Purpose
This study involved a meta-synthesis of qualitative research concerning the experiences of women with infertility and infertility treatments. Based on an analysis of emotional changes and adaptation processes, it aimed to propose an interaction model encompassing expectation, loss, and resilience and clarify the conceptual meaning of each component.
Methods
Thomas and Harden’s five-step qualitative meta-synthesis methodology was employed. A total of 22 studies published between 2014 and 2024 were comprehensively analyzed and synthesized. The findings were integrated into a model representing the experiences of women undergoing infertility and infertility treatments.
Results
The meta-synthesis identified six key themes: changes in identity and inner growth; strengthening resilience through the roles of spouses, family, and peers; strategies for recovery and growth; support systems amidst economic and social burdens; life in the tension of waiting and hope; and the reconfiguration of couple and family relationships. Based on these themes, a dynamic interaction model, named the Model of Psychological Changes and Resilience (PCR Model), was developed to illustrate the interrelationships among expectation, loss, and resilience. The conceptual implications of these relationships were also explicated.
Conclusion
The cyclical interplay between expectation and loss among women experiencing infertility is intensified by social ideologies and cultural contexts, while resilience is strengthened through overcoming distress and finding meaning in life. Further quantitative research is necessary to validate these relationships in clinical settings by obtaining empirical data that apply this model.

Purpose
This study investigated the effects of spiritual well-being on the self-care practices of people undergoing hemodialysis with hope as a mediator. Methods Using convenience sampling, 126 people undergoing hemodialysis were recruited from April 17th to July 15th, 2022 for a cross-sectional survey. Data were collected using the Spiritual Well-Being Scale, Hope Scale, and Self-Care practices Scale and analyzed using descriptive statistics and Pearson’s correlation coefficient. In addition, multiple regression analysis was performed to analyze the mediating effect using Baron and Kenny’s three-step method. Results The mean scores for spiritual well-being, hope, and self-care practices were 75.67, 51.37, and 128.82 respectively. There were significant correlations between the three variables. In step 1, spiritual well-being had a statistically significant positive effect on hope (β=.59, p<.001) (R²=37.8%). In step 2, spiritual well-being had a significant positive effect on self-care practices (β=.31, p<.001) (R²=14.6%). In step 3, the direct effect of spiritual well-being on self-care practices was not significant when the mediating variable hope was introduced; hope was observed to have a complete mediating effect (β=.36, p<.001) on the relationship between spiritual well-being and self-care practices (Sobel test: Z=3.18, p<.001). Conclusion Based on these results, hope enhancement can help in self-care practices, and hope can also be promoted through spiritual well-being resources. Thus, it is necessary to develop a holistic nursing program that includes spiritual care to promote spiritual well-being and hope for improving self-care practices in people undergoing hemodialysis.

Citations

• The Mediating Effects of Symptom Experiences on the Relationship between Body Image and Quality of Life among Hemodialysis Patients in a Single Center
  Yaki Yang
  Healthcare.2024; 12(17): 1779.     CrossRef

PURPOSE
The purpose of the study was to describe the structural relationship of meaning in life, spirituality, hope, intrinsic religious orientation, and self-esteem among middle-aged adults.
METHODS
The sample included 344 participants between the ages of 40 and 60, who resided in one of four cities. The collected data were analyzed using SPSS 21.0, descriptive statistics and AMOS 20.0 which uses structural modeling to test whether the hypothesized model fits the collected data.
RESULTS
Middle-aged adult's spirituality was found to have a significant direct effect on meaning in life. Further, middle-aged adult's reported hope, intrinsic religious orientation, and self-esteem had a direct effect on spirituality. Lastly, self-esteem had a direct effect on hope.
CONCLUSION
The findings from the study indicated that spirituality was the best predictor of meaning in life among middle age. In addition, hope, intrinsic religious orientation, and self-esteem did not have a direct effect on the meaning in life, but had a indirect effect through spirituality.

