Korean J Adult Nurs.  2021 Apr;33(2):87-101. 10.7475/kjan.2021.33.2.87.

Structure Equation Modeling for Resilience in Patients with Breast Cancer

• Hyun DR
• Jun SY
• Jun CW
• Sohn SK

• KMID: 2515793
• DOI: http://doi.org/10.7475/kjan.2021.33.2.87

Abstract

Purpose
This study was conducted so as to determine a hypothetical model concerning factors affecting breast cancer patients' resilience.
Methods
Data were collected via a self-administered questionnaire from 212 patients with breast cancer between July 25 and August 24, 2020. The data were analyzed using SPSS/WIN 20.0 and AMOS 21.0.
Results
The model supported 7 of the 11 presented hypotheses for all participants. Test results indicated that “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 on resilience 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 strategies to enhance breast cancer patients' resilience should address patients' uncertainty, spiritual well-being, hope, and symptom experience.

Keyword

Breast neoplasms; Psychological resilience; Spirituality; Uncertainty; Depression