J Korean Acad Nurs.  2016 Jun;46(3):327-337. 10.4040/jkan.2016.46.3.327.

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

Affiliations
  • 1Division of Nursing Science, JEI University, Incheon, Korea. mint2243@hotmail.com
  • 2Division of Nursing Science, College of Health Sciences, Ewha Womans University, Seoul, Korea.

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 (γ=-.33, p=.020) and symptom experience (γ=-.31, p=.012) and higher self-efficacy (γ=.32, p=.005) and hope (γ=.48, p=.016) were influenced by higher social support. Greater resilience was influenced by lower symptom experience (β=-.18, p=.016), higher self-efficacy (β=.49, p=.023), and higher hope (β=.46, p=.012), and these predictors explained 66.7% of variance in resilience. Greater resilience (β=.54, p=.009) made an impact on greater infection prevention behaviors. Resilience mediated the relations of symptom experience (β=-.10 p=.013), self-efficacy (β=.27, p=.006) and hope (β=.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 patientsw ith 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.

Keyword

Psychological resilience; Breast neoplasms; Chemotherapy adjuvant; Infection control; Social support

MeSH Terms

Adult
Antineoplastic Agents/*therapeutic use
Breast Neoplasms/*drug therapy/nursing/pathology
Chemotherapy, Adjuvant
Depression
Female
Hope
Humans
Middle Aged
*Models, Theoretical
Resilience, Psychological
Self Efficacy
Social Support
Antineoplastic Agents

Figure

  • Figure 1 Conceptual framework based on ARM (Adolescent Resilience Model).

  • Figure 2 Path diagram for the hypothetical model.


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