Development of Nursing Model for Life Adjustment in patients with lung cancer in Japan
Development of Nursing Model for Life Adjustment in patients with lung cancer in Japan
复制标题
日本肺癌患者生活调整护理模式的发展
DOI：
10.1111/nhs.12033
复制
发表时间：
2013
影响因子：
2.7
通讯作者：
Atsuko M
中科院分区：
文献类型：
--
作者：
Naoko H;Atsuko M
本研究的目的是获得日本肺癌患者生活适应支持的基本数据。我们确定了影响肺癌患者生活适应的因素，开发了肺癌患者生活适应支持模型，并对其有效性进行了研究。使用自我完成的问卷进行了调查，并收到了203人的回复。对回答的分析显示，生活适应受到与积极自我评价相关的六个因素的调节：压力消散、战斗精神、无助/绝望、与医生充分讨论治疗、思路清晰和支持网络大小。采用协方差结构分析进行模型检索。结果显示，所得模型的拟合优度指数为0.963，调整后的拟合优度指数为0.930，比较拟合指数为0.974，近似均方根误差为0.040。研究结果表明，肺癌患者积极的自我评价和干预措施相结合，可以改善生活质量，以提高自我调整能力，但需要进一步的测试。
The aim of this study was to obtain basic data about the support for life adjustment in lung cancer patients in Japan. We identified factors that affect life adjustment in people with lung cancer, developed a model for life adjustment support of lung cancer patients, and investigated its validity. A survey was conducted using self‐completed questionnaires, and responses were received by 203 individuals. Analysis of the responses revealed that life adjustment was regulated by six factors associated with positive self‐evaluation: stress dissipation, fighting spirit, helplessness/hopelessness, full discussion with doctor about treatment, clarity of thought, and support network size. A model search with covariance structure analysis was conducted. The resulting model was revealed to have a goodness‐of‐fit index of 0.963, an adjusted goodness‐of‐fit index of 0.930, a comparative fit index of 0.974, and a root mean square error of approximation of 0.040. The findings suggest that improvements in quality of life can be expected by combining a positive self‐evaluation in lung cancer patients and interventions to raise self‐adjustment ability with the use of this Model, although it requires further testing.