Factors influencing posttraumatic growth in ovarian cancer survivors

초록

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. © 2020, Springer-Verlag GmbH Germany, part of Springer Nature.

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