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Mediation Effect of Adaptation on the Quality of Life in Patients with Gastric Cancer Undergoing Gastrectomy: A Structure Equation Model

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Author(s)
Kyung Eun LeeKyung Hee Lim
Keimyung Author(s)
Lim, Kyung Hee
Department
Dept. of Nursing (간호학)
Journal Title
Asian Nursing Research
Issued Date
2019
Volume
13
Issue
1
Keyword
modelsstructuralquality of lifestomach neoplasms
Abstract
Purpose:
This study aimed to develop a model for estimating the quality of life mediated by adaptation to changes experienced after stomach cancer diagnosis and surgery in patients with gastrectomy and to verify the model based on the Cancer Survivor Adaptation Model by Naus et al. (2009) and literature reviews.

Methods:
Data was collected from 297 gastric cancer patients who underwent a gastrectomy at an outpatient clinic of two university hospitals in Daegu city from May to August, 2016. The exogenous variables were perceived gastrointestinal symptoms, self-efficacy, anxiety, social support, and spiritual well-being. The endogenous variables were adaptation and quality of life, and adaptation was the mediating variable. For data analysis, structural equation modeling was performed using IBM SPSS 21.0 and AMOS 18.0.

Results:
The fitness parameters of the final model showed a reasonable fit to the data. Based on R2, the exogenous variables explained 73.9% of the quality of life of stomach cancer patients who underwent surgery, through the mediation of adaptation; adaptation alone explained 73.5% of quality of life. Adaptation of stomach cancer patients with gastrectomy was a factor that strongly influenced their quality of life.

Conclusion:
It is important for gastric cancer patients with gastrectomy to adapt well to changes after surgery in order to improve the quality of life. Nursing interventions to aid successful adaptation would ultimately exert positive influences and improve the patients’ quality of life.
Keimyung Author(s)(Kor)
임경희
Publisher
College of Nursing (간호대학)
Citation
Kyung Eun Lee and Kyung Hee Lim. (2019). Mediation Effect of Adaptation on the Quality of Life in Patients with Gastric Cancer Undergoing Gastrectomy: A Structure Equation Model. Asian Nursing Research, 13(1), 38–46. doi: 10.1016/j.anr.2019.01.001
Type
Article
ISSN
2093-7482
Source
https://www.asian-nursingresearch.com/article/S1976-1317(18)30392-X/fulltext
DOI
10.1016/j.anr.2019.01.001
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/42142
Appears in Collections:
2. College of Nursing (간호대학) > Dept. of Nursing (간호학)
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