PURPOSE
This study was designed to develop and test the Hope Scale for Korean cancer patients.
METHODS
The process for the development of the Hope Test was a selection of initial items drawn from a literature review and in-depth interviews. The selected items were assessed for content validity by experts. The Hope Scale was comprised of five factors and 30 preliminary items. The preliminary Hope Scale for Korean Cancer Patients (HS_KCP) was administered to 259 cancer patients from one university hospital and one cancer hospital in Busan. Data were analyzed using item analysis, factor analysis, Pearson correlation coefficients, and Cronbach's α.
RESULTS
Eighteen items were selected for the final scale. Five factors (inner sense of control, trust and expectation for recovery of disease, interconnection, spirituality, emotional despair) evolved from the factor analysis, which explained 63.3% of the total variance. The convergent & discriminent validity was r=.83 (p<.001), r=-73 (p<.001). The internal consistency, Cronbach's α was .88 and reliability of the subscales ranged from .54 to .85.
CONCLUSION
The Hope Scale for Korean cancer patients demonstrated acceptable validity and reliability. It can be used to assess the hope of cancer patients and is feasible within a clinical setting.

Citations

• The Effects of Spiritual Well-being on Self-care Practices in People Undergoing Hemodialysis: The Mediating Effect of Hope
  Bu Kyung Kim, Pok-Ja Oh
  Korean Journal of Adult Nursing.2022; 34(6): 592.     CrossRef
• Psychometric Evaluation of Persian Version of Hope Scale in Iranian Patients With Cancer
  Hamid Sharif Nia, Pardis Rahmatpour, Long She, Mahdi Abounoori, Mohammad Moein Maddah, Saeed Pahlevan Sharif, Mobin Mohammadinezhad
  Journal of Nursing Measurement.2022; 30(1): 40.     CrossRef
• The Catalogue of Spiritual Care Instruments: A Scoping Review
  Ricko Damberg Nissen, Erik Falkø, Dorte Toudal Viftrup, Elisabeth Assing Hvidt, Jens Søndergaard, Arndt Büssing, Johan Wallin, Niels Hvidt
  Religions.2020; 11(5): 252.     CrossRef
• Concept Analysis of Fighting Spirit in Korean Patients with Cancer
  Kyung Ok Kim, Jung A Kim
  Korean Journal of Adult Nursing.2019; 31(1): 50.     CrossRef
• Post-traumatic Growth among Stroke Patients: Impact of Hope, Meaning in Life, and Social Support
  Young-Ju Jeong, Hee Sun Kim
  Korean Journal of Adult Nursing.2019; 31(6): 605.     CrossRef
• Relationships among Hope, Self-care Agency and Quality of Life of Female Oncology Patients with Lymphedema
  Ka Ryeong Bae, Young Soon Im, Gie Ok Noh, Yoojung Son, Han Gil Seo
  Asian Oncology Nursing.2017; 17(4): 213.     CrossRef

PURPOSE
The purpose of this study was to identify the occurrences and the factors contributing to constipation in the post surgical period following major orthopedic surgery.
METHODS
The sample included 133 patients who had surgery of the hip, knee, or spine. Patients were excluded from the study if there was a history of bowel surgery or constipation from chart review. Data were collected using questionnaires such as Korean version of Modified Barthel index (K-MBI), Hospital Anxiety and Depression Scale, and Constipation Assessment Scale (CAS) before surgery and on the third postoperative day.
RESULTS
Reports of constipation occurred in 77 instances (57.9%). The first reported defecation was within 4.0±2.2 days following surgery. Mean days of first defecation of constipation group vs. non-constipation group was 5.5±1.7 days vs. 2.1±1.0 days. There were statistically significant differences between patients who reported than those who did not in terms of age, length of NPO period, postoperative ADL, and the reported incidents of preoperative and postoperative depressive symptoms. Postoperative ADL, age, and NPO period were significant influencing factors of constipation and explained 52.4% of the variance.
CONCLUSION
Constipation is a very common symptom for patients undergoing orthopedic surgery. These results indicate a need for improving patient's ADL after surgery to prevent constipation.

