PURPOSE
The purpose of this study was to identify the mediating effect of reported self-blame in the relationship between stigma and distress among cancer patients.
METHODS
A convenience sample of 247 inpatients and outpatients diagnosed with one of the five major cancers was recruited. A cross-sectional survey design was used. Data were collected from June 2013 to November 2013. The instruments used for data collection were the Korean Cancer Stigma Scale, the Psychological Symptom Inventory, and the Social Shame and Guilt Scale. Data were analyzed using descriptive statistics, correlation, and multiple regression using Baron and Kenny steps for mediation.
RESULTS
The mean score reported for cancer stigma was 35.34, the mean score for distress was 13.77, and the mean for self-blame was 19.25. There was a significant correlation among stigma, distress, and self-blame. Self-blame was directly affected by stigma (R2=34.3%). Distress was directly affected by stigma (R2=13.0%). Stigma and self-blame impacted reported distress (R2=20.9%). Self-blame had a partial mediating effect (β=.35, p < .001) in the relationship between stigma and distress (Sobel test: Z=3.64, p < .001).
CONCLUSION
Based on the findings of this study, nursing intervention programs focusing on reducing stigma and decreasing self-blame may relieve the distress reported by patients with cancer.

Citations

• Perceived stigmatization in cancer patients during the first year after diagnosis: the role of socioeconomic status
  Jochen Ernst, Anne-Kathrin Köditz, Ute Goerling, Tanja Zimmermann, Beate Hornemann, Franziska Springer, Anja Mehnert-Theuerkauf
  Journal of Cancer Survivorship.2025;[Epub]     CrossRef
• Development of a Scale to Assess Cancer Attitude in the Community
  Neşe Uysal, Filiz Ünal Toprak
  Seminars in Oncology Nursing.2024; 40(6): 151728.     CrossRef
• Disease Perception, Stigma, Distress, Physical Symptom Experience and Quality of Life in Colorectal Cancer Patients Undergoing Chemotherapy: A Cross-Sectional Study
  Eun-Hee Lee, Dongwon Choi
  Journal of Korean Academy of Fundamentals of Nursing.2024; 31(4): 494.     CrossRef
• Trajectories of Depressive Symptoms Among Patients Undergoing Chemotherapy for Breast, Gastrointestinal, Gynecological, or Lung Cancer
  Johanna A. Suskin, Steven M. Paul, Ashley R. Stuckey, Yvette P. Conley, Jon D. Levine, Marilyn J. Hammer, Christine Miaskowski, Laura B. Dunn
  Cancer Nursing.2024;[Epub]     CrossRef
• Turkish validity and reliability of the Cancer Stigma Scale (CASS-T)
  Banu Çevik, Sultan Kav, Pelinsu Kaynar, Zeynep Kübra Sahin, Büşra Tekcan, Şeymanur Ülker
  Palliative and Supportive Care.2023; 21(1): 100.     CrossRef
• The Relationship between Self-Perceived Health and Physical Activity in the Mental Health of Korean Cancer Survivors
  Sungjung Kwak, Jieun Shin, Jong-Yeup Kim
  Healthcare.2023; 11(11): 1549.     CrossRef
• Factors associated with distress among female cancer survivors at the workplace: A cross-sectional study
  Juhyun Jin, Eunju Lee, Suin Lee
  Journal of Occupational Health.2022;[Epub]     CrossRef
• Factors associated with the quality of work life among working breast cancer survivors
  Juhyun Jin
  Asia-Pacific Journal of Oncology Nursing.2022; 9(2): 97.     CrossRef
• Structural Equation Model of the Quality of Working Life among Cancer Survivors Returning to Work
  Ju Hyun Jin, Eun Ju Lee
  Asian Nursing Research.2021; 15(1): 37.     CrossRef
• Factors Affecting Quality of Work Life in a Sample of Cancer Survivor Female Nurses
  Ju Hyun Jin, Eun Ju Lee
  Medicina.2020; 56(12): 721.     CrossRef
• Good Nursing Experience of Patients with Cancer in a Korean Cancer Hospital
  Eunyoung E. Suh, Hye Jin Yoo, Jeong Hee Hong, In Gak Kwon, Hyunju Song
  Journal of Korean Critical Care Nursing.2020; 13(3): 51.     CrossRef
• Relationship between Mothers' Diagnosis of Cervical Cancer and Attitudes toward Preventing Cervical Cancer in their Pubertal Daughters
  Da Bit Lee, Hae Won Kim
  Korean Journal of Women Health Nursing.2019; 25(4): 434.     CrossRef
• The Mediating Effect of Workplace Spirituality on the Relation between Job Stress and Job Satisfaction of Cancer Survivors Returning to Work
  Ju-Hyun Jin, Eun-Ju Lee
  International Journal of Environmental Research and Public Health.2019; 16(19): 3510.     CrossRef
• Experience of Cancer Patients Receiving Spiritual Nursing Care in one Christian General Hospital
  Eun Youngi Seo, Suhye Kwon, Youngkyoung Kim, ALeum Han
  Asian Oncology Nursing.2019; 19(3): 179.     CrossRef

