Kanserli Hastalarda Hastalık Algısı ve Yaşam Kalitesi
Yıl 2020,
Cilt: 17 Sayı: 3, 467 - 474, 25.12.2020
Tuğba Menekli
,
Ferhan Doğan
,
Emin Tamer Elkıran
Öz
Amaç: Bu araştırma kanserli hastalarda hastalık algısını ve yaşam kalitesini incelemek amacıyla tanımlayıcı olarak yapılmıştır.
Materyal ve metod: Araştırmanın örneklemini Aralık 2019-Şubat 2020 tarihleri arasında bir eğitim araştırma hastanesinin onkoloji kliniğinde yatarak ve ayaktan tedavi gören 151 kanserli hasta oluşturmuştur. Veriler Kişisel Tanıtım Formu, Hastalık Algısı Ölçeği (HAÖ), Yaşam Kalitesi İndeksi –Kanser Versiyonu-III (QOL-CV) kullanılarak toplanmıştır. Veriler SPSS 25 programında tanımlayıcı istatistikler, Independent Samples t, Kruskal Wallis ve Mann- Whitney U ile değerlendirilmiştir.
Bulgular: Hastaların % 58.3’ ünün kadın, %29.1’inin kolon kanseri olduğu ve %11.9’unun hastalık hakkında bilgi sahibi olmadığı bulunmuştur. HAÖ alt ölçeklerinden hastaların kişisel kontrol algısı puan ortalamasının (23.00 ± 3.35), QOL-CV alt ölçeklerinden ise aile alt ölçeği puan ortalamasının en yüksek (26.97±5.04) olduğu bulunmuştur. Toplam QOL-CV puan ortalaması ise 23.44±4.42 olarak saptanmıştır.
Sonuç: Hastaların kişisel kontrol algısı ve yaşam kalitesi aile alt boyutu en yüksek, toplam yaşam kalitesi ise orta düzeydedir.
Destekleyen Kurum
Çalışmayı maddi olarak destekleyen kişi/kuruluş yoktur.
Teşekkür
Çalışmamıza katılarak destek veren tüm hastalarımıza teşekkür ederiz.
Kaynakça
- Referans1 Akın S, Can G, Aydıner A, Özdilli K, Durna Z. Quality Of Life Symptom Experience And Distress Of Lung Cancer Patients Undergoing Chemotherapy. European Journal Of Oncology Nursing. 2010;14: 400–409.
- Referans2 Armay Z, Özkan M, Kocaman N, Özkan S. Hastalık Algısının Ölçeğinin Kanser Hastalarında Türkçe Geçerlik Ve Güvenirlik Çalışması. Klinik Psikiyatri.2007; 10:192-200.
- Referans3 Leventhal H, Leventhal EA, Cameron L. Representations, Procedures, And Affect İn İllness Self-Regulation: A Perceptualcognitive Model. In: Baum A, Revenson TA, Singer JE, Editors. Handbook Of Health Psychology. Mahwah: Lawrence Erlbaum; 2001;19-48.
- Referans4 Çalışkan T, Duran S, Karadaş A, Ergün S.,Tekir Ö. Kanser Hastalarının Yaşam Kalitesi Ve Sosyal Destek Düzeylerinin Değerlendirilmesi. KÜ Tıp Fak Dergisi. 2015; 17(1): 27-36.
- Referans5 Çavuşoğlu H. Onkolojik Hastalıklar. Çavuşoğlu H, Akın S, Alican İ, Dreskeneli GS. Çev-ed. Cecil Essentials Of Medicine , 8.Baskı, Nobel Kitapevi, İstanbul, 2015 : 485-512.
- Referans6 Karabulutlu YE, Okanlı A. Hemodiyaliz Hastalarında Hastalık Algısının Değerlendirilmesi. Anadolu Hemşirelik Ve Sağlık Bilimleri Dergisi. 2011; 4-14.
- Referans7 Ashley L, Marti J, Jones H, Velikova G, Wright E. Illness Perceptions Within 6 Months Of Cancer Diagnosis Are An İndependent Prospective Predictor Of Future Health-Related Quality Of Life 15 Months Post-Diagnosis. Psycho-Oncology. 2015; 24: 1463-70.
- Referans8 Kocaman N. Hastalık Algısı Ölçeği’nin Türkçe Uyarlamasının Geçerlilik Ve Güvenirliği. Anadolu Psikiyatri Dergisi.2007; 8: 271-280.
- Referans9 Morris R, Weinman J, Petrie Kj, Horne R, Cameron Ld, Buick D. The Revised İllness Perception. Psychology And Health 2002;17: 1-16.
