Asian Oncol Nurs.  2021 Mar;21(1):33-41. 10.5388/aon.2021.21.1.33.

Posttraumatic Growth and Health Promotion Behavior in Patients with Cancer: The Mediating Effect of Spiritual Well-Being

• Piao S
• Oh PJ

• KMID: 2514793
• DOI: http://doi.org/10.5388/aon.2021.21.1.33

Abstract

Purpose
This study is a descriptive correlation research to test the mediating effect of spiritual well-being in the relationship between posttraumatic growth and health promotion behaviors of cancer patients.
Methods
The data were collected from 145 cancer patients of three hospitals. The instruments were Posttraumatic Growth Inventory, Health-Promoting Lifestyle Profile, and Spiritual Well-Being Scale. Data were analyzed using descriptive statistics, correlation, and multiple regression using Baron and Kenny’s steps for mediation.
Results
The mean score for posttraumatic growth was 3.57. The mean score was 2.98 for health promotion behaviors. The mean score for spiritual well-being was 2.96. There were significant correlations among the variables, posttraumatic growth, health promotion behaviors, and spiritual well-being. Spiritual well-being was directly affected by posttraumatic growth (Adj R² =25). Health promotion behaviors were directly affected by posttraumatic growth (Adj R²=26). Posttraumatic growth and spiritual well-being affected health promotion behaviors (Adj R² =31). Spiritual well-being had a partial mediating effect (β=.25, p<.001) on the relationship between posttraumatic growth and health promotion behaviors (Sobel test: Z=2.84, p<.001).
Conclusion
Based on the findings of this study, nursing intervention programs focusing on managing posttraumatic growth and increasing spiritual wellbeing are highly recommended to improve health promotion behaviors in cancer patients.

Keyword

Neoplasm; Posttraumatic Growth; Health Behavior; Spirituality