Mental Adjustment and Quality of Life in Breast Cancer Patients Receiving Operations and Chemotherapy, the Socialist Republic of Vietnam
Keywords:
Mental adjustment, Health-related Quality of Life, breast cancer receiving operations and chemotherapyAbstract
Patients with breast cancer have to adjust to the effects of the disease and the treatments received. The ways they adjust impacts on their quality of life. This descriptive correlational research aimed to identify types of mental adjustment, quality of life and the relationship between mental adjustment and quality of life among breast cancer patients undergoing operations and chemotherapy. Purposive sampling was used to select 150 participants who met the inclusion criteria at Hanoi Oncology Hospital, the Socialist Republic of Vietnam. The research instruments included a demographic data record form, the Mini-Mental Adjustment to Cancer (MAC) and the Functional Assessment Cancer Therapy - Breast Cancer version 4 (FACT-B) questionnaire. Data were analyzed using descriptive statistics and Spearman’s Rank – order correlation coefficient.
The study results indicated that:
1. Five types of mental adjustment were used. They were helplessness/ hopelessness, anxious preoccupation, cognitive avoidance, fighting spirit, and fatalism. The mean scores of these items were 2.65, 2.64, 2.45, 2.31 and 2.64, respectively.
2. The mean score of Quality of life of FACT-B was 72.78 (SD = 21.46).
3. Fighting spirit and fatalism had a positive correlation with quality of life (rs = .68, p < .01; rs = .62; p < .01, respectively). Helplessness/hopelessness had a negative correlation with quality of life (rs = -.71, p < .01).
The results of this study provide a baseline of information for clinical nurses to enhance the quality of life of patients undergoing operations and chemotherapy through promoting effective mental adjustments.
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