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Development of a nursing model for life adjustment in patients with lung cancer in J apan
Author(s) -
Horii Naoko,
Maekawa Atsuko
Publication year - 2013
Publication title -
nursing and health sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.563
H-Index - 47
eISSN - 1442-2018
pISSN - 1441-0745
DOI - 10.1111/nhs.12033
Subject(s) - lung cancer , learned helplessness , nursing interventions classification , clarity , goodness of fit , quality of life (healthcare) , medicine , cancer , psychology , psychological intervention , clinical psychology , statistics , nursing , mathematics , oncology , biochemistry , chemistry
The aim of this study was to obtain basic data about the support for life adjustment in lung cancer patients in J apan. 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.