The Influence of Sociodemographic Factors on the Level of Hope in Women with Breast Cancer
-
Jagoda Gavrilovic
,
Marija Kovacevic
,
Dragana Ignjatovic Ristic
,
Marija Peulic
,
Aleksandar Gavrilovic
Abstract
Background: We aimed to determine the level of hope in breast cancer patients along with the influence of sociodemographic characteristics on the expressed level of hope.
Methods: A descriptive cross-sectional study was conducted on the sample size of 72 female patients with breast cancer diagnosis. The study was conducted at the University Clinical Center of Kragujevac, Serbia from November 2020 until March 2022. Data were collected from the patients in a form of the Sociodemographic Variables Questionnaire (Q-SV). The Herth Hope Index (HHI) was used in assessing the level of hope.
Results: The value of the total HHI score was ranging from 14 to 48, whereas the mean value of the HHI score was 40.00±5.92. The significantly higher level of hope was reported in female patients who: searched the Internet for gathering information on their disease (39.24±6.23; P=0.047), were religious (38.77±6.13; P=0.003), believed in God (38.45±5.51; P=0.004), had no formal medical education (38.44±5.75; P=0.036) and after therapy (38.76±6.49; P=0.022).
Conclusion: Hope is an existential internal resource possibly affecting the manner in which female patients perceive their own health state and future as well. A better understanding of the meaning of hope during treatment can be of great value in supporting cancer patients.
1. Paleczna M (2018). Cancer as a chronic dis-ease — a psychological perspective. Nowotwory J Oncol, 68: 28–32.
2. Corso G, Maisonneuve P, Massari G, et al (2020). Validation of a Novel Nomogram for Prediction of Local Relapse after Sur-gery for Invasive Breast Carcinoma. Ann Surg Oncol, 27(6):1864-1874.
3. Fang SY, Fetzer SJ, Lee KT, et al (2018). Fear of Recurrence as a Predictor of Care Needs for Long-Term Breast Cancer Survivors. Cancer Nurs, 41(1):69-76.
4. Sung H, Ferlay J, Siegel RL, et al (2021). Global Cancer Statistics 2020: GLO-BOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. CA Cancer J Clin, 71(3):209-249.
5. Dafni U, Tsourti Z, Alatsathianos I (2019). Breast Cancer Statistics in the European Union: Incidence and Survival across Eu-ropean Countries. Breast Care (Basel), 14(6):344-353.
6. Boatemaa Benson R, Cobbold B, Opoku Boamah E, et al (2020). Challenges, Cop-ing Strategies, and Social Support among Breast Cancer Patients in Ghana. Adv Public Health, 2020: 4817932.
7. Kagee A, Roomaney R, Knoll N (2018). Psychosocial predictors of distress and depression among South African breast cancer patients. Psychooncology, 27:908–14.
8. Fanakidou I, Zyga S, Alikari V, et al (2018). Mental health, loneliness, and illness per-ception outcomes in quality of life among young breast cancer patients after mastec-tomy: the role of breast reconstruction. Qual Life Res, 27:539–43.
9. Hajian S, Mehrabi E, Simbar M, et al (2017). Coping strategies and experiences in women with a primary breast cancer di-agnosis. Asian Pac J Cancer Prev, 18:215–24.
10. Kaptein AA, Schoones JW, Fischer MJ, et al (2015). Illness perceptions in women with breast cancer-a systematic literature re-view. Curr Breast Cancer Rep, 7:117–126.
11. Adamowicz K, Baczkowska-Waliszewska Z (2020). Quality of life during chemother-apy, hormonotherapy or antiHER2 ther-apy of patients with advanced, metastatic breast cancer in clinical practice. Health Qual Life Outcomes, 18(1):134.
12. Liu J, Griva K, Lim HA, et al (2017). Longi-tudinal study of the protective effect of hope on reducing body image distress in cancer patients. J Psychosoc Oncol, 35:77–89.
13. Seiler A, Jenewein J (2019). Resilience in can-cer patients. Front Psychiatry, 10:208.
14. Schiavon CC, Marchetti E, Gurgel LG, et al (2017). Optimism and Hope in Chronic Disease: A Systematic Review. Front Psy-chol, 7:2022.
15. Shen A, Qiang W, Wang Y, et al (2020). Quality of life among breast cancer sur-vivors with triple negative breast cancer-role of hope, self-efficacy and social sup-port. Eur J Oncol Nurs, 46,101771.
16. Ginter AC (2020). "The day you lose your hope is the day you start to die": Quality of life measured by young women with metastatic breast cancer. J Psychosoc Oncol, 38(4):418-434.
17. Herth K (1992). Abbreviated instrument to measure hope: development and psy-chometric evaluation. J Adv Nurs, 17(10):1251-9.
18. Li Y, Zhou Z, Ni N, et al (2022). Quality of Life and Hope of Women in China Re-ceiving Chemotherapy for Breast Cancer. Clin Nurs Res, 31(6):1042-1049.
