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Preoperative Uncertainty, Meaning of Life, and Anxiety in Cancer Patients

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KMID : 0607320180270030208
À±°æ¹Ì ( Youn Kyung-Mi ) - ÃæºÏ´ëÇб³º´¿ø

ÀÌÁ¾Àº ( Lee Jong-Eun ) - Chungbuk National University

Abstract

Purpose: The purpose of this study was to investigate relationships among uncertainty, meaning of life, and anxiety in preoperative cancer patients.

Methods: Study participants were 90 adult patients with thyroid, breast, gastric, or colorectal cancer who were admitted to the general surgery ward and daily operation center in a university-affiliated hospital. Data were collected using Mishel¡¯s Uncertainty in Illness Scale, Meaning in Life Questionnaire, and State-Trait Anxiety Inventory. Data were analyzed using t-tests, one-way ANOVAs, Pearson¡¯s correlation coefficient, and a multivariate linear regression analysis (backward stepwise) with SPSS version 24.

Results: Anxiety showed a positive correlation with uncertainty in illness (r=.59, p<.001) and a negative correlation with meaning of life (r=-.49, p<.001), and uncertainty had a negative correlation with meaning of life (r=-53, p<.001). The regression model explained 40.0% variance of preoperative cancer patients¡¯ anxiety (F=20.55, p<.001). Significant factors were uncertainty (¥â=.43, p<.001), meaning of life (¥â=-.20, p<.001), and low income level (¥â=.18, p<.001).

Conclusion: Our study¡¯s findings show that cancer patients¡¯ anxiety can be reduced within 24 hours before surgery through psychological nursing interventions aimed at reducing uncertainty and improving the meaning of life.
KeyWords
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Neoplasms, Preoperative period, Uncertainty, Life, Anxiety
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