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An Effect of Nursing-Logotherapy on Purpose in Life and Finding Meaning, and Hope of the patients of Mental Illness
Jong Ji Lee
Journal of Nurses Academic Society 1997;27(4):727-739.   Published online March 30, 2017
DOI: https://doi.org/10.4040/jnas.1997.27.4.727
AbstractAbstract PDF

The purpose of this study was to present an effective nursing intervention for helping the patients of mental illness by determining the effect of nursing-logotherapy on purpose in life and finding meaning, and hope of the patients of mental illness by developing and applicating program of nursing-logotherapy. The data was collected from March to September in 1995, and its subjects were the patients of mental illness who was appropriate to the standard of this study among the patients of mental illness who hospitalized into Neuro-Psychiatric ward of M. and B. hospital located in Pusan area. They were all 60 subjects, thirty of them for an experimental group and the rest for a control group. The research design was an equivalent control group pre-test and post-test design as an quasiexpe-rimental research and the conceptual framework was an interpersonal model. The data analysis was computerized by using SP-SS/PC+ and hypothesis testing was done with 2-way ANCOVA and simple correlation. Results were summarized as follows : 1. There were significant changes of purpose in life and finding meaning in an experimental group before and after treatment and a control group before and after. 2. There were significant changes of hope in an experimental group before and after treatment and a control group before and after. 3. The positive correlation between purpose in life and finding meaning and hope of the patients of mental illness were observed. Consequently, nursing-logotherapy could significantly increase the purpose in life and finding meaning, and of hope, so it could be said an effective nursing intervention for helping the healing of the patients of mental illness.

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  • Effects of Meaning in Life and Social Support on Posttraumatic Growth in Pancreatic Cancer Survivors
    Youjin Kim, Boyoung Hwang
    Journal of Korean Academy of psychiatric and Mental Health Nursing.2021; 30(4): 330.     CrossRef
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Effects of a Program to Promote Self-Efficacy and Hope on the Self: Care Behaviors and the Quality of Life in Patients with Leukemia
Pok Ja Oh, Eun Ok Lee, Young Sook Tae, Dong Choon Um
Journal of Nurses Academic Society 1997;27(3):627-638.   Published online March 30, 2017
DOI: https://doi.org/10.4040/jnas.1997.27.3.627
AbstractAbstract PDF

Most patients having leukemia suffer severely from emotional turmoil due to the generalized perception that cancer will be fatal. The conventional chemotherapy results in side effects such as severe bone marrow depression which interfere with self-care management, vital for improvement in their condition. Bandura's theory of the self-efficacy suggests that self-efficacy can be enforced by performance attainments, vicarious experiences, verbal persuasion and the release of emotional arousal. Self-efficacy can be enforced by a program of vicarious experiences and verbal persuasion, while the emotional arousal can be relieved through a hope promotion program. If once self-efficacy increases, the patient's self-care behaviors and the quality of life will also increase. The purpose of this study was to empirically test the effects of a program, to promote self-efficacy and hope, on self-care behaviors and quality of life in patients having leukemia. In this study, three types of approaches to enhance self-efficacy and hope were used : 1) a 20-minute long slide/tape for vagarious experiences ; 2) a 10-minute long telephone call coaching for verbal persuasion ; and 3)two booklets for information about the symptoms of leukemia and treatment modalities and hope promotion. Thirsty one patients were recruited in the experimental group and 29 in the control group with a nonequivalent pretest-posttest design. The subjects were patients with leukemia undergoing chemotherapy. Sherer and Maddux's self-efficacy scale, Nowotny's hope scale, and Padilla's quality of life scale were employed with some modifications. A self-care behavior scale was developed by the researchers. Statistical analyses including paired t-test, Chi-square, ANCOVA and ANOVA, were used. The results are as follows : The levels of self-efficacy, self-care behavior and quality of life were higher in the experimental group than in the control group after four weeks of intervention(F=28.71, P=.0001 ; F=63.35, P=.0001 ; F=16.57, P=.0001). After ten weeks of intervention, all of the dependent variables(self-efficacy, self-care behavior, hope and quality of life) in the experimental group were higher than in the control group(F=74.12, P=.0001 ; F=108.34, P=.0001 ; F=13.11, P=.001 ; F=43.52, P=.0001). In conclusion, self-care behavior and quality of life increased mainly through an increase an increase in self-efficacy, while increases in hope took more time and effort.

