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KMID : 1035120190190040214
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Asian Oncology Nursing
2019 Volume.19 No. 4 p.214 ~ p.223
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The Effect of Self-efficacy and Depression on Sense of Family Coherence in Cancer Patients Undergoing Chemotherapy and Primary Caregivers in Day Care Wards: Using the Method Actor-partner
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Do Eun-Hee
Choi Eun-Joung
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Abstract
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Purpose: The objective of this study was to determine the effects of self-efficacy and depression on the sense of family coherence in both cancer patients and their caregivers using the Actor-Partner Interdependence Model (APIM) analysis.
Methods: A total of 274 patients were registered in the study, including 137 cancer patients who were undergoing chemotherapy in a day care ward and 137 primary caregivers. The data was collected from December 30, 2017 to July 30, 2018. Data were analyzed by the data analysis method using SPSS/WIN 20.0 (SPSS Korea Data Solution Inc) and AMOS 21.0 (SPSS Korea Data Solution Inc).
Results: Self-efficacy of cancer patients had a direct effect on patient depression (β=-.24, p=.008). Self-efficacy of primary caregivers also had a direct effect on patient depression (β=-.51, p<.001). Factors significantly affecting cancer patient FSOC were cancer patient self-efficacy (β=.34, p<.001) and cancer patient depression (β=-.42, p<.001). Factors significantly affecting primary caregiver FSOC (Family Sense of Coherence) were cancer patient self-efficacy (β=.13, p=.026) and caregiver depression (β=-.29, p=.008).
Conclusion: It is thought that self-efficacy and depression should be controlled to improve the family cohesion of cancer patients and their primary caregivers.
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KEYWORD
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Sense of coherence, Chemotherapy, Day care, Self-efficacy, Depression
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