Citations

• The effect of kinesiophobia on gastrointestinal disorders in patients with lower extremity orthopedic surgery
  Huseyin Gunes, Semra Bulbuloglu, Serdar Saritas, Ahmet Ozdemir
  Frontiers in Surgery.2025;[Epub]     CrossRef
• Efficacy of an Iranian herbal medicine formula for postoperative constipation in trauma patients with hip and lower limb fractures: A triple-blind, placebo-controlled randomized clinical trial
  Rezvan Ghafarzadegan, Mohammadreza Zarei, Nahid Norouzi, Neda Mirbagher Ajorpaz, Seyedeh Mahsa Lotfi, Sayyed Mehdi Rasooli Manesh, Hossein Akbari, AliReza Abedi
  International Journal of Orthopaedic and Trauma Nursing.2025; 57: 101163.     CrossRef
• A Common Complication in Orthopedic Patients: Postoperative Constipation and Related Risk Factors
  Hesna G..rler, Fatma Tok Y..ld..z, Fatma Bekmez
  Journal of PeriAnesthesia Nursing.2023; 38(5): e15.     CrossRef
• Constipation After Elective Laparoscopy for Benign Gynecological Indications–A Prospective Observational Study
  Paul Berlund, Charlotte Reddington, Claudia Cheng, Martin Healey
  Journal of Minimally Invasive Gynecology.2023; 30(10): 827.     CrossRef
• Prevalence of Constipation and related Factors in Patients with Lower Extremity Fracture Surgery
  Ok-Hee Cho, Hyerim Seo, Jeongeun Yoon
  The Korean Journal of Rehabilitation Nursing.2023; 26(1): 8.     CrossRef
• Effect of Acupressure and Abdominal Massage on Constipation in Patients with Total Knee Arthroplasty: A Randomized Controlled Study
  Mahinur Durmuş İskender, Nurcan Çalışkan
  Clinical Nursing Research.2022; 31(3): 453.     CrossRef
• Randomized Controlled Trial of a Natural Food-Based Fiber Solution to Prevent Constipation in Postoperative Spine Fusion Patients
  Deborah Wittig-Wells, Pam Sapp, Melinda Higgins, Erica Davis, Jessica Carter, Ani Jacob
  Orthopaedic Nursing.2019; 38(6): 367.     CrossRef
• Opioid induced constipation management in orthopaedic and trauma patients: treatment and the potential of nurse-initiated management
  Olivia Sonneborn, Thuy Bui
  International Journal of Orthopaedic and Trauma Nursing.2019; 34: 16.     CrossRef

PURPOSE
This study aimed to examine the relationships among social support(family support, medical team support), hope, anxiety, and depression in patients with hematologic cancers before they received hematopoietic stem cell transplantation (HSCT) to obtain baseline data for developing a nursing intervention.
METHODS
The participants were 70 adult patients expecting to receive HSCT from 5 university hospitals in Seoul, Gyeonggi-do, and Jeollanam-do regions. A cross-sectional survey was done using standardized instruments for social support (Tae's Family Support Scale and Professional Medical Support Scale), hope (Kim & Lee Hope Scale), anxiety and depression (Hospital Anxiety and Depression Scale). The data were analyzed by SPSS/WIN 19.0 program using frequency, percentage, item mean and standard deviation, t-test, ANOVA, and Pearson's correlation coefficient.
RESULTS
Hope was significantly correlated with social support (r=.40, p=.001), anxiety (r=-.40, p<.001) and depression (r=-.58, p<.001). Anxiety was correlated with depression (r=.54, p<.001).
CONCLUSION
The findings of this study show greater social support for patients who expect to receive HSCT is significantly correlated to a higher level of hope, as well as low levels of anxiety and depression. In nursing practice, clinical nurses may develop a nursing intervention to reinforce social support and hope, as well as reduce anxiety and depression for patients preparing for HSCT.