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  • The Effects of Chemotherapy Education Reflecting Educational Needs on Self-Care Knowledge and Performance in Female Cancer Patients: A Non-Equivalent Control Group Pretest-Posttest Design
    Jin Hee Jun, Se-Na Lee
    Asian Oncology Nursing.2024; 24(3): 103.     CrossRef
  • Validation of the Korean Version of the Health Care Climate Questionnaire among Cancer Survivors
    Hyun-E Yeom, Jungmin Lee, Young-Joo Kim
    Healthcare.2024; 12(3): 323.     CrossRef
  • The development and initial validation of the self-care belief and behavior questionnaire
    Julia A. Najm, Diana M. Morelen
    Journal of Human Behavior in the Social Environment.2024; : 1.     CrossRef
  • Relationship between Health Literacy and Self-care Behavior in Patients with Stomach Cancer after Gastrectomy: Mediating Effects of Subjective Health Status and Specific Self-efficacy
    Min Jung Kim, Yong Soon Shin
    Korean Journal of Adult Nursing.2021; 33(3): 259.     CrossRef
  • The Development and Evaluation of a Health Literacy-Adapted Self-Management Intervention for Elderly Cancer Patients Undergoing Chemotherapy
    Yoon Sun Kim, Young Sook Tae, Kwuy-Im Jung
    Journal of Korean Academy of Nursing.2019; 49(4): 472.     CrossRef
  • Factors Influencing Quality of Life of Cancer Patients Hospitalized in Long-term Care Hospitals
    A Young Jang, Jeong Sook Park
    Journal of Korean Gerontological Nursing.2018; 20(1): 35.     CrossRef
  • The Effect of Patient Education Interventions on Distress, Self-Care Knowledge and Self-Care Behavior of Oncology Patients: A Meta-Analysis
    Pok-Ja Oh, Hyeong-Ji Choi
    Asian Oncology Nursing.2012; 12(4): 257.     CrossRef
  • Effects of Self-Efficacy Promotion Program on Self-Efficacy, Self-Care Behavior, and Quality of Life in Breast Cancer Patients Receiving Radiotherapy
    Hea-Kyoung Ko, Geum Ja Park
    Journal of Korean Oncology Nursing.2011; 11(2): 136.     CrossRef
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A Study, on the Quality, of Life, Family, Support and Hope of Hospitalized and Home Care Cancer Patients
Kae Wha Jo, Myung Ja Kim
Journal of Nurses Academic Society 1997;27(2):353-363.   Published online March 30, 2017
DOI: https://doi.org/10.4040/jnas.1997.27.2.353
AbstractAbstract PDF

With the occurrence of cancer, most cancer patients experience various emotional changes such as anxiety, depression, and emotional shock. Especially in our country, cancer has been recognized as an incurable disease resulting in death. The number of cancer patients increases daily. But as the survival rate of cancer patients is also increasing, there is a need to find the better methods of nursing care for cancer patients. The purposes of this paper are as follows : 1) To understand family support and hope and quality of life for the cancer patient both during hospitalization and at home. 2) To determine the relationship between family support, hope and quality of life. To examine the problems, we used a questionnaire and obtained data form the records of 45 home care and 94 hospitalized(in 3 university hospitals) Patients in Taegu area from the period of June 15 to August 15, 1996. SPSS /PC was used for the data analysis and the statistical methods used were the T-test and ANOVA. The results of this paper are as follow : 1 ) In the aspect of family support, there is no difference between hospitalized and home care cancer patients(t=1.63, P>0.01 ). 2) In the aspect of hope, hospitalized cancer patients have a higher score than home care cancer patients (t=3.08, P>0.01 ) 3) In the aspect of quality of life, hospitalized cancer patients have a higher score than home care patients(t=2.96, P<.01). 4) There is a correlation between quality of life and hope with a correlation coefficient r=0.5199 and P=0.000. In addition. the correlation coefficient between quality of life and family support is 4179 with P =0.000. 5) The family support of the cancer patient is influenced by sex(F=9.1863, P<0.01), education(F=4.3641, P<0.01) and the level of life (F=5.5002, P<0.01 ). 6) The hope of cancer patients is influenced by the number of hospitalizations (F=3.6413, P<.05), education(F=B.01 13, P<.01 ) and the level of life (F=5.0649, P <.01 ). 7) The quality of life of cancer patients is influenced by the number of hospitalization( F=5.1167, P<0.05), education( F=3.1590, P<0.01 ) and the level of life (F=5.6942, P<1.01 ).

Citations

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  • The Influences of Family Support on the Meaning of Life in Cancer Patients
    Min Jung Kim, Min Sung Kim
    Journal of Families and Better Life.2023; 41(2): 19.     CrossRef
  • Needs of Hospice Care and Quality of Life for Cancer Patients
    In Sun Suh, Mi Hwa Shin, Se Hwa Hong
    The Korean Journal of Hospice and Palliative Care.2010; 13(2): 89.     CrossRef
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The Hope of the Stroke Patients
Lee Sun Kim
Journal of Nurses Academic Society 1997;27(1):212-227.   Published online March 30, 2017
DOI: https://doi.org/10.4040/jnas.1997.27.1.212
AbstractAbstract PDF

