Asian Oncol Nurs.  2014 Jun;14(2):100-108. 10.5388/aon.2014.14.2.100.

The Effects of Posttraumatic Growth and Meaning in Life on Health Promotion Behavior in Cancer Patients

• Jang SH
• Lee HR
• Yeu HN
• Choi SO

• KMID: 2269464
• DOI: http://doi.org/10.5388/aon.2014.14.2.100

Abstract

PURPOSE
The purpose of this study was to identify the influence of posttraumatic growth and meaning in life on health promotion behavior in cancer patients.
METHODS
The participants were 124 cancer patients who were treated at a general hospital in Pusan. Data were collected for posttraumatic growth, meaning in life, and health promotion behavior. The data were analyzed using descriptive statistics, t-tests, ANOVA, Pearson correlation coefficients and stepwise multiple regression with SPSS 21.0.
RESULTS
The mean scores were health promotion behavior 2.72+/-0.47, posttraumatic growth 3.38+/-0.89, and meaning in life 3.29+/-0.59. The scores of health promotion behavior were significantly different by gender, perceived economic status, and economic difficulties due to diagnosis. Health promotion behavior had a significant correlation with posttraumatic growth and meaning in life. In multiple regression analysis, meaning in life and posttraumatic growth accounted for 26.0% of health promotion behavior.
CONCLUSION
Posttraumatic growth and meaning in life were important factors that could be used to improve the health promotion behavior of cancer patients.

Keyword

Neoplasms; Health Promotion; Growth

MeSH Terms

Busan
Diagnosis
Health Promotion*
Hospitals, General
Humans

Reference

1. National Cancer Information Center. 2011 National cancer statistics. Accessed January 3, 2014. http://www.cancer.go.kr/mbs/cancer/subview.jsp?id=cancer_040401000000.

2. Lee ES, Park JS. The comparison of health promotion behavior, post traumatic growth and quality of life according to stages of survivorship in patients with female genital neoplasm. Korean J Adult Nurs. 2013; 25:312–321.

3. Suh SR, Kim HJ. The resourcefulness and the health-promoting behaviors of cancer patients. J Korean Acad Adult Nurs. 2000; 12:112–121.

4. Choi J. Effects of husband and wife compatibility and self-efficacy on health promotion behavior in middle aged women. J Korean Acad Fundam Nurs. 2007; 14(4):507–514.

5. Weiss T. Correlates of posttaumatic growth in married breast cancer survivors. J Soc Clin Psychol. 2004; 23:733–746.

6. Tedeschi RG, Calhoun LG. Posttraumatic growth: conceptual foundations and empirical evidence. Psychol Inq. 2004; 15:1–18.

7. Choi SM. Exploration of posttraumatic growth related variables [dissertation]. Seoul: Korea Univ.;2008.

8. Tedeschi RG, Calhoun LG. The posttraumatic growth inventory: measuring the positive legacy of trauma. J Trauma Stress. 1996; 9(3):455–471.

9. Choi SO, Kim SN, Shin KI, Lee JJ. Meaning in life of a resident community of normal adults. J Korean Acad Adult Nurs. 2002; 14(3):359–367.

10. Seo YJ. Relationships between self-care practices and meaning in life of the diabetic elderly [dissertation]. Busan: Catholic Univ. of Busan;2004.

11. Seo SJ. Meaning of life, health status and health behaviors in elderly [dissertation]. Seoul: Ewha womans Univ;2007.

12. Kim EK, Park YS. Health promotion, stress and quality of life in patients with genital neoplasms. Korean J Rehabil Nurs. 2010; 13(2):114–122.

13. Jeong KS, Park GJ. Relationships among body image, self-esteem and health promotion behavior in mastectomy patients. J Korean Oncol Nurs. 2007; 7(1):36–46.

14. Oh PJ. Structure model for health promotion and quality of life in people with cancer. J Nurs Acad Soc. 1996; 26(3):632–652.

15. Song SH, Lee HS, Park JH, Kim KH. Reliability and validity of the Korean version of the posttraumatic growth inventory. Korean J Health Psychol. 2009; 14(1):193–214.

16. Park CL, Malone MR, Suresh DP, Bliss D, Rosen RI. Coping, meaning in life, and quality of life in congestive heart failure patients. Qual Life Res. 2008; 17:21–26.

17. Choi SO. Posttraumatic growth in family caregivers of patients with cancer. Korean J Hosp Palliat Care. 2014; 17(1):1–9.

18. Bellizzi KM. Expresssions of generatively and posttraumatic growth in adult cancer survivors. Int J Aging Hum Dev. 2004; 58(4):267–287.

19. Leung YW, Alter DA, Prior PL, Stewart DE, Irvine J, Grace SL. Posttraumatic growth in coronary artery disease outpatients: Relationship to degree of trauma and health service use. J Psychosom Res. 2012; 72:293–299.

20. Kim HJ, Kwon JH, Kim JN, Lee R, Lee KS. Posttraumatic growth and related factors in breast cancer survivors. Korean J Health Psychol. 2008; 13(3):781–799.

21. Lee JH, Lee HK. The mediating role of meaning in life in the relationship between religious coping styles and posttraumatic growth among christians. Korean J Relig Educ. 2011; 36:171–192.

22. Lee SH, Ahn SH. Self care compliance, family support, and depression in patients with congestive heart failure. J Korean Acad Fundam Nurs. 2005; 12(2):186–194.

23. Lee S, Kim YJ. Posttraumatic growth of patients with brest cancer. J Korean Acad Nurs. 2012; 42(6):907–915.

24. Song JY, Lee HK. The mediating effect of life meaning of childhood cancer patients' mothers in the link between their hope and posttraumatic growth. Korean J Couns. 2010; 11(4):1501–1517.

25. Yoon MO. The effect of spiritual nursing intervention on the meaning of life and spiritual distress of the terminal cancer patients. J Res Inst Hosp Palliat Care. 2004; 8:54–67.

26. Kim HK. Factors influencing health promoting behaviors of university students using Pender's model. Korean J Women Health Nurs. 2006; 12(2):132–141.

27. Lim EJ, Noh JH. The factors related to health promoting behaviors of the late middle aged. J Korea Acad Industr Coop Soc. 2012; 13(10):4694–4702.

28. Seo JH, Ryu HS. Relations among depression, life satisfaction and health promoting behavior in the elderly. J Korean Acad Community Health Nurs. 2010; 21(2):169–177.

29. Joo AR. A study on the relationship between family stress and health promoting behavior of the dual earner couples. Korean J Occup Health Nurs. 2011; 20(2):221–229.

30. Dossey BM, Keegan L, Guzzetta CE, Kolkmeier LG. Holistic nursing. 2nd ed. Gaithersburg, MD: Aspen Publication;2000.