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Structure Equation Modeling for Resilience in Patients with Breast Cancer

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KMID : 0367020210330020087
Çöµ¿¸² ( Hyun Dong-Rim ) - Kosin University Gospel Hospital

Àü¼Ò¿¬ ( Jun So-Yeun ) - Seoul Womens College of Nursing
Àüâ¿Ï ( Jeon Chang-Wan ) - Kosin University Gospel Hospital
¼Õ¼ö°æ ( Sohn Sue-Kyung ) - Kosin University College of Nursing

Abstract

Purpose: This study was conducted so as to determine a hypothetical model concerning factors affecting breastcancer patients¡¯ resilience.

Methods: Data were collected via a self-administered questionnaire from 212 patientswith breast cancer between July 25 and August 24, 2020. The data were analyzed using SPSS/WIN 20.0 and AMOS21.0.

Results: The model supported 7 of the 11 presented hypotheses for all participants. Test results indicatedthat ¡°hope¡±, ¡°uncertainty¡±, and ¡°symptom experience¡± all directly affected participants¡¯ resilience, and that¡°uncertainty¡± also affected participants¡¯, ¡°depression¡± and ¡°hope¡±. ¡°Spiritual well-being¡± affected participants¡¯sense of ¡°hope¡± and ¡°symptom experience¡±. Of these variables, ¡°hope¡± had the strongest direct influence onresilience across all participants. ¡°Uncertainty¡± was found to directly and indirectly affect participants, whereas¡°spiritual well-being¡± indirectly affected the resilience of all participants. ¡°Uncertainty¡± and ¡°spiritual well-being¡±indirectly affected the resilience of all participants.

Conclusion: These results suggest that management strategiesto enhance breast cancer patients¡¯ resilience should address patients¡¯ uncertainty, spiritual well-being, hope, andsymptom experience.
KeyWords
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Breast neoplasms, Psychological resilience, Spirituality, Uncertainty, Depression
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