Cerebrovascular diseases in Korea is an important health problem since mortality and morbidity have been increased rapidly. It marked the 2nd cause of specific death rates in 1993. The stroke causes physical function disorder due to hemiparalysis and emotional disorder, and stroke patients experience helplessness, powerlessness, sense of alienation and loss of hope. These feelings make the rehabilitation difficult because they lose the will of life. The subjects of the study were seven citizens who live in Pusan, are over 50 year old and belong to low income-level. The data were collected from Jan. to Sep. 1195. The researcher as a caregiver and volunteer made confidence of them and asked for their agreement on the purpose of the study. The subjects expressed their experience as openheartedly as possible. The analysis of the data was made through the phenomenological analytic method suggested by Giorgi, which is as follows ; as an unit of description which include the subject' expressions and the researcher's observation, it is examined the theme that express the hope experience with the subject's language(underlining), and the focal meanings are identified. The focal meaning is the crystalization of the theme, which is written in the language of the researcher. After integrating the focal meaning ant make the situated structural description as the meaning of the hope experience identified on each subject's point. After integrating the situated structural description and make the general structural description as the meaning of the hope experience identified on total subject's point the systemizing of the structure of the hope experienced phenomena and the flowing of the consciousness was researched. The conclusions of this study was as follows : The ten sources of hope which the subjects experienced were sorted as under : <mutual relations to others : spouse, children, relatives, fellow believer, health professioner, associate patient group>, <spiritual dependence>, <recovery of physical function>, <rumination of the past life>, <expectation of hte future>, <economic power>, <beledf>, <ability>, <spontaneous participation>, and <recovery of roles>. Their hope was spoken out by the following two kinds of linguistics. First, the hope was expressed in the affirmative expression as follows : <to be dependable>, <to make efforts>, <to keep under control>, <to desire>, <to be pleasant>, <to be peaceful>, <to be grateful>, <to ve help>, self-confidence, Courage>, <to be happy>, <to satisfy oneself>, <to share with others>, <to understand>, and <to be affected, be impressed> Second, the hope was expressed in the negative expression as under : <to be destressed>, <to be uneasy>, <to be sorry, be unsatisfied> <despair>, <to abandon>, <to be fearful>, <to be suffer>, < to bear a burden> <to be confused>, <to be solitary>, <chest trouble>, <to feel heavy> <grief>, <to be daunted>, <to get angry>, <to be uncomfortable>, <to have something regretable> and <to feel guilty>. And their hope was expressed by the following four behavioral expressions : <physical sphere>, <psychological sphere>, <social support sphere> and <spiritual sphere>. The reaction patterns of their experience appeared in the following 4 coping method : <conquest type>, <dependence type>, <adaptation type> and <fate type>. Finally, in the hope structure the sense of certainty don't always coexict with the sense of uncertainty. When the stroke patients try to search for the best quality of life, the senses of certainty and uncertainty make a continual cyclic system in the hope structure.

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A Structural Model for Health Promotion and Quality of Life in People with Cancer
Pok Ja Oh
Journal of Nurses Academic Society 1996;26(3):632-652.   Published online March 30, 2017
DOI: https://doi.org/10.4040/jnas.1996.26.3.632
AbstractAbstract PDF

It has been noted that a genetic alteration of cells influenced by unhealthy lifestyle in addition to a series of other carcinogens increases the incidence of various neoplasmic diseases. Therefore the importance of a lifestyle that minimizes such an impact on health should be emphasized. Since stomach cancer, the most common neoplasmic disease in Korea, is related to personal lifestyle and as there is a possibility of its recurrence, patients with stomach cancer need to lead a healthy lifestyle. Also the quality of life which patients experience is negatively affected by the side effects of treatments and the possibility of recurrence. Therefore an effective nursing intervention to enhance quality of life and encourage healthy lifestyle is needed. The purpose of this study is to provide a basis for nursing intervention strategies to promote health and thus enhance quality of life. A hypothetical model for this purpose was constructed based on Pender's Health Promotion Model and Becker's Health Belief Model, with the inclusion of some influential factors such as hope for quality of life and health promoting behavior. The aims of study were to: 1) evaluate the effectiveness of patient's cognitive-perceptual factors on health promoting behaviors and quality of life; 2) examine the causal relationships among perceived benefit, perceived barrier, perceived susceptibility and severity, internal locus of control, perceived health status, hope, health concept, self efficacy, self esteem, health promoting behaviors and quality of life; 3) build and test a global hypothetical model. The subjects for this study were 164 patients who were being treated for stomach cancer were approached in the outpatient clinic on a University Hospital. The data from the completed questionnaires were analyzed using Linear Structural Relationships (LISREL). The results of research are as follows: 1) Hypothetical model and the modified model showed a good fit to the empirical data, revealing considerable explanational power for health promoting behaviors(54.9%) and quality of life(87.6%) 2) Self efficacy and hope had significant effects on health promoting behaviors. Of these, hope was affected indirectly through self efficacy and self esteem. 3) Perceived health status, hope and self esteem had significant direct effect on the quality of life. Of these variables, perceived health status was the most essential factor affecting general satisfaction in life. 4) Self-efficacy, as a mediating variable, was positively affected by perceived benifit and hope. 5) Self-esteem, as a mediating variable, was positively affected by perceived health status and hope. 6) Hope was the main variable affecting self efficacy, self esteem, health promoting behaviors and quality of life. The derived model in this study could effectively be used as a reference model for further study and could suggests a direction for nursing practices.