Citations

• Relationship between perceived depression, suicidal ideation, and return to work among cancer survivors in South Korea: A national survey analysis
  Haeryun Cho, Hye Suk Jun
  Asia-Pacific Journal of Oncology Nursing.2025; 12: 100611.     CrossRef
• Construção de protocolo de cuidados de enfermagem à criança no pós-transplante de células-tronco hematopoiéticas
  Jéssica Alline Pereira Rodrigues, Maria Ribeiro Lacerda, Cristina Maria Galvão, Ingrid Meireles Gomes, Marcia Regina Cubas, Ana Paula Pereira Fernandes
  Revista Gaúcha de Enfermagem.2022;[Epub]     CrossRef
• Symptom Experience, Social Support, and Quality of Life in Patients with Hematologic Malignancies Undergoing Chemotherapy
  Ga Eun Kim, Ju-Eun Song, Mi-Ae You, Jin-Hee Park
  Asian Oncology Nursing.2022; 22(1): 29.     CrossRef
• Construction of a nursing care protocol for children in post-hematopoietic stem cell transplantation
  Jéssica Alline Pereira Rodrigues, Maria Ribeiro Lacerda, Cristina Maria Galvão, Ingrid Meireles Gomes, Marcia Regina Cubas, Ana Paula Pereira Fernandes
  Revista Gaúcha de Enfermagem.2022;[Epub]     CrossRef
• Experiences of Unrelated Hematopoietic Stem-cell Donors and Experts of Relevant Institutions
  Soyoung Yu, Miok Kim, Tai-Gyu Kim, Su-Hee Beom
  Korean Journal of Adult Nursing.2019; 31(5): 522.     CrossRef

PURPOSE
The purpose of this study was to identify the mediating effect of hope and depression applied on the influence of social stigma on suicidal ideation of 108 HIV infected males.
METHODS
This study was a descriptive, cross-sectional design that used a survey approach. Data collection was one-on-one interviews by a counseling nurse from July 2012 to January 2013. The survey included questions about social stigma, hope, depression, and suicidal ideation.
RESULTS
Fitness of the hypothetical model was appropriate (chi2/df=1.97, TLI=.97, CFI=.98, RMSEA=.07, SRMR=.04). Social stigma had no direct effect on suicidal ideation but had a significant indirect effect on suicidal ideation via hope and depression. Hope had a mediating effect the relationship between stigma and depression but no direct effect on the relationship between stigma and suicidal ideation. Hope had an indirect effect on suicidal ideation via depression. Stigma and hope accounted for 41% of depression was where as suicidal ideation was explained 56.3% by depression, hope, and stigma.
CONCLUSION
In order to reduce depression and suicidal ideation of HIV infected people, stigma improving strategies are required. And hope intervention for HIV infected people may decrease their suicidal ideation and depression.

Citations

• Epidemiological Characteristics of HIV-Infected Individuals by the Registration for Special Exempted Calculation: A Nationwide Cohort Study
  Yunsu Choi, Kyoung Hwan Ahn, Soo Min Kim, Bo Youl Choi, Jungsoon Choi, Jung Ho Kim, Shin-Woo Kim, Youn Jeong Kim, Yoon Hee Jun, Bo Young Park
  Infection & Chemotherapy.2024; 56(4): 510.     CrossRef
• Post-recovery Stress, Anxiety, Depression and Stigma in Early COVID-19 Pandemic Patients
  DaeHyun Kim
  Keimyung Medical Journal.2022; 41(1): 38.     CrossRef
• Post-recovery Stigma in Early and Late COVID-19 Epidemic
  DaeHyun Kim
  Keimyung Medical Journal.2022; 41(2): 80.     CrossRef
• Prevalence and Correlates of Depression Among Pregnant Women Enrolled in a Maternal and Newborn Health Program in Rural Northern Ghana: a Cross-sectional Survey
  Margaret Lillie, John A. Gallis, John Hembling, Raymond Kofi Owusu, Mohammed Ali, Safiyatu Abubakr-Bibilazu, Raymond Aborigo, Haliq Adam, Elena McEwan, John Koku Awoonor-Williams, Joy Noel Baumgartner
  Global Social Welfare.2020; 7(2): 131.     CrossRef

