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The Structural Equation Model on Resilience of Breast Cancer Patients Receiving Chemotherapy

Title
The Structural Equation Model on Resilience of Breast Cancer Patients Receiving Chemotherapy
Authors
Yang, Jeong HaKim, Ok Soo
Ewha Authors
김옥수
SCOPUS Author ID
김옥수scopus
Issue Date
2016
Journal Title
JOURNAL OF KOREAN ACADEMY OF NURSING
ISSN
2005-3673JCR Link

2093-758XJCR Link
Citation
JOURNAL OF KOREAN ACADEMY OF NURSING vol. 46, no. 3, pp. 327 - 337
Keywords
Psychological resilienceBreast neoplasmsChemotherapy adjuvantInfection controlSocial support
Publisher
KOREAN SOC NURSING SCIENCE
Indexed
SCIE; SSCI; SCOPUS WOS scopus
Document Type
Article
Abstract
Purpose: The purpose of this study was to construct and test a structural equation model on resilience of breast cancer patients receiving chemotherapy. Methods: Participants were 204 patients with breast cancer who received chemotherapy treatment. They participated in a structured interview, which included social support, depression, symptom experience, self-efficacy, hope, resilience, and infection prevention behaviors. Data were analyzed using SPSS/WIN 20.0 and AMOS 18.0. Results: Lower depression (gamma=-.33, p=.020) and symptom experience (gamma=-.31, p=.012) and higher self-efficacy (gamma=.32, p=.005) and hope (gamma=.48, p=.016) were influenced by higher social support. Greater resilience was influenced by lower symptom experience (beta=-.18, p=.016), higher self-efficacy (beta=.49, p=.023), and higher hope (beta=.46, p=.012), and these predictors explained 66.7% of variance in resilience. Greater resilience (beta=.54, p=.009) made an impact on greater infection prevention behaviors. Resilience mediated the relations of symptom experience (beta=-.10 p=.013), self-efficacy (beta=.27, p=.006) and hope (beta=.25, p=.009) with infection prevention behaviors. These predictors explained 24.9% of variance in infection prevention behaviors. Conclusion: The findings of the study suggest that breast cancer patients with greater resilience who are receiving chemotherapy participate in increased infection prevention behaviors. Further research should be conducted to seek intervention strategies that improve breast cancer patients' resilience.
DOI
10.4040/jkan.2016.46.3.327
Appears in Collections:
간호대학 > 간호학전공 > Journal papers
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