KMID : 0388320210280040421
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Journal of Korean Academy of Fundamental Nursing 2021 Volume.28 No. 4 p.421 ~ p.430
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The Relationships among Social Support, Bowel Function Symptoms and Uncertainty in Rectal Cancer Patients
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Lee Kyung-Mi
Lim Se-Mi
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Abstract
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Purpose: This study examined the mediating effect of bowel function symptoms in the relationship between social support and uncertainty in rectal cancer patients.
Methods: In total, 132 rectal cancer patients were recruited online. Data were collected from October 1, 2020 to October 31, 2020 using on-line questionnaires and were analyzed using the t-test, analysis of variance, Pearson correlation coefficients and bootstrapping for mediation.
Results: Social support had a significant and positive effect on bowel function symptoms and a negative effect on uncertainty. Bowel function symptoms had a significant negative effect on uncertainty; and showed a statistically significant mediating effect in the relationship between social support and uncertainty. In other words, social support had direct and indirect effects on uncertainty.
Conclusion: In rectal cancer patients, social support attenuated bowel function symptoms and showed direct and indirect effects on uncertainty. Therefore, to increase the social support of rectal cancer patients, the patients¡¯ family, friends, and meaningful others should be involved in providing nursing. In order to reduce bowel function symptoms, which have a mediating effect, rectal cancer patients need to be well aware of the symptoms of bowel function that change after surgery. Systematic pre- and post- operative education would be help reduce uncertainty.
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KEYWORD
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Rectal cancer, Social support, Uncertainty
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