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KMID : 1033320240140010071
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Global Health & Nursing
2024 Volume.14 No. 1 p.71 ~ p.83
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Constructing a Structural Model of Health-related Quality of Life of Female Breast Cancer Survivors Receiving Adjuvant Therapy
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Choi Sung-In
Sung Mi-Hae
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Abstract
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Purpose:BasedonstudiesofWilsonandCleary’sHealth-relatedqualityoflifemodel,thisstudyaimedtoconstruct a structural model to explain and predict factors affecting the health-related quality of life of women who have survived breast cancer whilst receiving adjuvant therapy based on Wilson and Cleary’s health-related quality of life model andliterature review.
Methods:The participants of this study were 235 women breast cancer survivors who were diagnosed for stage 1 to 3 breast cancer, and now undergoing follow-up care hospitalized or hospital visits as anoutpatient. Usingthe collected data, analysis was donebySPSS/WIN26.0andAMOS26.0.
Results:The goodness of fit statistics of model was at a good level (x2/df=6.37,TLI=.86, CFI=.94, and SRMR=.007,SRMR=.008). Squared multiple correlation (SMC), which is the explanatory power of social support and self-esteemfor symptom experience, fatigue, and depression, was 38%. As a result of the testing the estimated parameter for the modified model, six out of 8 hypothesis were confirmed.
Conclusion: To enhance the quality of life in women breast cancer survivors who received adjuvant therapy, development of group supporting programs, posttraumatic growth enhancement programs regarding hobbies or religions are necessary. By adapting these programs, increase in positiveness is expected, which will lead to the increase in quality of life for breast cancer survivors.
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KEYWORD
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Cancer survivor, Quality of life, Social support, Self-esteem, Posttraumatic growth
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