Resilience and Health-Related Quality of Life Among Persons with Lung Cancer Completing Chemotherapy in China
Keywords:
Resilience, Health-related quality of life, Lung cancer, Completing chemotherapyAbstract
Chemotherapy is the main treatment for lung cancer and will affect health-related quality of life (HRQoL). Moreover, chemotherapy can cause psychological problems which directly affect a patient's resilience. The objectives of this study were to examine resilience and HRQoL, and the relationship between resilience and HRQoL among persons with lung cancer completing chemotherapy. Purposive sampling was used to recruit 134 participants from the Affiliated Hospital of Chengdu University in China. The research instruments included a basic patient information form, the Resilience Scale Specific for Cancer (RS-SC-25), and the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Lung Cancer-43 (EORTC QLQ-LC-43). Data were analyzed using descriptive statistics and Spearman's rank-order correlation test.
The result of this study revealed that the mean score for resilience was 71.43 ± 18.11. For HRQoL, the mean score of global health status was 60.70 ± 28.37. The top three problems in terms of the general symptoms aspect were financial difficulty, fatigue, and insomnia. The top three problems regarding specific lung cancer symptoms were dyspnea, chest pain, and coughing. Resilience was positively significantly correlated with the positive aspects of HRQoL at a high level (global health status, role function, and emotional function) (rs = .78, .72, and .71, p < .01, respectively), and negatively significantly correlated with the negative aspects (fatigue, dyspnea, and appetite loss) (rs = -.72, -.64, and -.60, p < .01, respectively).
The results of this study are potentially useful for promoting resilience among persons with lung cancer who have completed chemotherapy in China, which might improve their HRQoL. In addition, an interventional research design may be considered in the future.
References
Aaronson, N. K., Ahmedzai, S., Bergman, B., Bullinger, M., Cull, A., Duez, N. J., Filiberti, A., Flechtner, H., Fleishman, S. B., Haes, J. C. J. M., de, Kaasa, S., Klee, M., Osoba, D., Razavi, D., Rofe, P. B., Schraub, S., Sneeuw, K., Sullivan, M., & Takeda, F. (1993). The European organization for research and treatment of cancer QLQ-C30: A quality-of-life instrument for use in international clinical trials in oncology. JNCI: Journal of the National Cancer Institute, 85(5), 365–376.
Bergman, B., Aaronson, N. K., Ahmedzai, S., Kaasa, S., & Sullivan, M. (1994). The EORTC QLQ-LC13: A modular supplement to the EORTC core quality of life questionnaire (QLQ-C30) for use in lung cancer clinical trials. European Journal of Cancer, 30(5), 635–642.
Chen, H. L., Liu, K., & You, Q. S. (2018). Self-efficacy, cancer-related fatigue, and quality of life in patients with resected lung cancer. European Journal of Cancer Care, 27(6), e12934. https://doi.org/10.1111/ecc.12934
Hu, T., Xiao, J., Peng, J., Kuang, X., & He, B. (2018). Relationship between resilience, social support as well as anxiety/depression of lung cancer patients: A cross-sectional observation study. Journal of Cancer Research and Therapeutics, 14(1), 72–77.
Huang, Z. P., Cheng, H. L., Loh, S. Y., & Cheng, K. K. F. (2020). Functional status, supportive care needs, and health-related quality of life in advanced lung cancer patients aged 50 and older. Asia-Pacific Journal of Oncology Nursing, 7(2), 151–160.
Lee, J. L., & Jeong, Y. (2019). Quality of life in patients with non–small cell lung cancer: Structural equation modeling. Cancer Nursing, 42(6), 475–483.
Li, P., Yu, J., Wang, X., Pang, X., Yu, C., & Xu, Y. (2022). Study on the evaluation of lung cancer patients from the three aspects of emotion. Contrast Media & Molecular Imaging, 8139680. https://doi.org/10.1155/2022/8139680
Lugg, S. T., Agostini, P. J., Tikka, T., Kerr, A., Adams, K., Bishay, E., Kalkat, M. S., Steyn, R. S., Rajesh, P. B., Thickett, D. R., & Naidu, B. (2016). Long-term impact of developing a postoperative pulmonary complication after lung surgery. Thorax, 71(2), 171–176.
