The Effects of a Positive Psychology Program on the Hope of Patients with Breast Cancer Receiving Surgery and Chemotherapy

Main Article Content

Akradach Bamrungnam
Nutchanart Bunthumporn
Chomchuen Somprasert

Abstract

          The purpose of this quasi-experimental research was to examine the effects of positive psychology program on the hope of patients with breast cancer receiving surgery and chemotherapy. The subject of this study were 64 female patients, aged 25 to 59, who had been diagnosed with stage 1 - 3 breast cancer receiving surgery and chemotherapy. The subjects were randomly assigned to an experimental and control group, with 32 patients in each group. The experimental group received the positive psychology program, while the participants in the control group received routine nursing care. The research instruments consisted of the positive psychology program which were content validated by 3 experts, and the Herth Hope Scale Cronbach’s alpha coefficient of 0.83. The statistical technique used in data analysis were percentage, mean and t-test.
          The result revealed that: 1) The mean of the hope scores after participating in positive psychology program was significantly higher than before participating in positive psychology program at a statistical significance of p < .05. 2) The mean difference in the hope scores between before and after intervention in the experimental group and control group were significantly different at a statistical significance of p < .05. Therefore, this positive psychology program can be an alternative intervention for healthcare provider to help patient with breast cancer receiving surgery and chemotherapy, and for promoting hope.

Article Details

Section
Research Article

References

World Health Organization. Cancer today. [Internet]. [cited 2021 August 28]. Available from: https://gco.iarc.fr/today/home.

National Cancer Institute. Cancer registry 2020. [Internet]. [cited 2023 April 12]. Available from: https://www.nci.go.th/e_book/hosbased_2563/index.html. (in Thai).

National Comprehensive Cancer Network. NCCN clinical practice guidelines in oncology. [Internet]. [cited 2022 February 2]. Available from: https://www.nccn.org/guidelines/guidelines-detail?category=1&id=1419.

Favez N, Antonini T, Delaloye JF, Notari SC. From breast cancer survey to survivorship: Insecure attachment tendencies predict negative psychological outcomes. Health Psychol Open 2021;8(1):1-9.

Dinapoli L, Colloca G, Di Capua B, Valentini V. Psychological aspects to consider in breast cancer diagnosis and treatment. Curr Oncol Rep 2021;23(3):1-7.

Wu Q, Yin Y, Wang Q, Wang S, Jia X. Body image and hopelessness among early-stage breast cancer survivors after surgery in China: a cross-sectional study. Nur Open 2021;8(6):3384-93.

Emanuela S, Letizia D, Chiara A. What is hope for breast cancer patients a qualitative study. Mediterr J of Clin Psychol 2015;3(1):1-17.

Karawekpanyawong N, Kaewkitikul K, Maneeton B, Maneeton N, Siriaree S. The prevalence of depressive disorder and its association in Thai cervical cancer patients. PLoS One 2021;16(6):1-16.

Oers H, Schlebusch L. Breast cancer patients’ experiences of psychological distress, hopelessness, and suicidal ideation. J Nat Sci Med 2021;4(3):250.

Herth K. Fostering hope in terminally-ill people. J Adv Nurs 1990;15(11):1250-1259.

Mahendran R, Chua SM, Lim HA, Yee IJ, Tan JYS, Kua EH, et al. Biopsychosocial correlates of hope in Asian patients with cancer: a systematic review. BMJ Open 2016;6(10):1-13.

Li P, Guo YJ, Tang Q, Yang L. Effectiveness of nursing intervention for increasing hope in patients with cancer: a meta-analysis. Rev Lat Am Enfermagem 2018;26:1-11.

Olsman E. Hope in health care: a synthesis of review studies. Hist Multidiscip Perspect Hope 2020;(1):197-214.

Thongchai W. Experience of problems in group therapy. [Internet]. [cited 2022 February 10]. Available from: http://thaiclinicpsy.org/new/index.php/news-and-events/2017-10-09-10-08-08/502-2018-02-19-11-35-53. (in Thai).

Seligman MEP. Flourish: a visionary new understanding of happiness and well-being. New York: Atria Books; 2011.

Tu M, Wang F, Shen S, Wang H, Feng J. Influences of psychological intervention on negative emotion, cancer-related fatigue and level of hope in lung cancer chemotherapy patients based on the perma framework. Iran J Public Health 2021;50(4):728-36.

Meyer PS, Johnson DP, Parks A, Iwanski C, Penn DL. Positive living: a pilot study of group positive psychotherapy for people with schizophrenia. J Posit Psychol 2012;7(3):239-48.

Srisatidnarakul B. Effect size, power analysis, optimal sample size calculation using G* Power software. Bangkok: Chulalongkorn University Printing House; 2020. (in Thai).

Cohen J. Statistical power analysis for the behavior sciences. 2nd ed. New Jersey: Lawrence Enlbaum Associates Publishers; 1988.

Gray JR, Grove SK, Sutherland S. Burns and Grove’s the practice of nursing research: appraisal, synthesis, and generation of evidence. 7th ed. Philadelphia: Saunders; 2016.

Wattanabenjasopa S. Effects of supportive psychology group on hope of cervical cancer patients receiving radiotherapy. [Master’s Thesis, Faculty of Nursing]. Chiang Mai University; 2000. (in Thai).

Romero-Elías M, González-Cutre D, Beltrán-Carrillo VJ, Jiménez-Loaisa A. Beyond basic psychological needs: the hope construct during adjuvant treatment in colorectal cancer patients. Curr Psychol 2023;42:2788-96.

Ouweneel E, Le Blanc PM, Schaufeli WB, van Wijhe CI. Good morning, good day: a diary study on positive emotions, hope, and work engagement. Hum Relations 2012;65(9):1129-54.

Madden W, Green S, Grant AM. Enhancing engagement and hope. Int Coach Psychol Rev 2011;6(1):71-130.

Xiang G, Teng Z, Li Q, Chen H, Guo C. The influence of perceived social support on hope : a longitudinal study of older-aged adolescents in China children and youth services review the influence of perceived social support on hope: a longitudinal study of older-aged adolescents in China. Child Youth Serv Rev 2020;119:1-9.

Kavradim ST, Ozer ZC, Bozcuk H. Hope in people with cancer: a multivariate analysis from turkey. J Adv Nurs 2012;69(5):1183-96.

Chen J, Huebner ES, Tian L. Longitudinal relations between hope and academic achievement in elementary school students: behavioral engagement as a mediator. Learning and individ differ 2020;78:1-10.

Pornma K, Soonthonchaiya R. Positive psychological therapy in schizophrenic patients with depression: case study report. Royal Thai Navy Medical Journal 2022;49(2):434-45. (in Thai).

Kidsamrong W, Soivong P, Vuttanon N. Effect of promoting life review on self-esteem among cancer patients receiving paliative care. Royal Thai Navy Medical Journal 2020;47(1):108-23. (in Thai).