Predicting health-related quality of life in cancer patients receiving chemotherapy: a structural equation approach using the self-control model

BMC Health Services Research

Jung-Hee Kim¹  Yu-Ri Park²  Eun-Young Park³ 

[1] College of Nursing, The Catholic University of Korea;Dankook University Hospital;Department of Secondary Special Education, College of Education, Jeonju University;

关键词: Cancer;    Chemotherapy;    Neuropathy;    Self-control;    Quality of life;   

DOI  :  10.1186/s12913-017-2675-4

来源: DOAJ

【 摘 要 】

Abstract Background According to the self-control model, self-control works as a protective factor and a psychological resource. Although an understanding of the effect(s) of peripheral neuropathy on quality of life is important to healthcare professionals, previous studies do not facilitate broad comprehension in this regard. The purpose of this cross-sectional study was to test the multidimensional assumptions of quality of life of patients with cancer, with focus on their self-control. Methods A structural equation model was tested on patients with cancer at the oncology clinic of a university hospital where patients received chemotherapy. A model was tested using structural equation modeling, which allows the researcher to find the empirical evidence by testing a measurement model and a structural model. The model comprised three variables, self-control, health related quality of life, and chemotherapy-induced peripheral neuropathy. Among the variables, self-control was the endogenous and mediating variable. Results The proposed models showed good fit indices. Self-control partially mediated chemotherapy-induced peripheral neuropathy and quality of life. It was found that the physical symptoms of peripheral neuropathy influenced health-related quality of life both indirectly and directly. Conclusions Self-control plays a significant role in the protection and promotion of physical and mental health in various stressful situations, and thus, as a psychological resource, it plays a significant role in quality of life. Our results can be used to develop a quality of life model for patients receiving chemotherapy and as a theoretical foundation for the development of appropriate nursing interventions.

【 授权许可】

Unknown