- Referans10 Armay, Z. Hastalık Algısı Ölçeğinin Geçerlilik Ve Güvenilirlik Çalışması. Yüksek Lisans Tezi, İstanbul: İstanbul Üniversitesi Sağlık Bilimleri Enstitüsü, 2006.
- Referans11 Can G, Durna Z, Aydıner A. The Validity And Reliability Of The Turkish Version Of The Quality Of Life Index [Qlı](Cancer Version) Eur J Oncol Nurs 2010;14: 316-321.
- Referans12 Ferrans C, Powers M. Quality Of Life İndex: Development And Psychometric Properties. Adv Nurs Sci 8, 1985;15–24.
- Referans13 Fischer Mj, Wiesenhaan Me, Heijer Ad, Kleijn Wc, Nortier Jwr, Kaptein Aa. From Despair To Hope: A Longitudinal Study Of İllness Perceptions And Coping İn A Psycho-Educational Group İntervention For Women With Breast Cancer. Br J Health Psychol 2013; 18: 526–45.
- Referans14 Ma C, Yan J, Wu Y, Huang W. Illness Perceptions Of Chinese Women With Breast Cancer And Relationships With Socio-Demographic And Clinical Characteristics. Int J Nurs Pract. 2018;24:12677. Doi: 10.1111/İjn.12677.
- Referans15 Zordan R, Manitta V, Nandurkar H, Cole-Sinclair M, Philip J. Prevalence And Predictors Of Fatigue İn Haemo-Oncological Patients. Internal Medicine Journal 2014;44(10):1013-1017.
- Referans16 Dempster M, Mccorry KN, Brennan E, Donnelly M, Murray LJ, Jonston TB. Do Changes İn İllness Perceptions Predict Changes İn Psychological Distress Among Oesophageal Cancer Survivors.Journal Of Health Psychology 2010;16(3):500–509.
- Referans17 Keeling M, Bambroıgh J, Simpson J. Depression, Anxiety And Positive Affect İn People Diagnosed With Low-Grade Tumours: The Role Of İllness Perceptions. Psycho-Oncology 2013;22(6):1421–1427.
- Referans18 Freeman-Gibb LA, Janz NK, Katapodi MC, Zikmund-Fisher BJ, Northouse L. The Relationship Between İllness Representations, Risk Perception And Fear Of Cancer Recurrence İn Breast Cancer Survivors. Psychooncology. 2017;26:1270–1277. Doi: 10.1002/Pon.4143.
- Referans19 Thomson AK, Heyworth JS, Girschik J, Slevin T, Saunders C, Fritschi L. Beliefs And Perceptions About The Causes Of Breast Cancer: A Case-Control Study. BMC Res Notes. 2014;7:558. Doi: 10.1186/1756-0500-7-558.
- Referans20 Karabulutlu YE, Karaman S. Evaluation Of Cancer Patients Perception Of İllness. HSP. 2015;2:271–284.
- Referans21 Mccorry KN, Dempster M,Quinn J,Hogg A, Newell J, Moore M Et Al. İllness Perception Clusters At Diagnosis Predict Psychological Distress Among Women With Breast Cancer At 6 Months Post Diagnosis. Psycho-Oncology 2013;22(3):692–698.
- Referans22 Gibbons A, Groarke A. Can Risk And İllness Perceptions Predict Breast Cancer Worry
İn Healthywomen Jhealthpsychol. 2016;21:2052-2062.Doi:10.1177/1359105315570984.
- Referans23 Tang, L., Fritzsche, K., Leonhart, R., And Et Al.Emotional Distress And Dysfunctional İllness Perception Are Associated With Low Mental And Physical Quality Of Life İn Chinese Breast Cancer Patients. Health And Quality Of Life Outcomes, 2017;15(1): 231.
- Referans24 Zhang N, Fielding R, Soong I, Chan KK, Tsang J, Lee V, Lee C, Ng A, Sze WK, Tin P, Lam WW. Illness Perceptions Among Cancer Survivors. Support Care Cancer. 2016;24:1295–1304. Doi: 10.1007/S00520-015-2914-3.
- Referans25 Johansson AC, Axelsson M, Berndtsson I, Brink E. Illness Perceptions İn Relation To Experiences Of Contemporary Cancer Care Settings Among Colorectal Cancer Survivors And Their Partners. Int J Qual Stud Health Well-Being And Well-Being. 2014;9:23581. Doi: 10.3402/Qhw.V9.23581.
- Referans26 Karabulutlu YE, Karaman S. Kanser Hastalarında Hastalık Algısının Değerlendirilmesi. Sağlık Bilimleri Ve Meslekleri Dergisi 2015; 2: 271-84.
