Dirksen S R
College of Nursing, Arizona State University, Tempe 85287-2602, USA.
J Adv Nurs. 2000 Oct;32(4):937-43. doi: 10.1046/j.1365-2648.2000.01559.x.
The purpose of this descriptive study was to test a conceptual model that predicts well-being among women who have survived breast cancer. The model was derived from empirical research findings that identified health care orientation, uncertainty, social support, resourcefulness and self-esteem as significant predictors of well-being in persons diagnosed with cancer. The convenience sample was of 84 women who had completed primary treatment for breast cancer and were currently disease-free. After informed consent was obtained each woman completed six questionnaires which measured the study variables. Multiple regression techniques were used to empirically test the predicted conceptual relationships and to estimate predictive validity for the model. Findings indicated that uncertainty and social support were significant predictors of resourcefulness and explained 12% of the variance in resourcefulness. Resourcefulness and social support were significant predictors of self-esteem and explained 33% of the variance in self-esteem. In combination, social support, resourcefulness, and self-esteem were significant predictors of well-being and explained 42% of the variance in well-being. Health care orientation was not a significant variable. This study confirmed hypotheses and provided insight into the variables that significantly influence well-being in women who have survived breast cancer. Recommendations for practice are given with suggestions made for further research.
这项描述性研究的目的是检验一个概念模型,该模型可预测乳腺癌幸存者的幸福感。该模型源自实证研究结果,这些结果确定了医疗保健取向、不确定性、社会支持、足智多谋和自尊是被诊断患有癌症者幸福感的重要预测因素。便利样本包括84名完成了乳腺癌初级治疗且目前无疾病的女性。在获得知情同意后,每位女性完成了六份测量研究变量的问卷。多元回归技术被用于实证检验预测的概念关系,并估计该模型的预测效度。研究结果表明,不确定性和社会支持是足智多谋的重要预测因素,解释了足智多谋方面12%的方差。足智多谋和社会支持是自尊的重要预测因素,解释了自尊方面33%的方差。综合来看,社会支持、足智多谋和自尊是幸福感的重要预测因素,解释了幸福感方面42%的方差。医疗保健取向不是一个显著变量。本研究证实了假设,并深入了解了显著影响乳腺癌幸存者幸福感的变量。给出了实践建议以及进一步研究的建议。