Effect of Resourcefulness Training on Symptoms Distress of Patients with Nasopharyngeal Carcinoma

Abstract

BackgroundSymptom distress is very common in patients with nasopharyngeal carcinoma (NPC) during radiotherapy, seriously affecting their quality of life and impeding the process of rehabilitation. Resourcefulness training can enhance the level of resourcefulness and benefit-finding, palliate symptom distress, and promote disease rehabilitation. However, the effects of resourcefulness training on local complications and benefit-finding in NPC patients during radiotherapy remains poorly understood.Material/MethodsQuestionnaires and resourcefulness training intervention were used in this study. The relationships among resourcefulness, benefit-finding, and symptom distress of 304 NPC patients were analyzed and the effects of resourcefulness training on NPC patients (N=80) were evaluated during radiotherapy.ResultsAmong the 304 NPC patients, age, educational level, occupation, family monthly income, method of payment of medical expenses, and histological types were significant factors influencing resourcefulness and benefit-finding. The patients’ resourcefulness was positively correlated to their benefit-finding; and their distress was negatively correlated to their resourcefulness. After resourcefulness training for 2 months, average scores of the resourcefulness and benefit-finding were significantly increased in the intervention group (N=40) compared to those in the control group (N=40). Average scores of symptom distress were significantly reduced in the 2 groups, but they were reduced more significantly in the intervention group than in the control group.ConclusionsThe patients’ benefit-finding and symptom distress were correlated with their resourcefulness. Resourcefulness training could enhance the level of resourcefulness and benefit-finding, palliate symptom distress, and promote disease rehabilitation in NPC patients during radiotherapy.

The symptoms, resourcefulness and quality of life in community‐based patients with schizophrenia

“…In the current study, there was a positive relationship between resourcefulness and QoL, with resourcefulness being the determinant of QoL. This result is similar to studies indicating that patients with higher resourcefulness are more likely to have satisfactory QoL (Huang, Gui, et al, ; Lin et al, ). Personal resourcefulness skills indicate the ability of patients to use cognitive reconstruction, positive cognition, problem management, setting priorities and planning ahead (Zauszniewski, , ), and patients could benefit from learning such skills (Bekhet & Zauszniewski, ).…”

“…Supported employment for patients who have motivation to work should be provided to advance their readiness and remove barriers. Symptom management programmes help patients acquire knowledge and skills to cope with their disease; additionally, research has indicated that teaching clients to enhance their resourcefulness skills is beneficial for their life in promoting their physical, psychological and social health (Bekhet & Zauszniewski, ; Huang, Gui, et al, ). Therefore, resourcefulness training based on Zauszniewski's resourcefulness and quality of life theory for schizophrenic patients in a systematic way is recommended, leading to patients benefiting from introduced community rehabilitation programmes to enhance their resourcefulness and QoL.…”

Effect of an online resourcefulness training in improving psychological well-being of front-line medical staff: a quasi-experimental study

“…Previous studies have shown that there is a significant correlation between coping styles and resourcefulness [26,50,51]. Patients usually choose negative coping styles when their resourcefulness level is relatively low [51].…”

“…Liang et al [50] implemented 8 weeks of resourceful training for patients with coronary heart disease in the community and found that it can reduce patients' negative coping styles and enable patients to cope with the disease using a positive attitude. Huang et al [26] improved the emotional control and coping ability of patients with nasopharyngeal carcinoma during radiotherapy through resourceful training. However, the subjects of these studies were patients.…”

“…They are better at controlling emotions, thinking positively and less being affected by negative elements from the work environment [25]. Although resourcefulness training provides an effective way for the personal and social skills training, it commonly used acceptable and feasible self-reinforcement methods for the majority of patients and caregivers, such as journals, texting, group processing, and voice recording, that are important for the effectiveness of resourcefulness training [26,27]. Currently, intervention studies related to resourcefulness training have mainly focused on patients, disabled persons or their caregivers [28][29][30].…”