19. Zhang J, Gao W, Wang P, Wu ZH (2010). Relationships among hope, coping style and social support for breast cancer pa-tients. Chin Med J (Engl), 123(17):2331-5
20. Balsanelli AC, Grossi SA (2016). Predictors of hope among women with breast can-cer during chemotherapy. Rev Esc Enferm USP, 50(6):898-904.
21. Canada AL, Murphy PE, Stein KD, et al (2019). Trajectories of spiritual well-being in long-term survivors of cancer: a report from the American Cancer Society’s stud-ies of cancer survivors-I. Cancer, 125:1726-1736.
22. Bender JL, Katz J, Ferris LE, et al (2013). What is the role of online support from the perspective of facilitators of face-to-face support groups? A multi-method study of the use of breast cancer online communities. Patient Educ Couns, 93(3):472-479.
23. Nierop-van Baalen C, Grypdonck M, van Hecke A, Verhaeghe S (2020). Associated factors of hope in cancer patients during treatment: A systematic literature review. J Adv Nurs, 76(7):1520-37.
24. Stanton AL, Thompson EH, Crespi CM, et al (2013). Project connect online: ran-domized trial of an internet-based pro-gram to chronicle the cancer experience and facilitate communication. J Clin Oncol, 31(27):3411-3417.
25. Zhu J, Ebert L, Liu X, Chan SW (2017). A mobile application of breast cancer e-support program versus routine Care in the treatment of Chinese women with breast cancer undergoing chemotherapy: study protocol for a randomized con-trolled trial. BMC Cancer, 17(1):291.
26. Heravi Karimovi M, Pourdehqan M, Jadid Milani M, et al (2006). Study of the effects of group counseling on quality of sexual life of patients with breast cancer under chemotherapy at Imam Khomeini Hospi-tal. J Mazandaran Univ Med Sci, 16(54):43-51.
27. Coulourides Kogan A, Penido M, En-guidanos S (2015). Does Disclosure of Terminal Prognosis Mean Losing Hope? Insights from Exploring Patient Perspec-tives on Their Experience of Palliative Care Consultations. J Palliat Med, 18(12):1019-25.
28. Cao W, Zhang X, Xu K, Wang Y (2016). Modeling online health information-seeking behavior in China: the roles of source characteristics, reward assessment, and internet self-efficacy. Health Commun, 31(9):1105-1114.
29. Heena H, Durrani S, Riaz M, et al (2019). Knowledge, attitudes, and practices relat-ed to breast cancer screening among fe-male health care professionals: a cross sectional study. BMC Womens Health, 19(1):122.
30. Leão DCMR, Pereira ER, Pérez-Marfil MN, et al (2021). The Importance of Spirituali-ty for Women Facing Breast Cancer Di-agnosis: A Qualitative Study. Int J Environ Res Public Health, 18(12):6415.
31. Ripamonti CI, Miccinesi G, Pessi MA, et al (2016). Is it possible to encourage hope in non-advanced cancer patients? We must try. Ann Oncol, 27, 513–519.
32. Calderon C, Gomez D, Carmona-Bayonas A. et al. (2021). Social support, coping strategies and sociodemographic factors in women with breast cancer. Clin Transl Oncol, 23: 1955–1960.
2. Corso G, Maisonneuve P, Massari G, et al (2020). Validation of a Novel Nomogram for Prediction of Local Relapse after Sur-gery for Invasive Breast Carcinoma. Ann Surg Oncol, 27(6):1864-1874.
3. Fang SY, Fetzer SJ, Lee KT, et al (2018). Fear of Recurrence as a Predictor of Care Needs for Long-Term Breast Cancer Survivors. Cancer Nurs, 41(1):69-76.
4. Sung H, Ferlay J, Siegel RL, et al (2021). Global Cancer Statistics 2020: GLO-BOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. CA Cancer J Clin, 71(3):209-249.
5. Dafni U, Tsourti Z, Alatsathianos I (2019). Breast Cancer Statistics in the European Union: Incidence and Survival across Eu-ropean Countries. Breast Care (Basel), 14(6):344-353.
6. Boatemaa Benson R, Cobbold B, Opoku Boamah E, et al (2020). Challenges, Cop-ing Strategies, and Social Support among Breast Cancer Patients in Ghana. Adv Public Health, 2020: 4817932.
7. Kagee A, Roomaney R, Knoll N (2018). Psychosocial predictors of distress and depression among South African breast cancer patients. Psychooncology, 27:908–14.
8. Fanakidou I, Zyga S, Alikari V, et al (2018). Mental health, loneliness, and illness per-ception outcomes in quality of life among young breast cancer patients after mastec-tomy: the role of breast reconstruction. Qual Life Res, 27:539–43.
9. Hajian S, Mehrabi E, Simbar M, et al (2017). Coping strategies and experiences in women with a primary breast cancer di-agnosis. Asian Pac J Cancer Prev, 18:215–24.
10. Kaptein AA, Schoones JW, Fischer MJ, et al (2015). Illness perceptions in women with breast cancer-a systematic literature re-view. Curr Breast Cancer Rep, 7:117–126.
11. Adamowicz K, Baczkowska-Waliszewska Z (2020). Quality of life during chemother-apy, hormonotherapy or antiHER2 ther-apy of patients with advanced, metastatic breast cancer in clinical practice. Health Qual Life Outcomes, 18(1):134.
