Department of Nusing, Asan Medical Center, 88, Olympic-ro 43-gil, Songpa-gu, Seoul, Republic of Korea.
College of Nursing· Research Institute of Nursing Science, Jeonbuk National University, 567 Baekje-daero, Deokjin-gu, Jeonju-si, Jeollabuk-do, 54896, Republic of Korea.
Eur J Oncol Nurs. 2022 Feb;56:102097. doi: 10.1016/j.ejon.2022.102097. Epub 2022 Jan 24.
This cross-sectional study aimed to evaluate the relationship between symptoms, resilience, coping, and psychosocial adjustment, and to identify the influence of these variables on the psychosocial adjustment in women with gynaecological cancer in South Korea.
A correlational research design was employed based on the stress-coping theory of Lazarus and Folkman. A total of 150 women with gynaecological cancer admitted to a Korean tertiary hospital were included via convenience sampling. Data were collected using structured questionnaires between January and April 2018. Data analyses included descriptive statistics, independent t-test, χ test, analysis of variance, Pearson's correlation coefficient, and hierarchical multiple regression using the SPSS WIN 25.0 program.
The study found that symptoms had the strongest association with psychosocial adjustment in women with gynaecological cancer. Psychosocial adjustment showed a statistically significant relationship with symptoms (r = 0.34, p < .001), resilience (r = -.43, p < .001), and coping (r = -.32, p < .001). A hierarchical multiple regression analysis demonstrated that symptoms (β = 0.33, p < .001), resilience (β = -.30, p < .001), and coping (β = -.17, p = .032) accounted for 28.1% of the variance in psychosocial adjustment.
It is pertinent for healthcare providers to assess and develop symptom management to provide resilience and coping strategies for gynaecological cancer women and improve their psychosocial adjustment.
本横断面研究旨在评估症状、韧性、应对方式和心理社会适应之间的关系，并确定这些变量对韩国妇科癌症女性心理社会适应的影响。
采用基于 Lazarus 和 Folkman 的应激应对理论的相关性研究设计。通过方便抽样，共纳入 150 名韩国一家三级医院的妇科癌症女性。于 2018 年 1 月至 4 月间使用结构化问卷收集数据。数据分析包括描述性统计、独立 t 检验、卡方检验、方差分析、皮尔逊相关系数和使用 SPSS WIN 25.0 程序的分层多元回归。
研究发现，症状与妇科癌症女性的心理社会适应关系最强。心理社会适应与症状（r = 0.34，p <.001）、韧性（r = -.43，p <.001）和应对方式（r = -.32，p <.001）均呈统计学显著相关。分层多元回归分析表明，症状（β = 0.33，p <.001）、韧性（β = -.30，p <.001）和应对方式（β = -.17，p =.032）共解释了心理社会适应的 28.1%变化。
卫生保健提供者评估和制定症状管理计划以提供韧性和应对策略对妇科癌症女性至关重要，可改善其心理社会适应。
