Factors Related to Psychological Well-being in Older Patients with Cancer Receiving Chemotherapy
Keywords:
psychological well-being, older patients with cancer, chemotherapy, hope, optimismAbstract
Cancer is a chronic disease commonly found among older people. Both disease and its treatment, particularly chemotherapy, can cause more physical suffering to elders from which their psychological well-being may be affected differently from other age groups. This research aimed to describe psychological well-being and the relationship between social support from family, hope, optimism and psychological well-being in older patients with cancer receiving chemotherapy. The sample consisted of 80 older patients diagnosed with cancer receiving chemotherapy at the Chemotherapy ward, Maharaj Nakorn Chiang Mai Hospital, who met the eligibility criteria. Data were collected using the Modified Psychological Well-being Scale of Wilai Thawinwisarn (2007), adapted from the measurement of psychological well-being in the quality of life by Ferrell et al (1995). Social Support from Family Scale of Sirisuda sawkhamkate (1998), adapted from the social support questionnaire (PRQ 85-Part II) by Brandt & Weinert (1985) and the Hope Scale of Kritsana Sangkhamuneechinda (2011), adapted from the Herth Hope Index by Herth (1992)
and the Optimism Scale of Panadda Mahittanuphap (2012), created the concept of Seligman (1988). Data were analyzed using descriptive statistics and Pearson’s Product-moment Correlation Coefficient.
The study results revealed that older patients with cancer receiving chemotherapy demonstrated a moderate level of psychological well-being and a high level of social support from family, hope and optimism. Social support from family and optimism showed a positively significant relationship with psychological well-being at a moderate level (r = .423 and .360 ,respectively, p < .01), while hope showed a positively significant relationship with psychological well-being at a high level (r = .716 , p < .01). The findings provide basic information that nurses can use for planning nursing interventions to enhance psychological well-being of older patients with cancer receiving chemotherapy. By promoting social support from family, hope and optimism.
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