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

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 c...

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Main Authors: Yu-Ri Park, Eun-Young Park, Jung-Hee Kim
Format: Article
Language:English
Published: BMC 2017-11-01
Series:BMC Health Services Research
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12913-017-2675-4
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author Yu-Ri Park
Eun-Young Park
Jung-Hee Kim
author_facet Yu-Ri Park
Eun-Young Park
Jung-Hee Kim
author_sort Yu-Ri Park
collection DOAJ
description 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.
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spelling doaj.art-d6ba2534c0f44ddda6410747e46647f82022-12-22T03:18:04ZengBMCBMC Health Services Research1472-69632017-11-011711710.1186/s12913-017-2675-4Predicting health-related quality of life in cancer patients receiving chemotherapy: a structural equation approach using the self-control modelYu-Ri Park0Eun-Young Park1Jung-Hee Kim2Dankook University HospitalDepartment of Secondary Special Education, College of Education, Jeonju UniversityCollege of Nursing, The Catholic University of KoreaAbstract 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.http://link.springer.com/article/10.1186/s12913-017-2675-4CancerChemotherapyNeuropathySelf-controlQuality of life
spellingShingle Yu-Ri Park
Eun-Young Park
Jung-Hee Kim
Predicting health-related quality of life in cancer patients receiving chemotherapy: a structural equation approach using the self-control model
BMC Health Services Research
Cancer
Chemotherapy
Neuropathy
Self-control
Quality of life
title Predicting health-related quality of life in cancer patients receiving chemotherapy: a structural equation approach using the self-control model
title_full Predicting health-related quality of life in cancer patients receiving chemotherapy: a structural equation approach using the self-control model
title_fullStr Predicting health-related quality of life in cancer patients receiving chemotherapy: a structural equation approach using the self-control model
title_full_unstemmed Predicting health-related quality of life in cancer patients receiving chemotherapy: a structural equation approach using the self-control model
title_short Predicting health-related quality of life in cancer patients receiving chemotherapy: a structural equation approach using the self-control model
title_sort predicting health related quality of life in cancer patients receiving chemotherapy a structural equation approach using the self control model
topic Cancer
Chemotherapy
Neuropathy
Self-control
Quality of life
url http://link.springer.com/article/10.1186/s12913-017-2675-4
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