- Referans27 Lan, M., Zhang, L., Zhang, Y., & Yan, J. The Relationship Among İllness Perception, Coping And Functional Exercise Adherence İn Chinese Breast Cancer Survivors. Journal Of Advanced Nursing. 2019;75(1): 75-84.
- Referans28 Ovayolu Ö. Onkolojik Sorunlar Ve Hemşirelik Yönetimi. Ovayolu N, Ovayolu Ö ed. Temel İç Hastalıkları Hemşireliği Ve Farklı Boyutlarıyla Kronik Hastalıklar, 1. Baskı, Çukurova Nobel Tıp Kitabevi, Adana, 2015: 460-88.
- Referans29 Sevimli Ş, Sağlıker Y. Neoplastik Hastalıklar. Sağlıker Y, Sarıca Y, İnal TC, ve Ark. Çev-ed. Harrison İç Hastalıkları Prensipleri, Nobel Kitapevi, İstanbul, 2013: 491-531.
- Referans30 Sarenmalm EK, Öhlen J, Jonsson T, Gaston-Johanson F. Coping With Recurrent Breast Cancer: Predictors Of Distressing Symptoms And Health-Related Quality Of Life. Journal Of Pain And Symptom Management.2007;34 (1):24-39.
- Referans31 Richters A, Derks J, Husson O, Et Al. Effect Of Surgical Magrin Status After Radical Prostatectomy On Health-Related Quality Of Life And İllness Perception İn Patients With Prostate Cancer. Urol. Oncol. 2015; 33: 9-15.
- Referans32 Husson O, Thong MSY, Molls F, Oerlemans S, Kaptein AA, Pollfranse LV. Illness Perceptions İn Cancer Survivors: What İs Role Of İnformation Provision? Psycho-Oncology 2013, 22: 490-8. 56.
- Referans33 Keeling M, Bambroıgh J, Simpson J. Depression, Anxiety And Positive Affect İn People Diagnosed With Low-Grade Tumours: The Role Of İllness Perceptions. Psycho-Oncology 2013;22(6):1421–1427.
- Referans34 Salonen P, Kellokumpu-Lehtınen PL, Huhtala H, Kaunonen M. The Quality Of Life And Social Support İn Significant Others Of Patients With Breast Cancer – A Longitudinal Study. European Journal Of Cancer Care, 2014; 23: 274–283.
- Referans35 Özçınar B, Güler SA, Özmen V, ve ark. Meme Kanserinde Lokal/Bölgesel Tedavi Sonrası Görülen Komplikasyonlar Ve Bunların Hasta Yaşam Kalitesi Üzerine Etkileri. The Journal Of Breast Health.2010;6 (1): 9-16.18.
Illness Perception and Quality of Life in Patients with Cancer
Yıl 2020,
Cilt: 17 Sayı: 3, 467 - 474, 25.12.2020
Tuğba Menekli
,
Ferhan Doğan
,
Emin Tamer Elkıran
Öz
Background: The purpose of this descriptive study is to determine the perception of ilness and quality of life in patients with cancer.
Materials and Methods: The sample of the study consisted of 151 cancer patients who were inpatient and outpatient in the oncology clinic of an education and research hospital between December 2019 and February 2020. The data were collected using Personal Information Form, Ilness Perception Scale (IPQ), Quality of Life Index-Cancer Version-III (QOL-CV). The data were evaluated in SPSS 25 program with descriptive statistics, Independent Samples t, Kruskal Wallis and Mann-Whitney U.
Results: It was found that 58.3% of the patients were female, 29.1% had colon cancer and 11.9% had no information about the ilness. It was found that the mean scores of the patients' perception of personal control (23.00 ± 3.35) from the IPQ subscales were the highest, and the family subscale mean score of the QOL-CV subscales was found to be the highest (26.97 ± 5.04). The total QOL-CV score was 23.44 ± 4.42.
Conclusion: It was determined that the patients' perception of internal control and quality of life family subscale was high also and their total quality of life was moderate.
Key words: Cancer, Illness perception, Quality of life.
Kaynakça
- Referans1 Akın S, Can G, Aydıner A, Özdilli K, Durna Z. Quality Of Life Symptom Experience And Distress Of Lung Cancer Patients Undergoing Chemotherapy. European Journal Of Oncology Nursing. 2010;14: 400–409.
- Referans2 Armay Z, Özkan M, Kocaman N, Özkan S. Hastalık Algısının Ölçeğinin Kanser Hastalarında Türkçe Geçerlik Ve Güvenirlik Çalışması. Klinik Psikiyatri.2007; 10:192-200.
