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An Explanatory Model for Sleep Disorders in People with Cancer

Journal of Korean Academy of Nursing 2011³â 41±Ç 4È£ p.460 ~ 470
KMID : 0806120110410040460
±èÈñ¼± ( Kim Hee-Sun ) - ÀüºÏ°úÇдëÇÐ °£È£°ú

¿ÀÀDZݠ( Oh Eui-Geum ) - ¿¬¼¼´ëÇб³ °£È£´ëÇÐ

Abstract

Purpose:The aim of this study was to develop and test an explanatory model for sleep disorders in people with cancer. A hypothetical model was constructed on the basis of a review of previous studies, literature, and sleep models, and 10 latent variables were used to construct a hypothetical model.

Methods:Data were collected from April 19 to June 25, 2010, using self-report questionnaires. The sample was 291 outpatients with cancer who visited the oncology cancer center at a university hospital. Collected data were analyzed using SPSS Win 15.0 program for descriptive statistics and correlation analysis and AMOS 7.0 program for covariance structural analysis.

Results:It appeared that overall fit index was good as X©÷/df = 1.162, GFI=.969, AGFI=.944, SRMR=.052, NFI=.881, NNFI=.969, CFI=.980, RMSEA=.024, CN=337 in the modified model. The explanatory power of this model for sleep disorders in people with cancer was 62%. Further, sleep disorders were influenced directly by cancer symptom experience, dysfunctional beliefs and attitudes about sleep, and past sleep pattern.

Conclusion:Findings suggest that nurses should assess past sleep pattern and consider the development of a comprehensive nursing intervention program to minimize the cancer symptom experience, dysfunctional beliefs and attitudes about sleep, and thus, reduce sleep disorders in people with cancer.
KeyWords
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Neoplasms, Sleep disorders
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