PURPOSE
The purpose of this study was to identify the effects of psychosocial intervention on depression, hope and quality of life of home-based cancer patients.
METHODS
The study design was a nonequivalent control group pretest-posttest design. Data were collected from September 21 to November 13, 2009. The subjects consisted of 81 cancer patients randomly selected who were registered at four public health center in Daegu, Korea. The 39 subjects in the experimental group received a psychosocial intervention and the 42 subjects in the control group received the usual nursing care. The weekly psychosocial Intervention protocol was comprised of health education, stress management, coping skill training and support (60 min) for eight weeks. Data were analyzed by using the SPSS/WIN 12.0 program.
RESULTS
Depression (F=23.303, p<.001) scores in the experimental group were significantly less than that of the control group. Further, hope (F=58.842, p<.001) and quality of life (F=31.515, p<.001) scores were significantly higher than those reported by the control group.
CONCLUSION
The findings indicate that the psychosocial intervention was an effective intervention in decreasing depression and increasing hope and quality of life of home-based cancer patients.

PURPOSE
The purpose of this study was to investigate the effect of a spirituality/hope promoting program on fighting spirit, helplessness, anxiety, and self-care behaviors. METHODS: A nonequivalent control group pretest- posttest design was used. Study subjects were 22 cancer patients undergoing chemotherapy for the experimental group and 31 for the control group. The experimental group received a 4-week intervention, 30-50 minutes a day weekly. Variables were measured at baseline, 4 and 8 weeks later. Fighting spirit and helplessness were measured by MAC(Mental Adjustment to Cancer) and anxiety was measured by Hospital Anxiety and Depression scale. Self-care behaviors scale developed by Oh et al.,(1997) was used.
RESULTS
The experimental group revealed significantly more fighting spirit(t=-4.10, p=.000). more self-care behaviors(t=-5.91, p=.000). and less helplessness(t=3.94, p=.000). No difference, however, was found in anxiety between the two groups(t=.24, p=.861).
CONCLUSION
These results suggested positive effects of a spirituality/hope intervention program. Helplessness decreased mainly through an increase in fighting spirit. Self-care behaviors increased mainly through an decrease in helplessness and increase in fighting spirit.

PURPOSE
The purpose of this study was to determine the relationships of pain cognition, performance status, and hope with health-related quality of life.
METHODS
Patients(n=149) with various cancer diagnoses completed the SF-36 standard Korean Version and the Herth Hope Index. The Perceived Meanings of Cancer Pain Inventory was used to measure the cognition dimension of pain, whereas the Brief Pain Inventory Korean version was used to represent the sensory dimension of pain.
RESULTS
The patients in the pain group had significant differences in the three dimensions(loss, threat, spiritual awareness) of pain cognition. There were statistically significant negative correlations between the three dimensions(loss, threat, and spiritual awareness) of pain cognitions and SF-36 dimension, and the positive correlations between challenge dimension and SF-36 dimension. Hope had the positive correlation with SF-36 dimensions.
CONCLUSION
Pain has a negative impact on health-related quality of life, especially on physical health. However, patients who ascribed more positive meaning to their pain, tended to have a higher quality of life. Therefore, nursing intervention to reinforce the positive aspects of pain cognition is to empower patients to create a sense of control and assume an active role in pain management and quality of life.

PURPOSE
The purposes of this study were to measure the degree of uncertainty in illness, hope, and spiritual well-being and to examine the relationship among uncertainty in illness, hope, and spiritual well-being of cancer patients.
METHOD
The data were derived from answers to questionnaires obtained from 93 cancer patients at one general hospital in J area from April 6, 2004 to May 8, 2004. The collected data were analyzed by SSPS 10.0.
RESULTS
The mean score of uncertainty in illness of cancer patients was 55.96. The mean score of hope of cancer patients was 79.77, and spiritual well-being was 55.20. Uncertainty in illness of cancer patients was related negatively to hope(r=-.57, p=.000). Also uncertainty in illness of cancer patients was related negatively to spiritual well-being(r=-.57, p=.000). However, hope of cancer patients was related positively to spiritual well-being(r=.67, p=.000).
CONCLUSION
Higher uncertainty in illness was related to lower hope and spiritual well-being of cancer patients. Based upon these results, nurses should help patients to improve their hope and spiritual well-being through mediation of uncertainty in illness.