- Referans3 Leventhal H, Leventhal EA, Cameron L. Representations, Procedures, And Affect İn İllness Self-Regulation: A Perceptualcognitive Model. In: Baum A, Revenson TA, Singer JE, Editors. Handbook Of Health Psychology. Mahwah: Lawrence Erlbaum; 2001;19-48.
- Referans4 Çalışkan T, Duran S, Karadaş A, Ergün S.,Tekir Ö. Kanser Hastalarının Yaşam Kalitesi Ve Sosyal Destek Düzeylerinin Değerlendirilmesi. KÜ Tıp Fak Dergisi. 2015; 17(1): 27-36.
- Referans5 Çavuşoğlu H. Onkolojik Hastalıklar. Çavuşoğlu H, Akın S, Alican İ, Dreskeneli GS. Çev-ed. Cecil Essentials Of Medicine , 8.Baskı, Nobel Kitapevi, İstanbul, 2015 : 485-512.
- Referans6 Karabulutlu YE, Okanlı A. Hemodiyaliz Hastalarında Hastalık Algısının Değerlendirilmesi. Anadolu Hemşirelik Ve Sağlık Bilimleri Dergisi. 2011; 4-14.
- Referans7 Ashley L, Marti J, Jones H, Velikova G, Wright E. Illness Perceptions Within 6 Months Of Cancer Diagnosis Are An İndependent Prospective Predictor Of Future Health-Related Quality Of Life 15 Months Post-Diagnosis. Psycho-Oncology. 2015; 24: 1463-70.
- Referans8 Kocaman N. Hastalık Algısı Ölçeği’nin Türkçe Uyarlamasının Geçerlilik Ve Güvenirliği. Anadolu Psikiyatri Dergisi.2007; 8: 271-280.
- Referans9 Morris R, Weinman J, Petrie Kj, Horne R, Cameron Ld, Buick D. The Revised İllness Perception. Psychology And Health 2002;17: 1-16.
- Referans10 Armay, Z. Hastalık Algısı Ölçeğinin Geçerlilik Ve Güvenilirlik Çalışması. Yüksek Lisans Tezi, İstanbul: İstanbul Üniversitesi Sağlık Bilimleri Enstitüsü, 2006.
- Referans11 Can G, Durna Z, Aydıner A. The Validity And Reliability Of The Turkish Version Of The Quality Of Life Index [Qlı](Cancer Version) Eur J Oncol Nurs 2010;14: 316-321.
- Referans12 Ferrans C, Powers M. Quality Of Life İndex: Development And Psychometric Properties. Adv Nurs Sci 8, 1985;15–24.
- Referans13 Fischer Mj, Wiesenhaan Me, Heijer Ad, Kleijn Wc, Nortier Jwr, Kaptein Aa. From Despair To Hope: A Longitudinal Study Of İllness Perceptions And Coping İn A Psycho-Educational Group İntervention For Women With Breast Cancer. Br J Health Psychol 2013; 18: 526–45.
- Referans14 Ma C, Yan J, Wu Y, Huang W. Illness Perceptions Of Chinese Women With Breast Cancer And Relationships With Socio-Demographic And Clinical Characteristics. Int J Nurs Pract. 2018;24:12677. Doi: 10.1111/İjn.12677.
- Referans15 Zordan R, Manitta V, Nandurkar H, Cole-Sinclair M, Philip J. Prevalence And Predictors Of Fatigue İn Haemo-Oncological Patients. Internal Medicine Journal 2014;44(10):1013-1017.
- Referans16 Dempster M, Mccorry KN, Brennan E, Donnelly M, Murray LJ, Jonston TB. Do Changes İn İllness Perceptions Predict Changes İn Psychological Distress Among Oesophageal Cancer Survivors.Journal Of Health Psychology 2010;16(3):500–509.
- Referans17 Keeling M, Bambroıgh J, Simpson J. Depression, Anxiety And Positive Affect İn People Diagnosed With Low-Grade Tumours: The Role Of İllness Perceptions. Psycho-Oncology 2013;22(6):1421–1427.
- Referans18 Freeman-Gibb LA, Janz NK, Katapodi MC, Zikmund-Fisher BJ, Northouse L. The Relationship Between İllness Representations, Risk Perception And Fear Of Cancer Recurrence İn Breast Cancer Survivors. Psychooncology. 2017;26:1270–1277. Doi: 10.1002/Pon.4143.
- Referans19 Thomson AK, Heyworth JS, Girschik J, Slevin T, Saunders C, Fritschi L. Beliefs And Perceptions About The Causes Of Breast Cancer: A Case-Control Study. BMC Res Notes. 2014;7:558. Doi: 10.1186/1756-0500-7-558.
