Structure Equation Modeling for Resilience in Patients with Breast Cancer

Purpose: This study was conducted so as to determine a hypothetical model concerning factors affecting breast cancer patients ’ resilience. Methods: Data were collected via a self-administered questionnaire from 212 patients with breast cancer between July 25 and August 24, 2020. The data were analyzed using SPSS/WIN 20.0 and AMOS 21.0. Results: The model supported 7 of the 11 presented hypotheses for all participants. Test results indicated that “ hope ” , “ uncertainty ” , and “ symptom experience ” all directly affected participants ’ resilience, and that “ uncertainty ” also affected participants ’ , “ depression ” and “ hope ” . “ Spiritual well-being ” affected participants ’ sense of “ hope ” and “ symptom experience ” . Of these variables, “ hope ” had the strongest direct influence on resilience across all participants. “ Uncertainty ” was found to directly and indirectly affect participants, whereas “ spiritual well-being ” indirectly affected the resilience of all participants. “ Uncertainty ” and “ spiritual well-being ” indirectly affected the resilience of all participants. Conclusion: These results suggest that management strategies to enhance breast cancer patients ’ resilience should address patients ’ uncertainty, spiritual well-being, hope, and symptom experience.