influencing resilience in patients with advanced cancer: A cross-sectional study
title_full_unstemmed Factors influencing resilience in patients with advanced cancer: A cross-sectional study
title_short Factors influencing resilience in patients with advanced cancer: A cross-sectional study
title_sort factors influencing resilience in patients with advanced cancer a cross sectional study
topic influencing factors
resilience
patients with advanced cancer
nurses
Thailand
url https://www.belitungraya.org/BRP/index.php/bnj/article/view/2553
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AT jindaratchaiard factorsinfluencingresilienceinpatientswithadvancedcanceracrosssectionalstudy
AT chomphoonutsrirat factorsinfluencingresilienceinpatientswithadvancedcanceracrosssectionalstudy