Citations

Citations to this article as recorded by  
  • Quality of life patterns and its association with predictors among non-muscle invasive bladder cancer survivors: A latent profile analysis
    Jeongok Park, Young Deuk Choi, Kyoungjin Lee, Miae Seo, Ahyoung Cho, Sejeong Lee, Keum-hee Nam
    Asia-Pacific Journal of Oncology Nursing.2022; 9(6): 100063.     CrossRef
  • Posttraumatic Growth and Health Promotion Behavior in Patients with Cancer: The Mediating Effect of Spiritual Well-Being
    Shunji Piao, Pok Ja Oh
    Asian Oncology Nursing.2021; 21(1): 33.     CrossRef
  • Factors Influencing Posttraumatic Growth of Gynecologic Oncology Patients Undergoing Chemotherapy
    Sun Jeong Yun, Hye Young Kim
    Korean Journal of Women Health Nursing.2019; 25(4): 409.     CrossRef
  • Psychosocial Adjustment in Korean Colorectal Cancer Survivors
    Hyejin Sun, Jia Lee
    Journal of Korean Academy of Nursing.2018; 48(5): 545.     CrossRef
  • A Comparative Study on the Characteristics of Cancer Patients and Cancer Survivors
    So Young Baek, Ja Yun Choi
    Asian Oncology Nursing.2018; 18(1): 11.     CrossRef
  • Self-Efficacy, Self-Care Behavior, Posttraumatic Growth, and Quality of Life in Patients with Cancer according to Disease Characteristics
    Jinho Choi, Sunyoung Lee, Byungduck An
    The Korean Journal of Hospice and Palliative Care.2016; 19(2): 170.     CrossRef
  • A Predictive Model of Quality of Life for Stomach Cancer Patients with Gastrectomy
    Young Suk Kim, Young Sook Tae
    Korean Journal of Adult Nursing.2015; 27(6): 613.     CrossRef
  • The Effects of Posttraumatic Growth and Meaning in Life on Health Promotion Behavior in Cancer Patients
    Sun-Hee Jang, Hae-Rang Lee, Hyung-Nam Yeu, Soon-Ock Choi
    Asian Oncology Nursing.2014; 14(2): 100.     CrossRef
  • The Influencing Factors on Quality of Life among Breast Cancer Survivors
    Yoon Sun Kim, Young Sook Tae
    Journal of Korean Oncology Nursing.2011; 11(3): 221.     CrossRef
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The Concept Analysis of Hope: Among Cancer Patients Undergoing Chemotherapy
Mi Soon Song, Eun Ok Lee, Young Sook Park, Yang Sook Hah, Young Sook Shim, Su Jeong Yu
Journal of Korean Academy of Nursing 2000;30(5):1279-1291.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2000.30.5.1279
AbstractAbstract PDF

The main objectives of this study were to analyze the concept of hope, so to provide basic data to develop a valid instrument to measure hope, and to develop hope enhancing nursing intervention a program for cancer patients. The hybrid model approach was applied in three phases, the theoretical phase, the empirical phase, and the analytic phase. The study was developed on universal attributes explaining generalized hope and specific hope, which were revealed in a comprehensive review of the literature. In the empirical phase, eight cancer patients undergoing chemotherapy were interviewed to reveal causes, motivation, and their resource of hope according to The Hope Assessment Guide (Farren, Herth, & Popovich, 1995). In the analytical phase, the results of the two previous stages of the study were compared. The results were as follows: In the theoretical phase, six dimensions of hope emerged; affective, cognitive, behavioral, affiliative, temporal and contextual dimension. The antecedent of hope was loss, crisis, uncertainity, and stress. The consequences were renewal, development of new methods, safety, peace and transcendental competence. In the empirical phase, these six dimensions emerged as theoretical phases were verified and specified as these descriptive terms: feeling, intention, expectation, activity, relation, future- orientation, reality and goal-setting. The antecedent factor of hope was occurrence or recurrence of cancer. The consequence of hope was ability to cope with real condition, feeling of safety and comfort, peace, development of new strategy and recovery of disease. The major content of hope in this phase was related to specific hope, but it was also influenced on by general hope. In the analytic phase, general and specific hope was renamed as trait and state hope. All attributes emerged at the empirical phases, and also emerged at the theoretical phase. However, cognitive and contextual dimensions were revised and specified. In conclusion, the concept of hope is divided into trait hope and state hope, and state hope is an anticipatory expectation that occurs at the time of a stressful stimulus, such as being diagnosed with cancer. Hope is a multidimensional dynamic energized mental state which has the dimensions of affective, cognitive, behavioral, affiliative, temporal and contextual. There should be further studies to develope the state and trait hope scale according to definition and attributes of hope investigated in this study. In addition, considering results of the empirical phase, the family is very a important factor as a resource of hope, so it is necessary to consider family in implementing a nursing intervention program to enhance hope.