Polanski, J., Jankowska-Polanska, B., Rosinczuk, J., Chabowski, M., & Szymanska-Chabowska, A. (2016). Quality of life of patients with lung cancer. OncoTargets and Therapy, 9, 1023–1028. https://doi.org/10.2147/OTT.S100685
Polit, D. F., & Beck, C. T. (2004). Nursing research: Principles and methods. Lippincott Williams & Wilkins.
Staff, N. P., Grisold, A., Grisold, W., & Windebank, A. J. (2017). Chemotherapy-induced peripheral neuropathy: A current review. Annals of Neurology, 81(6), 772–781.
Sung, H., Ferlay, J., Siegel, R. L., Laversanne, M., Soerjomataram, I., Jemal, A., & Bray, F. (2021). Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA: A Cancer Journal for Clinicians, 71(3), 209–249.
Wan, C., Zhang, C., Tu, X., Feng, C., Tang, W., Luo, J., & Meng, Q. (2008). Validation of the simplified Chinese version of the quality of life instrument EORTC QLQ-LC43 for patients with lung cancer. Cancer Investigation, 26(5), 504–510.
Wang, Q., Peng, H., & Chen, S. (2017). Study on correlation between quality of life and positive psychological characters of patients with lung cancer. Chinese General Practice Nursing, 15(11), 1291-1293.
Wu, L. P., Xiao, C. Q., Fan, Y. Y., & Luo, M. N. (2022). The correlation between psychological resilience and the quality of life among nasopharyngeal cancer patients undergoing radiotherapy. Chinese Preventive Medicine, 2022, 2–7.
Xiang, L. N., Wang, H. W., Zhu, Y., Zheng, M. M., Li, X. R., & Wang, S. M. (2022). Psychological resilience trajectory of patients with head and neck cancer undergoing radiotherapy and its influencing factors. Chinese Nursing Research, 36(18), 3202–3208.
Ye, Z. J. (2018). Development and validation of Resilience Scale Specific to Cancer (RS-SC) in Chinese patients with cancer diagnosis. Traditional Chinese Medicine University of Guangzhou.
Ye, Z. J., Liang, M. Z., Li, P. F., Sun, Z., Chen, P., Hu, G. Y., Yu, Y. L., Wang, S. N., & Qiu, H. Z. (2018). New resilience instrument for patients with cancer. Quality of Life Research: An International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation, 27(2), 355–365.
Zeien, J., Qiu, W., Triay, M., Dhaibar, H. A., Cruz-Topete, D., Cornett, E. M., Urits, I., Viswanath, O., & Kaye, A. D. (2022). Clinical implications of chemotherapeutic agent organ toxicity on perioperative care. Biomedicine & Pharmacotherapy, 146, 112503. https://doi.org/10.1016/j.biopha.2021.112503
Zhang, J., Yin, Y., Wang, A., Li, H., Li, J., Yang, S., Wu, Y., & Zhang, J. (2021). Resilience in patients with lung cancer: Structural equation modeling. Cancer Nursing, 44(6), 465–472.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Nursing Journal CMU
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
บทความที่ได้รับการตีพิมพ์เป็นลิขสิทธิ์ของวารสารพยาบาลสาร
ข้อความที่ปรากฏในบทความแต่ละเรื่องในวารสารวิชาการเล่มนี้เป็นความคิดเห็นส่วนตัวของผู้เขียนแต่ละท่านไม่เกี่ยวข้องกับมหาวิทยาลัยเชียงใหม่ และคณาจารย์ท่านอื่นๆในมหาวิทยาลัยฯ แต่อย่างใด ความรับผิดชอบองค์ประกอบทั้งหมดของบทความแต่ละเรื่องเป็นของผู้เขียนแต่ละท่าน หากมีความผิดพลาดใด ๆ ผู้เขียนแต่ละท่านจะรับผิดชอบบทความของตนเองแต่ผู้เดียว
