Factors influencing posttraumatic growth in ovarian cancer survivors
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ORIGINAL ARTICLE
Factors influencing posttraumatic growth in ovarian cancer survivors Jeong Min Oh 1 & Yoonjung Kim 2
&
Yeunhee Kwak 2
Received: 31 March 2020 / Accepted: 20 August 2020 # Springer-Verlag GmbH Germany, part of Springer Nature 2020
Abstract Purpose The purpose of this study was to examine posttraumatic growth (PTG), cancer coping, posttraumatic stress, and genetics knowledge among ovarian cancer survivors and to identify factors affecting PTG. Methods This cross-sectional study included 148 outpatient ovarian cancer survivors at a cancer center. Data were collected between February 25 and April 11, 2019, and were analyzed using t tests, ANOVA, Pearson-correlations, and multiple regression. Results On average, the ovarian cancer survivors scored 68.09 ± 20.17 in PTG, 59.75 ± 13.37 in cancer coping, 29.30 ± 17.25 in posttraumatic stress, and 9.42 ± 3.33 in genetics knowledge. There were significant differences in PTG according to religion (t = − 2.92, p = .004), marital status (F = 3.06, p = .050), and family history of cancer (t = 2.00, p = .047). In the final analysis, the statistically significant factors influencing PTG were religion (β = .170, p = .004) and cancer coping (β = .691, p < .001), and posttraumatic stress had borderline statistical significance (β = − .107, p < .068). These factors explained 52.2% of the variance in PTG. Conclusions Ovarian cancer survivors showed a moderate level of genetics knowledge while having a high risk for posttraumatic stress. Overall, this study showed that cancer coping was a powerful factor that influenced PTG in ovarian cancer survivors. Religion was found to positively affect PTG, and posttraumatic stress had a small negative effect. Spiritual nursing interventions and improving cancer coping while reducing posttraumatic stress are necessary to increase the PTG of ovarian cancer survivors. Keywords Ovarian cancer survivor . Posttraumatic growth . Genetics knowledge . Posttraumatic stress . Cancer coping . Cross-sectional study
Introduction Ovarian cancer is a relatively rare cancer in women, ranking 10th in incidence. However, the incidence rate shows an increasing trend, and in 2015, it was 6.8% of all cancers in women [1]. It has the highest mortality rate among the cancers in women; however, the 5-year survival rate and number of survivors have been increasing [2] as treatments have been developed and targeted therapy and immunotherapy have been introduced [3]. However, cancer survivors experience
* Yoonjung Kim [email protected] 1
Department of Nursing, National Cancer Center, Graduate School of Nursing and Health Professions, Chung-Ang University, Seoul, South Korea
2
Faculty of Red Cross College of Nursing, Chung-Ang University, 84 Heukseok-Ro, Dongjack-Gu, Seoul 156-756, Republic of Korea
numerous physical and psychological dysfunctions due to repeated treatments and side effects starting at diagnosis and lasting throughout the treatment process. Even after completion of treatment, they experience increased levels of negative emotion an
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