Citations

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  • Beyond basic psychological needs: The hope construct during adjuvant treatment in colorectal cancer patients
    María Romero-Elías, David González-Cutre, Vicente J. Beltrán-Carrillo, Alejandro Jiménez-Loaisa
    Current Psychology.2023; 42(4): 2788.     CrossRef
  • Symbols of Hope on Pediatric Oncology Ward: Children's Perspective Using Photovoice
    Fatemeh Ebrahimpour, Jila Mirlashari, Akram Sadat Sadat Hosseini, Fariba Zarani, Sally Thorne
    Journal of Pediatric Oncology Nursing.2021; 38(6): 385.     CrossRef
  • Development of the Hope Scale for Korean Cancer Patients
    Young Sook Tae, Yooun Sook Choi, Gum Hee Nam, Ju Young Bae
    Korean Journal of Adult Nursing.2017; 29(2): 211.     CrossRef
  • Factors related to Hope and Relationships between Hope, Physical Symptoms, Depressive Mood and Quality of Life in Young Adult and Prime-aged Patients with Hemodialysis
    Jieun Cha, Dallong Han
    Journal of Korean Academy of Psychiatric and Mental Health Nursing.2014; 23(4): 250.     CrossRef
  • Structural Relationship of Burnout and Related Variables among Family Caregivers of Cancer Patients
    Min Joo Hong, Young Sook Tae
    Journal of Korean Academy of Nursing.2013; 43(6): 812.     CrossRef
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Mediation Effect of Hope between Fatigue and Psychosoical Adjustment in Women with Breast Cancer
Eun Hyun Lee
Journal of Korean Academy of Nursing 2000;30(4):857-868.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2000.30.4.857
AbstractAbstract PDF

The purpose of the present study is to identify the mediation effect of hope between fatigue and psychosocial adjustment in women with breast cancer. The framework for this study was guided by concepts and propositions derived from the theoretical and empirical literature on fatigue, hope and adjustment. The design of this study is a descriptive correlation study using a cross-sectional design. One hundred and twenty two outpatients with early breast cancer, receiving post-surgical radiation therapy or chemotherapy, were selected from three major medical centers in Seoul, Korea. A packet including PABCF (Psychosoical Adjustment to Breast Cancer Factor), revised RPFS (Revised Piper Fatigue Scale), HHI (Herth Hope Index), and self-addressed return envelope was given to the participants at seven to eight weeks post surgery. The questionnaires were to be completed at home and returned to the researcher by mail. The obtained data were analyzed using three regression equations guided by Baron and Kenny (1986); first, hope was regressed on fatigue; second, psychosocial adjustment was regressed on fatigue; and third, psychosocial adjustment was regressed on fatigue and hope, simultaneously. In the first equation, fatigue explained 4% of the variance in hope. In the second equation, fatigue explained 47% of the variance in psychosocial adjustment. In the last equation, hope and fatigue significantly explained the variance in psychosocial adjustment. Therefore, all conditions for the test of mediation effect of hope were satisfied. For the test of the mediation effect, the beta coefficients of fatigue on psychosocial adjustment on the second and third regression equations were compared. The beta coefficients were decreased from .69 (p < .001) on the second regression equation to .63 (p < .001) on the third regression equation. Thus, the hypothesis of this study was supported. As a result of this study, the negative Influence of fatigue on psychosocial adjustment is dampened through the mediator effect of hope in women with breast cancer. Therefore, when planning care for the adverse effect of fatigue on psychosocial adjustment, oncology nurses should consider hope as a mediator between fatigue and psychosocial adjustment to breast cancer.

Citations

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  • Relationship of Spiritual Well-being, Hope on Fatigue in Cancer Patients on Chemotherapy
    So Yeun Jun, Il Sun Ko
    Korean Journal of Adult Nursing.2012; 24(6): 557.     CrossRef
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A Study on Quality of Life and Related Factors of Ostomates
Kyung Sook Song, Young Sook Park
Journal of Korean Academy of Nursing 1999;29(4):817-828.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.1999.29.4.817
AbstractAbstract PDF

This is a descriptive study on quality of life(QOL) and related factors of ostomates to provide a basic data for development of nursing interventions. The subjects were 110 ostomates who were members of the Daegu or Daejon branches of the Korean Ostomy Association. Data collection was performed between March 1st and April 6th, 1998. Measurements of QOL, self-care, family support, self-esteem, and hope were used as the study tools. Data were analyzed with the SAS program by using t-test, ANOVA, Pearson correlation and stepwise multiple regression. The results are as follows : 1) The score on the QOL scale ranged from 97 to 226 with a mean of 164.53(+/-28.29). 2) The score of QOL on the general and ostomate-related characteristic showed significant differences according to monthly income, monthly participation in ostomate meetings, combined treatments after operation, types of evacuation management, problems of ostomy, help in caring for the ostomy, length of time since ostomate surgery, and presence or absence of readmission after discharge. 3) There were significant positive correlations between quality in life and other factors ; self-esteem(r=0.7107, P<0.001), hope(r=0.6584, P<0.001) family support(r=0.6191, P<0.001), perception of health condition(r=0.6017, P<0.001), and self-care(r=0.2286, P<0.05). 4) The variables that affected the quality of life of the subjects were self-esteem, level of family support, perception of health condition, monthly participation in ostomate meetings, combined treatments after operation, monthly income, level of hope, and age in that order. The variance of quality of life was R2=77.20 percent by calculating the sum of those variables. In conclusion, it is necessary for nursing intervention to promote self-esteem, family support, and hope in the care of ostomates in order to improve QOL.

