Relationship Between Stress Level and Coping Strategies of Patients with Colorectal Cancer Admitted During Pandemic of Coronavirus Disease 2019
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Abstract
Objectives: This research study aimed to explore situational appraisal, stress level, coping strategies, and investigate the relationship between stress level and coping strategies of patients with colorectal cancer admitted during pandemic of coronavirus disease 2019. The stress appraisal and coping model1 was applied for research conceptual framework. Method: The seventy subjects were purposively selected using the inclusion criteria. The set of instruments composed of (1) the Demographic Data and Illness History, (2) the Interview Guide for Situation Appraisal and Stress Level, and (3) the Coping Strategies Questionnaire composed of problem-solving coping, palliative coping, and emotional-management coping. The set of instruments was validated by three experts. The content validity index of the 2nd and the 3th part of the instruments were 1.0 and .93 respectively. The reliability of the third part of the instrument was examined and yielded the alpha of Cronbach’s of .70. The qualitative data were analyzed using content categorization. The quantitative data were analyzed using descriptive statistics and Pearson Product Moment Correlation. Results: The results showed that the subjects appraised the situation as (1) harmful and threat to health, and (2) impact to life lead to loss and powerlessness. The mean score of the stress level was at a moderate level (M = 3.81, SD = 2.51). The most common coping strategy used was palliative coping followed by problem-solving coping, and emotional management coping. The stress level was found to be a significantly positive correlation with the emotional management coping strategies (r = .502, p < 0.01), but significantly negative correlation with the problem-solving coping strategies (r = -.377, p < 0.01). Conclusion: The findings of this study were useful for nurses to further develop supportive coping strategies for patients with colorectal cancer.
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