| Summary: | 碩士 === 國立臺北護理健康大學 === 護理研究所 === 107 === Background and Objective:
The incidence of endometrial cancer in Taiwan is gradually increasing in recent years. Women who experience the process of thorough examinations and treatment suffers from both physical and psychological distress. The concept of resilience, defined as the ability of an individual to be positive-minded and solve difficulties, has already been widely applied to social psychology. In recent years, there has been only a few studies discussing about the relationship between the resilience and the physical and psychological distress. However, to our knowledge, there has been no study regarding the resilience of patients with endometrial cancer so far. The purpose of our research is to analyze the relationship between resilience and the physical and psychological distress in women with endometrial cancer.
Methods:
This is a cross-sectional study using purposive sampling conducted in a tertiary referral center of Taipei, Taiwan, with 48 qualified cases that underwent structured questionnaires. The data collection time is before starting treatment (T0), two weeks after starting treatment (T1), and three months after starting treatment (T2). The questionnaire contains different scales, namely lists of demographic and disease characteristics, multidimensional scale of perceived social support, Connor-Davidson Resilience Scale, and the Rotterdam symptom checklist. Frequency distribution, percentage, standard deviation, average, maximum, minimum and generalized estimating equation (GEE) were utilized for data analysis.
Results:
Regarding the resilience, as well as physical and psychological distress of women with endometrial cancer, there is no statistically significant difference before treatment, two weeks after treatment and three months after treatment. But in the subgroup analyzing the psychological distress only, there is a significant improvement with time. In regard to resilience, patients with better social support have better resilience. Social support is an important factor in the resilience of women with endometrial cancer. As far as physical and psychological distress are concerned, patients with older age experience more physical and psychological distress. Age is an important factor in the physical and psychological distress of women with endometrial cancer. In terms of physical distress, patients with older age or more cancer treatment after operation experience more physical distress. Age and treatment are important factors in the physical distress of women with endometrial cancer. In the aspect of psychological distress, patients with older age experience more psychological distress. However, patients with better resilience experience less psychological distress. Age and resilience are important factors in the psychological distress of women with endometrial cancer.
Conclusions and Recommendations:
There is a significant correlation between the resilience and psychological distress of women with endometrial cancer. Patients with better resilience experience less psychological distress. And, patients with less psychological distress experience better resilience. In addition, patients with better social support experience better resilience. Through our study result, we expect to provide social support and psychological support in clinical practice. We also expect to develop a nursing intervention to improve resilience and reduce psychological distress in the future to improve the quality of life of women with endometrial cancer.
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