항암 화학요법을 받는 암 환자의 적응 구조모형
Structual Equation Modeling on Adjustment of Cancer Patients Receiving Chemotherapy
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본 연구는 항암 화학요법을 받는 암 환자의 적응을 이해하고 설명하기 위한 목적으로 수행하였으며, 사회적 지지, 불확실성, 극복력, 대처를 관련 변수로 하여 암 환자 적응 가설모형을 구축하고 검증하였다. 구체적으로 우선 문헌고찰과 선행연구 결과들을 근거로 본 연구의 기초 가설적 모형을 구성하였고, 공변량 구조분석으로 모형의 적합도를 분석한 후 이를 토대로 가설검증을 하였으며, 모형의 적합도를 높이기 위해 경로를 추가하여 수정모형을 제시하였다. 최종모형에서 적합도가 χ2=332.644, df=70, χ2/df=4.752, GFI=.809, NFI=.770, RMSEA=.138, AIC=402.644로 나타났다. 본 연구 대상자의 적응에 유의하게 직접적으로 영향을 준 예측변수는 사회적 지지, 극복력, 대처로 나타났다. 불확실성은 간접적으로 영향을 미치는 것으로 나타났다. 위 변수들이 적응을 설명하는 정도는 60.8%인 것으로 나타났다. 결론적으로 본 연구는 가설적 모형을 통해 항암 화학요법을 받는 암 환자의 적응을 설명할 수 있으며, 나아가 이 모형은 암 환자 적응을 이해하는 유용한 모형이 될 수 있을 것이다.
Abstract
Purpose: This study was to understand and explain the adjustment of cancer patients receiving chemotherapy. Variables in this model were social support, uncertainty, resilience and coping. Methods: The data were collected for approximately five months from May through to September 2006 with cancer patients receiving chemotherapy or cancer patients finished chemotherapy using self-administered questionnaires. Descriptive statistics program, Amos 5.0, was employed to verify the goodness of the hypothetic model and the hypotheses formulated in the study. Results: The fitness of the finalized model turned out to be improved (X2=332.644, df=70, GFI=.809, AGFI=.714, RMSEA=.138, AIC=402.644). Those variables made a 60.8% prediction of the patients adjustment. Conclusion:The hypothetic model presented in the study could serve to explain the adjustment of cancer patients receiving chemotherapy. Moreover, the use of the conceptual framework of the theory of planned nursing intervention would be very worthwhile as a strategy to boost the adjustment of cancer patients when receiving chemotherapy.
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