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  • Effects of social support and self‐efficacy on the psychosocial adjustment of Korean ostomy patients
    Keum Hee Nam, Heui Yeoung Kim, Jung Ho Kim, Ki‐Noh Kang, Soo Yang Na, Bok Hee Han
    International Wound Journal.2019; 16(S1): 13.     CrossRef
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Development of An Instrument to Measure Hope for the Cancer Patients
Dal Sook Kim, So Woo Lee
Journal of Korean Academy of Nursing 1998;28(2):441-456.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.1998.28.2.441
AbstractAbstract PDF

The purpose of this study was to develop a reliable and valid instrument to measure hope for cancer patients in Korea. This Hope Scale(Kim and Lee Hope Scale : KLHS) was developed based on not only critical universal attributes explaining both basic hope (generalized hope) and specific hope but also particular characteristics varying from culture and situation, which were revealed in a comprehensive review of the literature. Initially 60 items were generated from three sources : 36 items from the Q-sample used in the Kim's study, 1992, 21 representative items(statements) from the rest Q-population of the above study, 3 items related to the newly discovered category in the new qualitative study using 10 open ended question(death and dying) from the new qualitative study on the 20 cancer patients. At first 3 items were eliminated by the critique of the content validity experts, who were high experienced nurse, nursing professors. And then 4 items were eliminated in consideration of corrected item total correlation coefficiency, theoretical framework of this study. After that, 14 items were eliminated in comparing two or three items identified with the same meaning in each factor by this research team with factor loading and communality. This Hope Scale was finally constructed with 39 items. Psychometric evaluation was done on 492 adults(104 cancer patients, 338 adults who imagined who were cancer patients ranging from 18 to 76 years old. The results revealed high internal consistency Alpha coefficiency of .9351. Principal Component Factor Analysis with Varimax Rotation resulted in 8 factors with more than 1.0 of Eigenvalue. Referring to Eigenvalues percent of variances(>60%), reproduced correlation matrix, and our theoretical framework, we decided the eight factors were the best solution to represent hope dimension sufficiently. The eight factors were "confidence in possibility of cure", "sense of internal satisfaction", "being in communion", "meaning of life", "Korean hope perspectives", "belief in god", "self confidence", "self-worth". Among these factors, "confidence in possibility of cure", "sense of internal satisfaction", "Korean hope dimensions from those of Nowotny Hope Scale and Herth Hope Scale. There was significant negative correlation of r=-.4736 between this hope scale and Beck Hopelessness Scale(BHS), and significant positive correlation of r=.3685 between this hope scale and Life Orientation Test(LOT) which indicate convergent and discriminant validity. The range of hope scores was from 71 to 244, with a mean of 171.97(SD=28.16).

Citations

Citations to this article as recorded by  
  • Development of the Hope Scale for Korean Cancer Patients
    Young Sook Tae, Yooun Sook Choi, Gum Hee Nam, Ju Young Bae
    Korean Journal of Adult Nursing.2017; 29(2): 211.     CrossRef
  • An Intervention Model to Help Clients to Seek Their Own Hope Experiences: The Narrative Communication Model of Hope Seeking Intervention
    Dal Sook Kim, Hesook Suzie Kim, Sally Thorne
    The Korean Journal of Hospice and Palliative Care.2017; 20(1): 1.     CrossRef
  • The Relationships among Social Support, Hope, Anxiety, and Depression in Patients Expecting to Receive Hematopoietic Stem Cell Transplantation
    Ka Ryeong Bae, Sue Kim
    Korean Journal of Adult Nursing.2016; 28(1): 30.     CrossRef
  • Biopsychosocial correlates of hope in Asian patients with cancer: a systematic review
    Rathi Mahendran, Shi Min Chua, Haikel A Lim, Isaac J Yee, Joyce Y S Tan, Ee Heok Kua, Konstadina Griva
    BMJ Open.2016; 6(10): e012087.     CrossRef
  • Physical symptoms, Hope and Family Support of Cancer Patients in the General Hospitals and Long-term Care Hospitals
    Seon Yeong Chae, Kye Ha Kim
    Korean Journal of Adult Nursing.2013; 25(3): 298.     CrossRef
  • Towards Hope Seeking Intervention Based on Individual Experience in Palliative Care
    Dal Sook Kim
    The Korean Journal of Hospice and Palliative Care.2012; 15(1): 1.     CrossRef
  • Relationship of Spiritual Well-being, Hope on Fatigue in Cancer Patients on Chemotherapy
    So Yeun Jun, Il Sun Ko
    Korean Journal of Adult Nursing.2012; 24(6): 557.     CrossRef
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The Effects of Hope Intervention on Hope and Depression of Cancer Patients Staying at Home
A Mi Shin, Jeong Sook Park
Journal of Korean Academy of Nursing 2007;37(6):994-1002.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2007.37.6.994
AbstractAbstract PDF

