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윤미나 ( Yun Mi-Na ) - Kosin University Gospel Hospital
김경미 ( Kim Kyoung-Mi ) - Kosin University College of Nursing
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Abstract
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Purpose: The purpose of this study was to investigate family support and medical staff support and their mediatingeffects in the relationship between self-efficacy and resilience in patients with colorectal cancer with stoma.
Methods: The participants were 170 patients with colorectal cancer who were hospitalized or receiving treatmentfor colorectal anus surgery in general hospitals located in B, D, and I cities. Data were collected from July 1 to October25, 2019 through a structured questionnaire. Data analysis was conducted using descriptive statistics, Pearson'scorrelation coefficient, multiple linear regression analysis, and the bootstrapping method with SPSS/WIN 25.0 andthe PROCESS macro program.
Results: The mean score for resilience was 2.70±0.62 (range 0~4). Resiliencewas significantly associated with self-efficacy (r=.59, p<.001), family support (r=.38, p<.001), and medical staffsupport (r=.37, p<.001). Using Baron and Kenny's approach and PROCESS macro model 4, resilience was foundto be affected by self-efficacy (β=.53, p<.001). Further, family support (β=.25, p<.001) and medical staff support(β=.39, p<.001) were affected by self-efficacy. The partial mediating effects of family support (β=.25, p<.001, 95%confidence interval 0.01~0.12) and medical staff support(β=.15, p=.022, 95% confidence interval 0.01~0.16) in theimpact of self-efficacy on resilience were confirmed.
Conclusion: The impact of self-efficacy on resilience wasmediated by family support and medical staff support in patients with colorectal cancer with stoma. The resultssuggest that family and medical staff support need to be considered in developing nursing interventions to improveself-efficacy and resilience in these patients.
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KeyWords
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대장암, 장루, 자기효능감, 사회적 지지, 회복탄력성
Colorectal neoplasms, Stoma, Self-efficacy, Social support, Resilience
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원문 및 링크아웃 정보
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등재저널 정보
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