ABSTRACT
PURPOSE: This study was to explore the hope structures of the newly diagnosed cancer patients by examining the relationships between hope and the three concepts of 'Personal Spirit', 'Risk' and 'Authentic Caring' which composed the multidimensions of the Nekolaichuk and Bruera's hope model. METHODS: Data was collected via survey from 32 newly diagnosed cancer patients. The perceived meaning of life (PML) for 'personal spirit', perceived confidence in cure (PCC) for 'risk', and perceived family support (PFS) and perceived support from medical team (PSM) for 'authentic caring' were adapted from the definitions of the concepts in the model. Hope, PML, and PCC were measured with VAS. PFS and PSM were measured with Korean version of 'Cobb's family support scale', which was modified by Kang. Pearson correlation coefficients were used to identify the relationships among the concepts. RESULTS: The significant relationships were revealed between hope and PCC (p<.001), hope and PML (p<.001), PML and PCC (p<.001), PFS and PML (p=.030), and PSM and PML (p=.047). CONCLUSION: The newly diagnosed cancer patients experience hope in different ways. The cancer patients' hope immediate after diagnosis, however, is most likely to be experienced as seeking balance between uncertainty about cancer treatment and the meaning of life.
Subject(s)
Humans , UncertaintyABSTRACT
PURPOSE: The purpose of the study was to meta-analyze the relationships of major concepts, which were made by synthesizing similar explanatory variables into more comprehensive concepts, to hope. METHOD: The relevant researches from Jan 1980 to Dec 2003, performed in adults or adult patients, were collected. Using the SAS program, meta-analysis were done with the input data of the number of subjects, the correlation coefficients provided from most of the studies or a few transformed correlation coefficients from F value. In order to get the analysis to be done in homogeneous status of the data regarding each relationship of each major concept to hope(p>0.05), heterogeneous data were eliminated in repeating Q-test. RESULT: The major variable regarding relationship to self/transcendental being/life(spiritual wellbeing & self esteem) and social support(social support & family support) have very large positive effects on hope(D(_)=1.72, D(_)=1.27). The negative effect of the variable regarding captive state(uncertainty in illness, perceived unhealthiness status, & fatigue) and positive effect of coping(approach coping) on hope are in the level between moderate to large(D(_)=-0.61,D(_)=0.78). All the effects of the major concepts on hope were verified as significant statistically(p=.000). The Fail -Safe numbers showed the significant effects of the three major concepts except coping on hope were reliable. CONCLUSION: The results can be a guide to advance hope theory for nursing.