A Predictive Model of Quality of Life for Stomach Cancer Patients with Gastrectomy

Young Suk Kim, Young Sook Tae
2015 Korean Journal of Adult Nursing  
서 론 연구의 필요성 1. 최근 위암 조기 검진율의 증가와 혁신적인 치료법의 개발로 인해 우리나라 전체 위암의 년 생존율은 년도에 5 1995 42.8% 에서 년에는 로 나 증가하였다 이런 위암 2012 71.5% 28.7% [1]. 생존율의 증가와 위암의 특성 중 많은 부분이 생활습관과 관 련되어 위암수술 환자의 관리는 일평생 관리를 필요로 하는 만성적인 질환의 개념으로 바뀌고 있다 위암 수술 환자는 [2]. 치료과정 동안 영양결핍 덤핑증후군 빈혈 피로 골수기능 , , , , 저하 구내염 변비 설사 오심 구토 등과 같은 신체적 부작용 , , , , , 과 치료과정으로 인한 스트레스로 인해 생리적 변화와 정서적 인 각성을 경험하게 된다 또한 수술 및 보조치료로 인한 기 [3]. 능의 변화를 장기적으로 경험하게 되며 퇴원 후 사회로 복귀 , 한 후에도 암의 재발 가능성 직장 동료나 가족들의 변화된 태 , Purpose: This study was designed to
more » ... a predictive model to explain quality of life of stomach cancer patients with gastrectomy. Methods: Data were collected from July 10 to August 30, 2013 through survey using self-reported questionnaires. A total of 218 patients with gastrectomy was recruited from three different hospitals. Outcome variables were exogenous ones (self efficacy and social support) and endogenous ones (depression, perceived health status, self care behavior, and quality of life). Results: Goodness-of-fit of the hypothetical model was x 2 =143.37, RMSEA=.07 CFI=.95, TLI=.93 SRMR=.05. Self care behavior, depression and perceived health status had significant direct effects on quality of life. Self efficacy and social support were affected quality of life indirectly. These variables explained 67.9% of total variance of quality of life, and self-care behavior was the most influential factor for quality of life. Conclusion: The findings of this study suggested that self care behavior must be considered as an intervention strategy to improve quality of life. Also a development of a specific intervention program to promote self efficacy and control depression for patients with gastrectomy is essential to facilitate their self care behaviors. This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/ by-nc/3.0), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
doi:10.7475/kjan.2015.27.6.613 fatcat:gquxijjz45do3ip2iohgpdxfpe