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

SummaryPurposeThis 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 l...

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Bibliographic Details
Published in:Asian nursing research 2019, 13(1), , pp.38-46
Main Authors: Lee, Kyung Eun, Lim, Kyung Hee
Format: Article
Language:English
Subjects:
Adaptation
Anxiety
Cancer surgery
Gastric cancer
Health psychology
Influence
Medical diagnosis
Quality of life
Social support
Variables
Well being
간호학
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Summary:SummaryPurposeThis 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.MethodsData 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.ResultsThe 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.ConclusionIt 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.
ISSN:1976-1317
2093-7482
DOI:10.1016/j.anr.2019.01.001