PURPOSE
The purpose of this study was to propose a theoretical model of hope commonly held by the cancer patients just after surgery, under the assumptions that hope of those patients is not only realistic and disease oriented but in dialectical circulation.
METHOD
A theoretical model was generated through 4 steps: exploring a hope structure by synthesizing the relevant hope structures expressed in Kim and Tae's studies, in-depth literature review, examining the meanings of the concepts consisted of the structure in use and their causal relations in logical adequacy, proposing a theoretical structure through synthesizing the causal relations, and diagramming the structure.
RESULTS
The proposed theoretical model involves concepts such as Cancer Related Uncertainty (CRU), Efforts to Find out the Possibility of Cure or Recovery (EFPCR), and Hopefulness or Hopelessness. The 'EFPCR' is stipulated as 'Behaviors Related to Looking for Evidences or Cues (BRLEC)' and 'Formation of Cognitive Schema (FCS)'. In the model, Hopefulness is directly influenced by 'CRU in low', which is affected by 'FCS in good' from the result of EFPCR started with 'CRU in increase' while 'CRU with increase' from the result from EFPCR has direct effect on Hopelessness.
CONCLUSION
The theoretical model would be used to enhancing hope of the cancer patients in post-operation.

PURPOSE
The purpose of this study was to examine the relationship between spirituality and a fighting spirit among the patients with cancer. METHODS: The participants were 223 patients diagnosed stomach, colorectal or breast cancer, and who were in chemotherapy or follow up care. The study design was cross-sectional at the time of the data collection. The degree of spirituality was measured by the Korean version of WHOQOL Spirituality, Religiousness and Personal Beliefs (SRPB) Pilot Test Module, and fighting spirit was measured by the scores of Mental Adjustment to Cancer(MAC) scale. RESULTS: The score of love appeared to be higher in the patients with follow up care than the patients with treatment(p<0.05) and the score of believing was much higher in patients with recurrence than the patients without (p<0.05). There was a statistically significant correlation among hope, believing, love, forgiveness and acceptance, and fighting spirit. In the multiple regression analysis, hope and believing explained much variance of the fighting spirit. CONCLUSION: These finding showed that the more hopeful and believing patients with cancer had higher scores of fighting spirit, which was known to be one of the most active coping style in adjusting to cancer.

PUPPOSE: The purposes of the study were 1) to examine what relationships exist between PTE(perceived treatments effect) and PPS (perceived physical suffering) as the independent variables and hope as the dependent variable and 2) to examine whether PTE and PPS predict hope in cancer patients in their post-operative period within the Stotland's hope theory.
METHOD
The Visual Analog Scale was used for measuring PTE and PPS and the Kim and Lee's Hope Scale which had acceptable reliability and validity was used for measuring hope. The data was collected from 38 hospitalized cancer patients who were in the post-operative period with a convenient sampling method.
RESULT
There was a significant positive relationship between hope and the PTE in the low PTE group. There was a significant negative relationship between hope and the PPS in the low PPS group. There were no significant relationships between hope and the PTE in the high PTE group, and between hope and the PPS in the high PPS group. And the PTE explained hope with 71.2% of the variance in the low PTE group.
CONCLUSION
PTE in the low PTE group and PPS in the low PPS group were identified as the factors to explain hope.