PURPOSE
This study was conducted to examine the effects of tailored supportive education on physical, psychological status and quality of life in the patients with congestive heart failure (CHF) who had not participated previously in cardiac rehabilitation program.
METHODS
This study was used a non-equivalent control pre-post design, conducted on 64 CHF patients under medical treatment in a hospital. The experimental group (n=31) received the tailored supportive educational program (once 1~2 days before discharge and 6 times after discharge through outpatient visits or telephone contact: once every week for the first 4 weeks after discharge and once every 2 weeks for the remaining 4 weeks). The control group (n=33) received a traditional discharge education. Data were analyzed using descriptive statistics, chi2-test, Fisher's exact test, t-test and repeated measure ANOVA using the SPSS/WIN 18.0 program.
RESULTS
Participants in the experimental group showed the significantly increased scores of the quality of life (F=16.01, p<.001), and the significantly decreased scores of physical function (F=7.27, p=.009), depression (F=8.25, p=.006) and anxiety (F=4.11, p=.047), when compared to those of the control group.
CONCLUSION
The findings indicated tailored supportive education was an effective intervention care in physical, emotional status and quality of life for CHF patients.

Citations

• Needs for Discharge Education of Family Caregivers of Pediatric Patients: An Integrative Review
  Hyunjie Lee, Seung Eun Lee, Sang Hwa Lee
  Journal of Korean Academy of Fundamentals of Nursing.2023; 30(2): 137.     CrossRef
• Knowledge Structure of Nursing Studies on Heart Failure Patients in South Korea through Text Network Analysis
  Seang Ryu, Hyunyoung Park, Yun-Hee Kim
  Korean Journal of Adult Nursing.2020; 32(4): 409.     CrossRef
• The Effect of a Telephone-Based Self-management Program Led by Nurses on Self-care Behavior, Biological Index for Cardiac Function, and Depression in Ambulatory Heart Failure Patients
  Mi Kyoung Moon, JongEun Yim, Mi Yang Jeon
  Asian Nursing Research.2018; 12(4): 251.     CrossRef
• The Effects of Reinforced Walking Exercise on Dyspnea-fatigue Symptoms, Daily Activities, Walking Ability, and Health related Quality of Life in Heart Failure Patients
  Hyekyung Jin, Haejung Lee
  Korean Journal of Adult Nursing.2016; 28(3): 266.     CrossRef
• Development and Effects of a Heart Health Diary for Self-Care Enhancement of Patients with Heart Failure
  Jae Lan Shim, Seon Young Hwang
  Journal of Korean Academy of Nursing.2016; 46(6): 881.     CrossRef
• Influence of Social Support and Negative Emotional Status on Self-care Adherence in Symptomatic Patients with Heart Failure
  In-Suk Yang
  Korean Journal of Adult Nursing.2016; 28(3): 302.     CrossRef
• Symptom Management to Predict Quality of Life in Patients with Heart Failure: A Structural Equation Modeling Approach
  Ja Ok Lee, Rhayun Song
  Journal of Korean Academy of Nursing.2015; 45(6): 846.     CrossRef