Purpose
The purpose of this study was to investigate family support and medical staff support and their mediating effects in the relationship between self-efficacy and resilience in patients with colorectal cancer with stoma. Methods: The participants were 170 patients with colorectal cancer who were hospitalized or receiving treatment for colorectal anus surgery in general hospitals located in B, D, and I cities. Data were collected from July 1 to October 25, 2019 through a structured questionnaire. Data analysis was conducted using descriptive statistics, Pearson's correlation coefficient, multiple linear regression analysis, and the bootstrapping method with SPSS/WIN 25.0 and the PROCESS macro program. Results: The mean score for resilience was 2.70±0.62 (range 0~4). Resilience was significantly associated with self-efficacy (r=.59, p<.001), family support (r=.38, p<.001), and medical staff support (r=.37, p<.001). Using Baron and Kenny's approach and PROCESS macro model 4, resilience was found to be affected by self-efficacy (β=.53, p<.001). Further, family support (β=.25, p<.001) and medical staff support (β=.39, p<.001) were affected by self-efficacy. The partial mediating effects of family support (β=.25, p<.001, 95% confidence interval 0.01~0.12) and medical staff support(β=.15, p=.022, 95% confidence interval 0.01~0.16) in the impact of self-efficacy on resilience were confirmed. Conclusion: The impact of self-efficacy on resilience was mediated by family support and medical staff support in patients with colorectal cancer with stoma. The results suggest that family and medical staff support need to be considered in developing nursing interventions to improve self-efficacy and resilience in these patients.

PURPOSE
The purpose of this study was to describe the mediating effect of social support and its relationship between distress and quality of life (QoL) of elderly patients with gastric cancer.
METHODS
186 elderly patients who visited an inpatient/outpatient at two cancer hospitals were recruited from May 30 to July 26, 2017. Distress, social support, and QoL were measured using structured questionnaires such as Distress Thermometer and Problem list, Perceived Social Support scale, and QoL scale for Korean patients with cancer. The mediating effects were analyzed by a multiple hierarchical regression.
RESULTS
Distress was found to have significant negative correlations with social support (r=-.47, p < .001) and QoL (r=-.58, p < .001). There was a positive correlation between social support and QoL (r=.72, p < .001). The influencing factors on QoL were education, recurrence, sleep, dietary problem, distress, and social support. These variables were explained 66% of the variance in QoL. The direct effect of distress on QoL was significant (β=-.24, p < .001) and the indirect effect of distress on QoL via social support was significant (z=-4.14, p < .001).
CONCLUSION
Based on this study findings, intervention programs directed at reducing distress by focusing on bolstering social support is recommended to improve QoL in elderly patients with gastric cancer.

Citations

• Factors Affecting the Quality of Life in Low-Income Older Adults with Sarcopenia: A Cross-Sectional Study
  Ju-Hee Nho, Eun Jin Kim
  Journal of Korean Academy of Nursing.2023; 53(1): 1.     CrossRef
• Predictive Factors for Psychological Distress in Patients with Lung Cancer Who Underwent Video-Assisted Thoracic Surgery Lobectomy
  Ji Eun Han, Kwhanmien Kim, Jin-Hee Park
  Asian Oncology Nursing.2023; 23(3): 136.     CrossRef
• Factors That Influence Sleep Disturbance and the Mediating Effects of Depression on Sleep Disturbance in Patients With Rheumatoid Arthritis
  SiWon Lee, HyunSoo Oh, SooHyun Kim, Won Park, SeongRyul Kwon, Mie Jin Lim, Kyong-Hee Jung, WhaSook Seo
  Orthopaedic Nursing.2022; 41(5): 335.     CrossRef
• Effects of the teach-back method among cancer patients: a systematic review of the literature
  Seonhwa Choi, Jahyun Choi
  Supportive Care in Cancer.2021; 29(12): 7259.     CrossRef
• Impact of Posttraumatic Growth and Health Promoting Behavior on Quality of Life in Patients with Gastrointestinal Cancer
  Mi-Ae Kim, Hyun-Ju Lee
  Journal of Korean Academy of Fundamentals of Nursing.2021; 28(1): 32.     CrossRef
• The Development and Evaluation of a Health Literacy-Adapted Self-Management Intervention for Elderly Cancer Patients Undergoing Chemotherapy
  Yoon Sun Kim, Young Sook Tae, Kwuy-Im Jung
  Journal of Korean Academy of Nursing.2019; 49(4): 472.     CrossRef
• Predictors of Quality of Life and Social Support as a Mediator between Defecation Function and Quality of Life among Rectal Cancer Patients
  Jung Rang Kim, Seon Young Hwang
  Korean Journal of Adult Nursing.2019; 31(5): 487.     CrossRef
• Symptom Distress and Depression in Patients with Recurrent Gynecologic Cancer Undergoing Chemotherapy: Mediating Effect of Resilience
  Eun Jung Yang, Ho Sihn Ryu
  Korean Journal of Adult Nursing.2019; 31(1): 28.     CrossRef
• Oxaliplatin-induced Peripheral Neuropathy, Symptoms, Distress and Quality of Life among Korean Patients with Gastrointestinal Cancer
  Hye Jeong Jung, Soo jung Ahn, Yoo Ri Yang, Kyoung A Kim, Sang Joon Shin, Min Kyu Jung, Sang Hui Chu
  Asian Oncology Nursing.2019; 19(4): 204.     CrossRef

PURPOSE
The Purpose of this study was to elucidate the effects of aromatherapy massage on the preoperative anxiety of stomach cancer patients.
METHOD
The research design was a nonequivalent control group non synchronized design. The data were collected during the period of October 2 to December 30, 2005 at H Hospital in Seoul. The subjects were 40 patients who were operated under general anesthesia for stomach cancer. State anxiety, systolic and diastolic blood pressure, pulse rate were measured on the day before surgery and the preoperative period. Data were analyzed by chi-square test, independent t-test, paired t-test.
RESULTS
Hypothesis 1 that the level of preoperative state anxiety of the experimental group who received aromatherapy massage is lower than that of the control group who did not received aromatherapy was supported(p=.004). Hypothesis 2 the physiological index of the preoperative anxiety of the experimental group who received aroma-therapy is lower than that of the control group who did not received aromatherapy.
CONCLUSION
According to these results, aromatherapy hand massage can be regarded as a partially effective nursing intervention that relives anxiety of surgical patients and decreases the blood pressure level.