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KMID : 0367020210330020087
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Journal of Korean Academic of Adult Nursing
2021 Volume.33 No. 2 p.87 ~ p.101
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Structure Equation Modeling for Resilience in Patients with Breast Cancer
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Hyun Dong-Rim
Jun So-Yeun
Jeon Chang-Wan
Sohn Sue-Kyung
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Abstract
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Purpose: This study was conducted so as to determine a hypothetical model concerning factors affecting breastcancer patients’ resilience.
Methods: Data were collected via a self-administered questionnaire from 212 patientswith breast cancer between July 25 and August 24, 2020. The data were analyzed using SPSS/WIN 20.0 and AMOS21.0.
Results: The model supported 7 of the 11 presented hypotheses for all participants. Test results indicatedthat “hope”, “uncertainty”, and “symptom experience” all directly affected participants’ resilience, and that“uncertainty” also affected participants’, “depression” and “hope”. “Spiritual well-being” affected participants’sense of “hope” and “symptom experience”. Of these variables, “hope” had the strongest direct influence onresilience across all participants. “Uncertainty” was found to directly and indirectly affect participants, whereas“spiritual well-being” indirectly affected the resilience of all participants. “Uncertainty” and “spiritual well-being”indirectly affected the resilience of all participants.
Conclusion: These results suggest that management strategiesto enhance breast cancer patients’ resilience should address patients’ uncertainty, spiritual well-being, hope, andsymptom experience.
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KEYWORD
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Breast neoplasms, Psychological resilience, Spirituality, Uncertainty, Depression
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