It has been believed that cancer is an omnious factor threatening the future and life itself. Patients having the disease experience anxiety, fear, feeling of weakness, depression and feelings of uncertainty and hopelessness. Most cancer patients, however, have expectations of possible recovery and a better future, very different from the patients who feel hopeless. Therefore. hope allows people to respond effectively to the fatal disease they have and prevents them from detoriorating physically and spiritually, positively influencing their survival, response to treatment and sense of security. Studies previously performed showed that hope is positively correlated with social and family supports, self-esteem, spiritual well-being, responsive action, health promotion behavior and quality of life. Thus, the study attempted to provide basic information on nursing cancer patients by investigating their levels of hope and determining predictive factors which influence hope. For the study 200 cancer patients in two university hospitals located in Pusan were sampled as subjects. Data were collected for twenty nine days from Feburary 1, 1999 to March 1. Instrumets for the study included 10 items from the self-esteem scale by Rosenberg (1965), 39 hope measurements by Kim and Lee(1965), 16 of the social support scale by Tae(1986) and 16 of the general characteristics scale, all of which totaled 81 items. The data were analyzed using the SPSS program. General characteristics of the investigated based on numbers and percentage. Hope, self-esteem and social support were analyzed using means, minimum, maximum and standard deviation. Relations among the foregoing three factors were analyzed using Pearson' correlation coefficient. Levels of hope in cancer patients were determined using t-test, ANOVA and Scheffe test. Predictive factors influencing hope were investigated using multiple stepwise regression analysis. Results of the study are summarized as follows: 1. An average level of hope was 185.55+/-23.39 points(96 min. and 234 max.) 2.Levels of hope showed a significant difference among them according to sex (t=-3.69, P=.000), age(F=4.714, P=.000), job(F=3.247, P=.008), monthly income (F=6.113, P=.003), treatment charge (F=3.796, P=.011), supportive resources (F=10.554, P=.000), diagnosis(F=2.287, P=.029), perceived health status(F=22.184, P=.000), level of pain(F=3.334, P=.021), religion (F=4.911, P=.001) and religion's effect in life (F=11.706, P=.000), 3. For the subjects, self-esteem and social support were 38.32+/-7.21(13 min, and 50 max.) and 52.97+/-8.49points(28 min, 80 max.). Concerning social support, average levels of family support and medical support were found 35.95+/-6.05(18 min, and 40 max) and 27.02+/-4.99 points(20 min and 40 max). The hope the cancer patients showed significant correlations with self-esteem (r=.588, P=.000), family support(r=.224, p=.001) and medical support(r=.221, P=.002). 4.The five variables related to hope (self-esteem, religion's effect in life, perceived health status, social support and age) accounted for 54.2 percent of the hope level; especially, self-esteem was the highest at 34.6%. As shown in the above results, predictive factors which most influence hope in cancer patients were self-esteem and religion's effect of life. Therefore, nursing interventions to increase self-esteem should be developed. Regarding religion's effects, studies on spiritual aspects should be carried out in a way that contributes to promotion of hope.

This study will test one's spiritual well-being which can be an effective hope factor, and, if so found, suggests the importance of such factors in healing cancer. From this research, a total of 97 samples were used, either hospitalized in or outpatients of the general hospitals in Seoul. The hope scale proposed by Paloutzion and Ellison(1982) and Nowotny's Hope Scale(1989) was used. Data was collected from February to April 1998 to be processed by the SAS statistical package. The study has resulted as follows: 1. The average score and the standard deviation of the overall spiritual well-being recorded 82.36 +/- 15.93, with religious and existential sectors being 40.81 +/- 10.27 and 41.55 +/- 7.72, respectively. 2. The spiritual well-being scores differed significantly according to the sample's level of education, religion, belief, the length of period of religious practices, and the frequency of participation in the religious meeting. 3. THe hope score of the sampled cancer patients showed an average of 82.94 with the standard deviation of 10.27. 4. The demographic characteristics were found to have resulted in a significant difference in the hope scores in such areas as religion and strength of the faith. 5. The hypothesis was supported that the spiritual well-being has a positive effect on the patient's hope (r=.632, p=.0001). 6. A multiple regression analysis indicated that the existential well-being(50%), age(5%), and the religious well-being(2%) significantly explained the hope scores. Viewing that religion and faith contributed significantly to a patient's spiritual well-being and hope, nurses should better regard and furthermore encourage the religious life of the cancer patient. Also suggested is that spiritual caring proven very effective by this study be applied actively in enhancing the hope for the cancer patients.