혈액암 환자의 외상후성장 영향요인
Factors Influencing Posttraumatic Growth in Patients with Hematological Malignancies
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Purpose: This study aimed to identify the factors influencing posttraumatic growth (PTG) in patients with hematological malignancies by focusing on distress, intrusive rumination, deliberate rumination, and social support. Methods: A descriptive cross-sectional study was conducted with 165 patients who were diagnosed with leukemia, lymphoma, or multiple myeloma. They were recruited by allocation sampling based on the national prevalence. Data were collected using structured self-report questionnaires, including general and clinical characteristics, distress, rumination, social support, and PTG. Statistical analyses comprised descriptive statistics and multiple linear regression to identify factors associated with PTG. Results: The mean PTG score was 53.44 (SD=19.44). Multiple regression analysis revealed that deliberate rumination (=0.55, p＜.001), social support (=0.31, p＜.001), and religious affiliation (=0.15, p=.023) were significant positive predictors of PTG. Conversely, intrusive rumination (=−0.20, p=.014) and a diagnosis of leukemia (=−0.27, p=.007) were negatively associated with PTG. Distress did not show any significant association. The final model accounted for 35.6% of the variance in PTG (F=12.35, p＜.001). Conclusion: Deliberate rumination and social support significantly contributed to PTG in patients with hematological malignancies. These findings provide empirical evidence for tailored psychosocial nursing strategies, particularly for patients with leukemia and those undergoing intensive treatment.
Abstract
Purpose: This study aimed to identify the factors influencing posttraumatic growth (PTG) in patients with hematological malignancies by focusing on distress, intrusive rumination, deliberate rumination, and social support. Methods: A descriptive cross-sectional study was conducted with 165 patients who were diagnosed with leukemia, lymphoma, or multiple myeloma. They were recruited by allocation sampling based on the national prevalence. Data were collected using structured self-report questionnaires, including general and clinical characteristics, distress, rumination, social support, and PTG. Statistical analyses comprised descriptive statistics and multiple linear regression to identify factors associated with PTG. Results: The mean PTG score was 53.44 (SD=19.44). Multiple regression analysis revealed that deliberate rumination (=0.55, p＜.001), social support (=0.31, p＜.001), and religious affiliation (=0.15, p=.023) were significant positive predictors of PTG. Conversely, intrusive rumination (=−0.20, p=.014) and a diagnosis of leukemia (=−0.27, p=.007) were negatively associated with PTG. Distress did not show any significant association. The final model accounted for 35.6% of the variance in PTG (F=12.35, p＜.001). Conclusion: Deliberate rumination and social support significantly contributed to PTG in patients with hematological malignancies. These findings provide empirical evidence for tailored psychosocial nursing strategies, particularly for patients with leukemia and those undergoing intensive treatment.