Open Access, Peer-reviewed
eISSN 2093-758X
    J Korean Acad Nurs. 2015 Aug;45(4):595-603. Korean.
    Published online Aug 31, 2015.
    https://doi.org/10.4040/jkan.2015.45.4.595
    © 2015 Korean Society of Nursing Science
    Original Article

    Predictors of Resilience in Adolescents with Leukemia

    Sung Sil Hong,1 and Ho Ran Park2
      • 1Department of Nursing, Kangwon National University, Samcheok, Korea.
      • 2College of Nursing, The Catholic University of Korea, Seoul, Korea.
    • Address reprint requests to: Park, Ho Ran. College of Nursing, The Catholic University of Korea, 222 Banpo-daero, Seocho-gu, Seoul 06591, Korea. Tel: +82-2-2258-7406, Fax: +82-2-2258-7772, Email: hrpark@catholic.ac.kr
    Received December 04, 2014; Revised December 15, 2014; Accepted May 28, 2015.

    This is an Open Access article distributed under the terms of the Creative Commons Attribution NoDerivs License. (http://creativecommons.org/licenses/by-nd/4.0/) If the original work is properly cited and retained without any modification or reproduction, it can be used and re-distributed in any format and medium.

    Abstract

    Purpose

    The purpose of this study was to identify the factors relating to resilience for adolescents with leukemia and examine the relationship between these factors.

    Methods

    From June to September in 2014, 199 adolescents aged 11 to 21 participated in the study as they visited the out-patient clinic at C university hospital for follow-up care. To verify the predictors and the effects of resilience, uncertainty, symptom distress, perceived social support, spiritual perspective, defensive coping, courageous coping, hope, and self-transcendence were measured. Collected data were analyzed using hierarchical regression analysis with the SAS statistics program.

    Results

    The final regression model showed that courageous coping, hope, and self-transcendence were significant predictors related to resilience in adolescents with leukemia and explained for 63% of the variance in resilience.

    Conclusion

    The findings indicate that adolescent-oriented intervention programs enhancing courageous coping, hope, and self-transcendence should be provide for adolescents with leukemia in order to overcome illness-related stress and support physical, psychological and social adjustment.

    Keywords
    Leukemia; Adolescent; Resilience

    Figures

    Figure 1
    Conceptual framework.

    Tables

    Table 1
    General Characteristics and Disease-specific Characteristics (N=199)

    Table 2
    Descriptive Statistics of the Measured Variables (N=199)

    Table 3
    Intercorrelations Coefficients among the Measured Variables (N=199)

    Table 4
    Hierarchical Regression Analysis for Resilience in Adolescents with Leukemia

    Notes

    This manuscript is based on a part of the 1st author's doctoral dissertation from The Catholic University of Korea.

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    MeSH Terms
    Resilience, Psychological*
    Adaptation, Psychological
    Adolescent
    Antineoplastic Agents/therapeutic use
    Female
    Hope
    Humans
    Leukemia/drug therapy
    Leukemia/psychology*
    Leukemia/radiotherapy
    Male
    Psychology, Adolescent
    Self Concept
    Social Support
    Stem Cell Transplantation
    Surveys and Questionnaires
    Uncertainty
    Young Adult
    Metrics
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