PURPOSE: This study was to identify the effects of hope intervention on hope and depression of cancer patients staying at home. METHODS: The study design was a randomized control group design. The subjects consisted of forty cancer patients randomly selected who were registered at S-Gu Public Health Center. Hope intervention, which was composed of hope assessment, hope objective setting, positive self identity formation, therapeutic relationships, spiritual & transcendental process improvement, positive environmental formation and hope evaluation, was provided from November 20, 2006 to January 26, 2007. RESULTS: The 1-1 hypothesis, "The experimental group which received hope intervention will have a higher score of hope than the control group", was supported(t=-3.253, p= .003). The 1-2 hypothesis, "The experimental group which received hope intervention will have a higher level of hope index than the control group", was supported (t=-4.001, p= .000). Therefore the 1st hypothesis, "The experimental group which received hope intervention will have a higher level of hope than the control group" was supported. The 2nd hypothesis, "The experimental group which received hope intervention will have a lower level of depression than the control group", was not supported (t=1.872, p= .070). CONCLUSION: Hope intervention is an effective nursing intervention to enhance hope for patient with cancer.

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    Allan B. I. Bernardo, Sixtus Dane A. Ramos
    Frontiers in Psychology.2024;[Epub]     CrossRef
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    Mei Rianita Elfrida Sinaga, Megah Andriany, Artika Nurrahima
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    So Ryoung Seong, Moon-kyung Cho, Jeeyoon Kim, Yeo Ok Kim
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The Relationship of Uncertainty, Hope and Quality of Life in Patients with Breast Cancer
Kae Hwa Jo, Bo Kyung Son
Journal of Korean Academy of Nursing 2004;34(7):1184-1193.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2004.34.7.1184
AbstractAbstract PDF
Purpose

The purpose of this study was to explore the relationship of uncertainty, hope and quality of life in patients with breast cancer.

Method

The subjects of the study were 113 breast cancer patients treated at 3 university hospitals in Daegu and Busan from June 1 to September 30, 2003. Uncertainty was measured by the Mishel Uncertainty in Illness Scale (MUIS), Hope was measured by Nowotny's Hope Scale, and quality of life by Ro's Korean Quality of Life(QOL). Data was analyzed with the SPSS program by t-test, ANOVA, Spearman's rank correlation and Multiple Regression Analysis.

Result

The scores of uncertainty were negatively correlated with hope and QOL(all p's<0.05). Uncertainty revealed that there was a negative correlation among subitems of hope such as confidence, relationship with others, possibility of future, and inner motivation(r=-.333, p=.000; r=-.230, p=.015; r=-.260, p=.006; r=-.291, p=.003). Uncertainty also showed a negative correlation among subitems of QOL such as emotional status, self esteem, and relationship with family(r=-.29, p=.004; r=-.326, p=.000; r=-.197, p=.044), whereas hope revealed a positive correlation among subitems of QOL such as emotional status, self esteem, relationship with neighbor, and relationship with family(r=.243, p=.011; r=.487, p=.000; r=.29, p=.001; r=.29, p=.001). The score of uncertainty was low in graduate school students and subjects using problem solving as a coping method. However, the score of hope was high in college students and subjects using a problem solving method, and the score of QOL was high in professionals.

Conclusion

Based on the study results, breast cancer patients experienced living with uncertainty and maintaining hope. Thus the study's findings can be useful in directing a comprehensive nursing care plan to improve QOL of breast cancer patients.

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    Fauzia Nazam, Akbar Husain
    Health Psychology and Behavioral Medicine.2024;[Epub]     CrossRef
  • Pandemi Sürecinde Kemoterapi Tedavisi Gören Kadın Hastalarda Endişe ve Umut Düzeyi İlişkisi
    Kübra Korkmaz, Kerime Derya Beydağ
    Fenerbahçe Üniversitesi Sağlık Bilimleri Dergisi.2024; 4(1): 13.     CrossRef
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    Asian Oncology Nursing.2019; 19(2): 55.     CrossRef
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    Asian Oncology Nursing.2015; 15(4): 228.     CrossRef
  • Factors related to Hope and Relationships between Hope, Physical Symptoms, Depressive Mood and Quality of Life in Young Adult and Prime-aged Patients with Hemodialysis
    Jieun Cha, Dallong Han
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    Young Mi Ryu, Myungsun Yi
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    In-Ohg Oh, Eui Geum Oh, Sunah Kim
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    Yoon Sun Kim, Young Sook Tae
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    Chai-Soon Park, Yang-Sook Yoo, Dong-Won Choi, Hyun-Jeong Park, Ji-In Kim
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    Young Ju Kim
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Meta-Analysis of the Research Findings Concerning Functional Relationships of Explanatory Variables to Hope
Dal Sook Kim, Weon Hee Moon, Seong Yoon Ahn, Hyun Sook Oh, Kyung Hee Kwon, Moon Kyoung Park, Hyeon Sook Choi, Mee Ok Lee, Young Ju Kim
Journal of Korean Academy of Nursing 2004;34(5):673-684.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2004.34.5.673
AbstractAbstract PDF
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(D̅=1.72, D̅=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(D̅=-0.61,D̅=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.

