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eISSN: 1643-3750

Effects of Intrinsic and Extrinsic Factors on the Level of Hope and Psychological Health Status of Patients with Cervical Cancer During Radiotherapy

Li-Rong Li, Mei-Guang Lin, Juan Liang, Qiong-Yan Hu, Dan Chen, Meng-Ying Lan, Wu-Qing Liang, Yu-Ting Zeng, Ting Wang, Gui-Fen Fu

Department of Radiation Oncology, People’s Hospital of Guangxi Zhuang Autonomous Region, Nanning, Guangxi, China (mainland)

Med Sci Monit 2017; 23:3508-3517

DOI: 10.12659/MSM.901430

Available online:

Published: 2017-07-19

BACKGROUND: This study aimed to explore the factors affecting the level of hope and psychological health status of patients with cervical cancer (CC) during radiotherapy.
MATERIAL AND METHODS: A total of 480 CC patients were recruited. Psychological distress scale, Herth hope index, functional assessment cancer therapy-cervix, and Jolowiec coping scale were used to conduct surveys on psychological distress, level of hope, quality of life (QOL), and coping style to analyze the factors affecting the level of hope and psychological health status of CC patients.
RESULTS: The morbidity of significant psychological distress in 480 CC patients during radiotherapy was 68%, and the main factors causing psychological distress were emotional problems and physical problems. During radiotherapy, most patients had middle and high levels of hope, and the psychological distress index of patients was negatively correlated with the level of hope. The QOL of CC patients during radiotherapy were at middle and high levels, and the QOL was positively correlated with confrontment, optimism, appeasement, and self-reliance, but it was negatively correlated with predestination and emotional expression.
CONCLUSIONS: For CC patients during radiotherapy, the morbidity of psychological distress was high, but they were at middle and high levels of hope.

Keywords: HOPE, Quality of Life, Radioimmunotherapy, Signal Detection, Psychological, Uterine Cervical Neoplasms