12. Liu J, Griva K, Lim HA, et al (2017). Longi-tudinal study of the protective effect of hope on reducing body image distress in cancer patients. J Psychosoc Oncol, 35:77–89.
13. Seiler A, Jenewein J (2019). Resilience in can-cer patients. Front Psychiatry, 10:208.
14. Schiavon CC, Marchetti E, Gurgel LG, et al (2017). Optimism and Hope in Chronic Disease: A Systematic Review. Front Psy-chol, 7:2022.
15. Shen A, Qiang W, Wang Y, et al (2020). Quality of life among breast cancer sur-vivors with triple negative breast cancer-role of hope, self-efficacy and social sup-port. Eur J Oncol Nurs, 46,101771.
16. Ginter AC (2020). "The day you lose your hope is the day you start to die": Quality of life measured by young women with metastatic breast cancer. J Psychosoc Oncol, 38(4):418-434.
17. Herth K (1992). Abbreviated instrument to measure hope: development and psy-chometric evaluation. J Adv Nurs, 17(10):1251-9.
18. Li Y, Zhou Z, Ni N, et al (2022). Quality of Life and Hope of Women in China Re-ceiving Chemotherapy for Breast Cancer. Clin Nurs Res, 31(6):1042-1049.
19. Zhang J, Gao W, Wang P, Wu ZH (2010). Relationships among hope, coping style and social support for breast cancer pa-tients. Chin Med J (Engl), 123(17):2331-5
20. Balsanelli AC, Grossi SA (2016). Predictors of hope among women with breast can-cer during chemotherapy. Rev Esc Enferm USP, 50(6):898-904.
21. Canada AL, Murphy PE, Stein KD, et al (2019). Trajectories of spiritual well-being in long-term survivors of cancer: a report from the American Cancer Society’s stud-ies of cancer survivors-I. Cancer, 125:1726-1736.
22. Bender JL, Katz J, Ferris LE, et al (2013). What is the role of online support from the perspective of facilitators of face-to-face support groups? A multi-method study of the use of breast cancer online communities. Patient Educ Couns, 93(3):472-479.
23. Nierop-van Baalen C, Grypdonck M, van Hecke A, Verhaeghe S (2020). Associated factors of hope in cancer patients during treatment: A systematic literature review. J Adv Nurs, 76(7):1520-37.
24. Stanton AL, Thompson EH, Crespi CM, et al (2013). Project connect online: ran-domized trial of an internet-based pro-gram to chronicle the cancer experience and facilitate communication. J Clin Oncol, 31(27):3411-3417.
25. Zhu J, Ebert L, Liu X, Chan SW (2017). A mobile application of breast cancer e-support program versus routine Care in the treatment of Chinese women with breast cancer undergoing chemotherapy: study protocol for a randomized con-trolled trial. BMC Cancer, 17(1):291.
26. Heravi Karimovi M, Pourdehqan M, Jadid Milani M, et al (2006). Study of the effects of group counseling on quality of sexual life of patients with breast cancer under chemotherapy at Imam Khomeini Hospi-tal. J Mazandaran Univ Med Sci, 16(54):43-51.
27. Coulourides Kogan A, Penido M, En-guidanos S (2015). Does Disclosure of Terminal Prognosis Mean Losing Hope? Insights from Exploring Patient Perspec-tives on Their Experience of Palliative Care Consultations. J Palliat Med, 18(12):1019-25.
28. Cao W, Zhang X, Xu K, Wang Y (2016). Modeling online health information-seeking behavior in China: the roles of source characteristics, reward assessment, and internet self-efficacy. Health Commun, 31(9):1105-1114.
29. Heena H, Durrani S, Riaz M, et al (2019). Knowledge, attitudes, and practices relat-ed to breast cancer screening among fe-male health care professionals: a cross sectional study. BMC Womens Health, 19(1):122.
30. Leão DCMR, Pereira ER, Pérez-Marfil MN, et al (2021). The Importance of Spirituali-ty for Women Facing Breast Cancer Di-agnosis: A Qualitative Study. Int J Environ Res Public Health, 18(12):6415.
31. Ripamonti CI, Miccinesi G, Pessi MA, et al (2016). Is it possible to encourage hope in non-advanced cancer patients? We must try. Ann Oncol, 27, 513–519.
32. Calderon C, Gomez D, Carmona-Bayonas A. et al. (2021). Social support, coping strategies and sociodemographic factors in women with breast cancer. Clin Transl Oncol, 23: 1955–1960.
| Files | ||
| Issue | Vol 52 No 6 (2023) | |
| Section | Original Article(s) | |
| DOI | https://doi.org/10.18502/ijph.v52i6.12990 | |
| Keywords | ||
| Herth hope index Women Breast cancer Sociodemographic factors | ||
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Gavrilovic J, Kovacevic M, Ignjatovic Ristic D, Peulic M, Gavrilovic A. The Influence of Sociodemographic Factors on the Level of Hope in Women with Breast Cancer. Iran J Public Health. 2023;52(6):1238-1247.