- Referans20 Karabulutlu YE, Karaman S. Evaluation Of Cancer Patients Perception Of İllness. HSP. 2015;2:271–284.
- Referans21 Mccorry KN, Dempster M,Quinn J,Hogg A, Newell J, Moore M Et Al. İllness Perception Clusters At Diagnosis Predict Psychological Distress Among Women With Breast Cancer At 6 Months Post Diagnosis. Psycho-Oncology 2013;22(3):692–698.
- Referans22 Gibbons A, Groarke A. Can Risk And İllness Perceptions Predict Breast Cancer Worry
İn Healthywomen Jhealthpsychol. 2016;21:2052-2062.Doi:10.1177/1359105315570984.
- Referans23 Tang, L., Fritzsche, K., Leonhart, R., And Et Al.Emotional Distress And Dysfunctional İllness Perception Are Associated With Low Mental And Physical Quality Of Life İn Chinese Breast Cancer Patients. Health And Quality Of Life Outcomes, 2017;15(1): 231.
- Referans24 Zhang N, Fielding R, Soong I, Chan KK, Tsang J, Lee V, Lee C, Ng A, Sze WK, Tin P, Lam WW. Illness Perceptions Among Cancer Survivors. Support Care Cancer. 2016;24:1295–1304. Doi: 10.1007/S00520-015-2914-3.
- Referans25 Johansson AC, Axelsson M, Berndtsson I, Brink E. Illness Perceptions İn Relation To Experiences Of Contemporary Cancer Care Settings Among Colorectal Cancer Survivors And Their Partners. Int J Qual Stud Health Well-Being And Well-Being. 2014;9:23581. Doi: 10.3402/Qhw.V9.23581.
- Referans26 Karabulutlu YE, Karaman S. Kanser Hastalarında Hastalık Algısının Değerlendirilmesi. Sağlık Bilimleri Ve Meslekleri Dergisi 2015; 2: 271-84.
- Referans27 Lan, M., Zhang, L., Zhang, Y., & Yan, J. The Relationship Among İllness Perception, Coping And Functional Exercise Adherence İn Chinese Breast Cancer Survivors. Journal Of Advanced Nursing. 2019;75(1): 75-84.
- Referans28 Ovayolu Ö. Onkolojik Sorunlar Ve Hemşirelik Yönetimi. Ovayolu N, Ovayolu Ö ed. Temel İç Hastalıkları Hemşireliği Ve Farklı Boyutlarıyla Kronik Hastalıklar, 1. Baskı, Çukurova Nobel Tıp Kitabevi, Adana, 2015: 460-88.
- Referans29 Sevimli Ş, Sağlıker Y. Neoplastik Hastalıklar. Sağlıker Y, Sarıca Y, İnal TC, ve Ark. Çev-ed. Harrison İç Hastalıkları Prensipleri, Nobel Kitapevi, İstanbul, 2013: 491-531.
- Referans30 Sarenmalm EK, Öhlen J, Jonsson T, Gaston-Johanson F. Coping With Recurrent Breast Cancer: Predictors Of Distressing Symptoms And Health-Related Quality Of Life. Journal Of Pain And Symptom Management.2007;34 (1):24-39.
- Referans31 Richters A, Derks J, Husson O, Et Al. Effect Of Surgical Magrin Status After Radical Prostatectomy On Health-Related Quality Of Life And İllness Perception İn Patients With Prostate Cancer. Urol. Oncol. 2015; 33: 9-15.
- Referans32 Husson O, Thong MSY, Molls F, Oerlemans S, Kaptein AA, Pollfranse LV. Illness Perceptions İn Cancer Survivors: What İs Role Of İnformation Provision? Psycho-Oncology 2013, 22: 490-8. 56.
- Referans33 Keeling M, Bambroıgh J, Simpson J. Depression, Anxiety And Positive Affect İn People Diagnosed With Low-Grade Tumours: The Role Of İllness Perceptions. Psycho-Oncology 2013;22(6):1421–1427.
- Referans34 Salonen P, Kellokumpu-Lehtınen PL, Huhtala H, Kaunonen M. The Quality Of Life And Social Support İn Significant Others Of Patients With Breast Cancer – A Longitudinal Study. European Journal Of Cancer Care, 2014; 23: 274–283.
- Referans35 Özçınar B, Güler SA, Özmen V, ve ark. Meme Kanserinde Lokal/Bölgesel Tedavi Sonrası Görülen Komplikasyonlar Ve Bunların Hasta Yaşam Kalitesi Üzerine Etkileri. The Journal Of Breast Health.2010;6 (1): 9-16.18.