Asian Oncol Nurs.  2018 Dec;18(4):232-240. 10.5388/aon.2018.18.4.232.

The Influence of Spiritual Well-Being, Self-Esteem, and Perceived Social Support on Post-Traumatic Growth among Breast Cancer Survivors

Affiliations
  • 1Department of Nursing, SAEGYARO Hospital, Busan, Korea.
  • 2College of Nursing, Kosin University, Busan, Korea. 113009@kosin.ac.kr

Abstract

PURPOSE
The purpose of this study was to identify the influence of spiritual well-being, self-esteem, and perceived social support on post-traumatic growth in breast cancer survivors in Korea.
METHODS
Data were collected from March 2 to October 31, 2016 using self-reporting questionnaires from 126 breast cancer survivors who had visited out-patient clinics for follow-up in B city. Data were analyzed using descriptive statistics, independent t-test, one-way ANOVA, Pearson's correlation coefficient, and stepwise multiple regression.
RESULTS
Post-traumatic growth was significantly correlated with spiritual well-being (r=.52, p < .001), self-esteem (r=.54, p < .001), and perceived social support (r=.47, p < .001). In a stepwise multiple regression, spiritual well-being (β=.26, p < .001), self-esteem (β=.23, p < .001), perceived social support (β=.21, p < .001), and presence of spouse (β=.20, p < .001) were associated with posttraumatic growth. These factors attributed to 37.0% of the total variance in post-traumatic growth in breast cancer survivors.
CONCLUSION
Considering the results of this study, it is necessary to develop and implement effective nursing strategies that can improve spiritual well-being, and to develop a holistic nursing intervention that takes into account self-esteem, perceived social support, and spousal help, when applicable, in order to promote post-traumatic growth in breast cancer survivors in Korea.

Keyword

Spirituality; Self Esteem; Social Support; Post-traumatic Stress Disorders; Breast Neoplasms

MeSH Terms

Breast Neoplasms*
Breast*
Follow-Up Studies
Holistic Nursing
Humans
Korea
Nursing
Outpatients
Self Concept
Spirituality
Spouses
Stress Disorders, Post-Traumatic
Survivors*

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