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Original Article
Predictors of Resilience in Adolescents with Leukemia
Sung Sil Hong, Ho Ran Park
Journal of Korean Academy of Nursing 2015;45(4):595-603.
DOI: https://doi.org/10.4040/jkan.2015.45.4.595
Published online: August 31, 2015

1Department of Nursing, Kangwon National University, Samcheok, Korea.

2College of Nursing, The Catholic University of Korea, Seoul, Korea.

Address reprint requests to: Park, Ho Ran. College of Nursing, The Catholic University of Korea, 222 Banpo-daero, Seocho-gu, Seoul 06591, Korea. Tel: +82-2-2258-7406, Fax: +82-2-2258-7772, hrpark@catholic.ac.kr
• Received: December 4, 2014   • Revised: December 15, 2014   • Accepted: May 28, 2015

© 2015 Korean Society of Nursing Science

This is an Open Access article distributed under the terms of the Creative Commons Attribution NoDerivs License. (http://creativecommons.org/licenses/by-nd/4.0/) If the original work is properly cited and retained without any modification or reproduction, it can be used and re-distributed in any format and medium.

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  • Purpose
    The purpose of this study was to identify the factors relating to resilience for adolescents with leukemia and examine the relationship between these factors.
  • Methods
    From June to September in 2014, 199 adolescents aged 11 to 21 participated in the study as they visited the out-patient clinic at C university hospital for follow-up care. To verify the predictors and the effects of resilience, uncertainty, symptom distress, perceived social support, spiritual perspective, defensive coping, courageous coping, hope, and self-transcendence were measured. Collected data were analyzed using hierarchical regression analysis with the SAS statistics program.
  • Results
    The final regression model showed that courageous coping, hope, and self-transcendence were significant predictors related to resilience in adolescents with leukemia and explained for 63% of the variance in resilience.
  • Conclusion
    The findings indicate that adolescent-oriented intervention programs enhancing courageous coping, hope, and self-transcendence should be provide for adolescents with leukemia in order to overcome illness-related stress and support physical, psychological and social adjustment.
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Figure 1

Conceptual framework.

jkan-45-595-g001.jpg
Table 1

General Characteristics and Disease-specific Characteristics (N=199)

jkan-45-595-i001.jpg
Table 2

Descriptive Statistics of the Measured Variables (N=199)

jkan-45-595-i002.jpg
Table 3

Intercorrelations Coefficients among the Measured Variables (N=199)

jkan-45-595-i003.jpg
Table 4

Hierarchical Regression Analysis for Resilience in Adolescents with Leukemia

jkan-45-595-i004.jpg

Figure & Data

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        Predictors of Resilience in Adolescents with Leukemia
        J Korean Acad Nurs. 2015;45(4):595-603.   Published online August 31, 2015
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      Predictors of Resilience in Adolescents with Leukemia
      Image
      Figure 1 Conceptual framework.
      Predictors of Resilience in Adolescents with Leukemia

      General Characteristics and Disease-specific Characteristics (N=199)

      Descriptive Statistics of the Measured Variables (N=199)

      Intercorrelations Coefficients among the Measured Variables (N=199)

      Hierarchical Regression Analysis for Resilience in Adolescents with Leukemia

      Table 1 General Characteristics and Disease-specific Characteristics (N=199)

      Table 2 Descriptive Statistics of the Measured Variables (N=199)

      Table 3 Intercorrelations Coefficients among the Measured Variables (N=199)

      Table 4 Hierarchical Regression Analysis for Resilience in Adolescents with Leukemia


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