Korean Journal of Adult Nursing (성인간호학회지)

Korean Society of Adult Nursing (한국성인간호학회)
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A Test for Psychobiologic Entropy Model on Cancer Related Fatigue among Patients with Solid Tumors

고형암 환자의 암성피로에 대한 정신생리학적 엔트로피 모델 검증

  • 오창희 (화순전남대학교병원) ;
  • 박현영 (호남대학교 간호학과) ;
  • 이지숙 (호남대학교 간호학과) ;
  • 최자윤 (전남대학교 간호대학.간호과학연구소)
  • Received : 2015.09.25
  • Accepted : 2016.02.09
  • Published : 2016.02.29
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Abstract

Purpose: The purpose of this study was to test a Winningham's psychobiologic entropy model (PEM) on cancer related fatigue (CRF) among patients with solid tumors. Methods: Participants consisted of 213 patients with solid tumors recruited from December, 2012 through June, 2013, in a university hospital, in Hwasun, South Korea. Primary symptoms, adjustment, physical activity, status of nutrition and fatigue were measured using structured questionnaires. Collected data were analyzed using SPSS 21.0 and AMOS 21.0 programs. Results: The modified model tested provided a reasonable fit to the data ($x^2=65.80$ [df=30, p<.001], TLI=.92, CFI=.95, RMSEA=.08, SRMR=.07). Primary symptoms (dyspnea, anxiety, depression and insomnia) had direct positive effects on CRF. Adjustment and status of nutrition showed indirect negative effects on CRF. However, the impact of physical activity was not significant. These variables explained 49.2% of the variance of CRF among solid tumor patients. Conclusion: The findings demonstrate that the tested model explain some CRF among solid tumor patients and warrant future research considering the cancer-related clinical factors of the given population.

Keywords

References

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