Treatment-associated symptoms and coping of postoperative patients with lung cancer in Japan : Development of a model of factors influencing hope

Aim
Postoperative patients with lung cancer have a high recurrence rate and poor prognosis; hence, we aimed to identify the factors affecting hope to help develop a care-oriented perspective focused on the levels of hope in postoperative patients with lung cancer.
Methods
In the study, we included postoperative patients with lung cancer and collected data for treatment-related symptoms, coping, and support-related factors as the primary variables. We used the Herth Hope Index, Quality of Life Questionnaire Lung Cancer Module (QLQ-LC13) of the European Organization for Research and Treatment of Cancer, Japanese version of the Coping Inventory for Stressful Situations (CISS), and Social Support Scale for Cancer Patients.
Results
For the 82 patients included in our study, 55% of the variance in the level of hope was explained using a model that included the following: (1) symptoms of dyspnea, sore mouth, and chest pain; (2) support, including satisfaction with postoperative symptom control by healthcare providers, satisfaction with the amount of information provided by healthcare providers, and the trust in nurses during treatment and recovery; and (3) task-oriented and social diversion coping behaviors.
Conclusion
As a result of this study, the support-related factors had no direct influence on hope, but they did have a significantly negative influence on treatment-related symptoms, with improved symptoms also having influencing hope.

内容要旨・審査要旨・論文本文の公開
本論文は, 著者Takae Bandoの学位論文として提出され, 学位審査・授与の対象となっている。
This is the peer reviewed version of the following article: Bando, T. , Onishi, C. and Imai, Y. (2018), Treatment‐associated symptoms and coping of postoperative patients with lung cancer in Japan: Development of a model of factors influencing hope. Jpn J Nurs Sci, 15: 237-248, which has been published in final form at https://doi.org/10.1111/jjns.12193. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions.