항암화학요법을 받는 암 환자의 피로, 불확실성, 회복탄력성이 자가간호행위에 미치는 영향
Influences of Fatigue, Uncertainty, and Resilience on Self-Care Behaviors in Cancer Patients Undergoing Chemotherapy
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Purpose: This study aimed to determine the influences of fatigue, uncertainty, and resilience on self-care behaviors in cancer patients undergoing chemotherapy. Methods: Data were collected using a self-reported survey method at a single university hospital over a three-month period from September 15 to December 15, 2024. The data were analyzed using an independent samples t-test, one-way ANOVA, LSD post hoc test, Pearson’s correlation coefficient, and stepwise multiple regression analysis using the IBM/WIN 25.0 program. Participants consisted of 130 patients undergoing chemotherapy. Results: Self-care behaviors in cancer patients undergoing chemotherapy were found to be positively correlated with resilience (r=.54, p<.001), and resilience was found to be negatively correlated with fatigue (r=-.19, p=.023) and uncertainty (r=-.25, p=.004). According to the results of this research, resilience (β=.53, p<.001) and gender (β=.25, p=.001) were the factors that influenced self-care behaviors, with an explanatory power of 33.9%. Conclusion: It is necessary to develop nursing interventions that enhance resilience, resulting in improved self-care behaviors in cancer patients undergoing chemotherapy. Furthermore, active interventions should be particularly targeted at male cancer patients.
Abstract
Purpose: This study aimed to determine the influences of fatigue, uncertainty, and resilience on self-care behaviors in cancer patients undergoing chemotherapy. Methods: Data were collected using a self-reported survey method at a single university hospital over a three-month period from September 15 to December 15, 2024. The data were analyzed using an independent samples t-test, one-way ANOVA, LSD post hoc test, Pearson’s correlation coefficient, and stepwise multiple regression analysis using the IBM/WIN 25.0 program. Participants consisted of 130 patients undergoing chemotherapy. Results: Self-care behaviors in cancer patients undergoing chemotherapy were found to be positively correlated with resilience (r=.54, p<.001), and resilience was found to be negatively correlated with fatigue (r=-.19, p=.023) and uncertainty (r=-.25, p=.004). According to the results of this research, resilience (β=.53, p<.001) and gender (β=.25, p=.001) were the factors that influenced self-care behaviors, with an explanatory power of 33.9%. Conclusion: It is necessary to develop nursing interventions that enhance resilience, resulting in improved self-care behaviors in cancer patients undergoing chemotherapy. Furthermore, active interventions should be particularly targeted at male cancer patients.