Self-efficacy, psychological adjustment and decisional-balance regarding decision making for outpatient chemotherapy in Japanese advanced lung cancer

Autor:	Hirokazu Arai, Akihiro Tokoro, Nobuyuki Naka, Kei Hirai
Rok vydání:	2009
Předmět:	Male medicine.medical_specialty Lung Neoplasms Nausea medicine.medical_treatment Decision Making Severity of Illness Index Japan Ambulatory care Surveys and Questionnaires Internal medicine Adaptation Psychological Severity of illness Ambulatory Care Humans Medicine Stage (cooking) Lung cancer Applied Psychology Aged Neoplasm Staging Self-efficacy Chemotherapy business.industry Public Health Environmental and Occupational Health Cancer General Medicine General Chemistry Middle Aged Models Theoretical medicine.disease Self Efficacy Physical therapy Female medicine.symptom business
Zdroj:	Psychology & Health. 24:149-160
ISSN:	1476-8321 0887-0446
DOI:	10.1080/08870440701623124
Popis:	This study examined the application of the trans-theoretical model (TTM) for readiness for decision-making of outpatient chemotherapy of Japanese advanced lung cancer patients by a cross sectional questionnaire survey. A questionnaire was conducted with 105 Japanese patients diagnosed with advanced lung cancer receiving chemotherapy. We classified them according to the TTM stages, including 4 in precontemplation, 42 in contemplation, 22 in preparation, and 35 in action. The valid model (chi(2) (37) = 42.56, p = 0.24; GFI = 0.93; AGFI = 0.88; CFI = 0.98; RMSEA = 0.04; AIC = 100.56) derived from structural equation modeling (SEM) revealed that stage of outpatient chemotherapy was significantly affected mostly by decisional-balance (beta = 0.60, p < 0.001) and partially by time from the patient's house to the hospital (beta = -0.15, p < 0.10), and that decisional-balance was significantly affected by self-efficacy (beta = 0.48, p < 0.001) and nausea (beta = -0.23, p < 0.01). The findings from our study provided encouraging results for adopting the TTM in decision making for outpatient chemotherapy in Japanese cancer care and several clinical implications were obtained from the results.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::0adb7c5e438cf83a6abcf20429015877 https://doi.org/10.1080/08870440701623124 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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