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  • What Determines the Health-related Quality of Life of Vietnamese Migrant Workers in Korea?
    Jihyon Pahn, Heesuk Kim, Youngran Yang
    Research in Community and Public Health Nursing.2023; 34: 147.     CrossRef
  • Hope Enhancement Program for Increased Hope, Self-Efficacy, and Quality of Life for Mentally Ill Persons in Day Hospitals
    Ju Hyun Park, Hyun Sook Park
    Journal of Korean Academy of Psychiatric and Mental Health Nursing.2017; 26(3): 260.     CrossRef
  • The Effects of Tai Chi Exercise on Hope, Dependency, and Perceived Health Status of Elderly Women
    Yong Ju Park, Ja Ok Kim
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    Bok Yae Chung, Hyeon Sook Park
    The Korean Journal of Hospice and Palliative Care.2014; 17(2): 75.     CrossRef
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Structural Relationship of Burnout and Related Variables among Family Caregivers of Cancer Patients
Min Joo Hong, Young Sook Tae
J Korean Acad Nurs 2013;43(6):812-820.   Published online December 31, 2013
DOI: https://doi.org/10.4040/jkan.2013.43.6.812
AbstractAbstract PDF
Purpose

The purpose of this study was to construct a structural equational model to explain and predict burnout in family caregivers of patients with cancer. The study was based on the Stress-Appraisal-Coping Model of Lazarus and Folkman (1984) and Family Stress Theory (Hill, 1958).

Methods

Data were collected from July 10 to September 30, 2012 through direct interviews and a self-report questionnaire survey. Participants in this study were 206 family caregivers providing care for patients with cancer in In-patient or Out-patient departments of three different general hospitals located in Busan. Measured variables were exogenous variables (social support and perceived health status) and endogenous variables (perceived stress, hope and burnout).

Results

Goodness of fit in the hypothetical model was χ2=174.07, TLI=.95, CFI=.97, RMSEA=.08. Perceived health status, perceived stress, and hope showed statistically significant direct effects on burnout of family caregivers. Social support affected burnout of family caregivers indirectly. These variables explained 68.5% of total variance in burnout.

Conclusion

The results from this study suggest that perceived stress, perceived health status, and hope should be considered as major influential factors when developing nursing interventions to control burnout of family caregivers (of patients with cancer).

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    Ju Ok Yang, Hye Kyung Lee
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    Min-Jeong Park, So-Hee Park, Mi Young Chung
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    Yooun Sook Choi, Joo Hee Bae, Nam Hee Kim, Young Sook Tae
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Experiences of Hope in Clients with Chronic Schizophrenia
Moon Hee Koh
Journal of Korean Academy of Nursing 2005;35(3):555-564.   Published online June 30, 2005
DOI: https://doi.org/10.4040/jkan.2005.35.3.555
AbstractAbstract PDF
Purpose

This study was done to uncover the nature of hope experienced by clients with chronic schizophrenia.

Method

A phenomenological approach developed by Van Manen was adopted. Data was collected from intensive interviews on 7 clients with chronic schizophrenia and the expatients' biographies and arts. A phenomenological reflection was done in terms of the four life world existentials.

Result

Corporeality: Perceiving the body feeling better, proudness of self, accepting their own ill body and transcending the limitation of the body, expressing self, and staying within the boundary of a healthy body were disclosed as the body's experience of hope. Spatiality :A place with safety, freedom, peace, and sharing was the space of hope. Temporality :The essential experience of time with hope was the continuity of moving forward amid cycling and moments being filled up with something. Relationality : Connecting with someone, having someone who is dependable, understandable and exchanging interest and love were identified as the relationships of hope with others.

Conclusion

The results of this study show that chronic schizophrenic patients always strive hard to keep hope and they really need someone who can support them.

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    Mi Ok Lee, Eun Jin Lee, Mi Hyoung Lee
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    Young-Mi Yang, Jeung-Im Kim
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    Ju Hyun Park, Hyun Sook Park
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    Gong Ju Chai, Eun Sook Nam
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    Jieun Cha, Dallong Han
    Journal of Korean Academy of Psychiatric and Mental Health Nursing.2014; 23(4): 250.     CrossRef
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    Jung Sook Yun, Kwuy Bun Kim
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    Eun-Ju Song
    Journal of Korean Academy of Nursing.2011; 41(3): 382.     CrossRef
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