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KMID : 0376219860230010009
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Chonnam Medical Journal
1986 Volume.23 No. 1 p.9 ~ p.26
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Sick Role Behavior of Patients Undergoing Chemotherapy for Cancer
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Abstract
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This study explored relationships between variables in the Health Belief Model and the sick role behavior of patients undergoing chemotherapy for cancer.
Difficulties for patients with cancer include the maintenance of long term treatment, side effects of drugs and required changes in their habits and life style. Each patient has different health beliefs and thus different sick role behavior in the process of participating in medical and nursing care. The purpose of this study was to determine the influence of the Health Belief Model variables on sick role behavior of patients with cancer.
The subjects for this study were 70 patients undergoing chemotherapy for cancer, selected from the parenteral therapy room of the out-patients department of a major medical center in Jonju. Data were collected from June 25th to Aug. 25th, 1985 through an interview schedule designed by the investigator. Data analysis included percentages, mean and standard deviation, F-test, Pearson Correlation Coefficient and stepwise multiple regression.
Results included the following:
1. Among patient´s general characteristics, the degree of dependency on religion (F=3.69) and the length of time since diagnosis (F=4.31) influenced sick role behavior (p<0.01).
2. Among thee variables of the Health Belief Model, health motivation (r= 0.4724), perceived benefit (r=0.2373) and knowledge about the disease (r=0.1893) were correlated with sick role behavior: the higher the scores in these factors, the greater the sick role compliance.
Perceived severity (r=-0.4855) and perceived barriers (r=-0.2472) displayed a negative correlation to compliance behavior (p<0.01): the lower the scores in these factors, the greater the sick role compliance.
3. Stepwise multiple regression was used to explain the contribution of independent variables. Perceived severity was the most important and significant factor among the health belief variables, accounting for the highest
contribution to patient´s compliance behavior (23.86%, p<0.01). Taking the perceived severity and health motivation variance together, the degree of compliance was increased (32.41%, p
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