The Meaning of Life and Self-Efficacy in Coping with Cancer

Yıl 2023, Cilt: 8 Sayı: 2, 245 - 250, 06.06.2023

Nihan Altan Sarıkaya , Seda Kurt

https://doi.org/10.26453/otjhs.1247041

Öz

Objective: This study was performed to determine the relationship between the cancer patients' level of meaning of life and the level of self-efficacy in coping with cancer, and the factors impacting this relation.
Materials and Methods: The sample of this cross-sectional study consisted of 177 adult patients hospitalized in the Medical Oncology Clinic. The data were collected using the Personal Information Form, the Meaning and Purpose in Life Scale (MPLS), and the Cancer Behavior Inventory-Brief Version (CBI-B).
Results: A significant difference was determined between the median scores of MPLS and the CBI-B scale in terms of age, marital status, educational status, income status, and employment status of the patients (p<0.05). A statistically positive significant correlation was found between the mean values of MPLS and CBI-B total scores (p<0.05)..
Conclusion: As the meaning in the lives of cancer patients increases, their self-efficacy levels in coping with cancer increases.

Anahtar Kelimeler

Cancer, coping with cancer, self-efficacy

Kanserle Başa Çıkmada Özyeterlik ve Yaşamın Anlamı

Öz

Amaç: Bu çalışma; kanser hastalarının hayatındaki anlam düzeyi ile kanserle başa çıkmada özyeterlik düzeyleri arasındaki ilişkiyi ve etkileyen faktörleri belirlemek amacıyla yapıldı.
Materyal ve Metot: Kesitsel türdeki bu çalışmanın örneklemini Medikal Onkoloji Kliniğinde yatarak tedavi gören, çalışmaya katılmayı kabul eden yetişkin 177 hasta oluşturdu. Veriler Kişisel Bilgi Formu, Hayatın Anlam ve Amacı Ölçeği (MPLS) ve Kanser Davranış Envanteri-Kısa Versiyon (CBI-B) ile toplandı.
Bulgular: Hastaların yaşı, medeni durumları, eğitim durumları, gelir durumları ve çalışma durumlarına göre MPLS ve CBI-B ölçek puan ortancaları arasında istatiksel olarak anlamlı bir fark bulundu (p<0.05). MPLS ve CBI-B toplam puan ortalamaları arasında istatistiksel olarak pozitif yönde anlamlı bir ilişki saptandı (p<0.05).
Sonuç: Kanser hastalarının hayatlarındaki anlam arttıkça kanserle başa çıkmada özyeterlilik düzeyleri artmaktadır.

Anahtar Kelimeler

Kanser, kanserle başa çıkma, öz-yeterlik

Kaynakça

• 1. Guerrero-Torrelles M, Monforte-Royo C, Tomás-Sábado J, et al. Meaning in life as a mediator between physical impairment and the wish to hasten death in patients with advanced cancer. JPSM. 2017;54(6):826-834. doi:10.1016/j.jpainsymman.2017.04.018
• 2. Kurdak H. The existential dimension of health and quality of life. J Fam Med-Special Topics. 2014;5(3):23-28.
• 3. Pattakos A. Prisoners of our thoughts: Viktor Frankl's principles for discovering meaning in life and work. 2nd ed. San Francisco, California: Berrett-Koehler Publishers; 2010.
• 4. Moadel A, Morgan C, Fatone A, et al. Seeking meaning and hope: Self-reported spiritual and existential needs among an ethnically diverse cancer patient population. Psycho-oncology.1999;8:378-385.
• 5. Krok D, Telka E. Meaning in life in cancer patients: Relationships with illness perception and global meaning changes. HPR. 2018;6(2):171-182. doi:10.5114/hpr.2018.71636
• 6. Heitzmann CA, Merluzzi TV, Jean‐Pierre P, Roscoe JA, Kirsh KL, Passik SD. Assessing self‐efficacy for coping with cancer: Development and psychometric analysis of the brief version of the Cancer Behavior Inventory (CBI‐B). Psycho‐oncology. 2011;20(3):302-312. doi:10.1002/pon.511
• 7. Shelby RA, Edmond SN, Wren AA, et al. Self-efficacy for coping with symptoms moderates the relationship between physical symptoms and well-being in breast cancer survivors taking adjuvant endocrine therapy. Supportive Care in Cancer. 2014;22(10):2851-2859. doi:10.1007/s00520-014-2269-1
• 8. Lev EL. Bandura's theory of self-efficacy: Applications to oncology. Sch Inq Nurs Pract. 1997;11:21-37.
• 9. White LL, Cohen MZ, Berger AM, Kupzyk KA, Bierman PJ. Self-efficacy for management of symptoms and symptom distress in adults with cancer: An integrative review. Oncol Nurs Forum. 2019;49(1):113-128. doi:10.1188/19.ONF.113-128
• 10. Aydın C, Mevlut K, Peker H. Meaning and Purpose of Life Scale: The study of its validity and reliability. OMUIFD. 2015;38:39-55. doi:10.17120/omuifd.80248
• 11. İyigun E, Tastan S, Gezginci E, Korkmaz S, Demiral S, Murat Beyzadeoglu M. Cross-cultural adaptation and psychometric evaluation of the Turkish version of the Cancer Behavior Inventory-Brief Version. JPSM. 2017;54(6):929-935. doi:10.1016/j.jpainsymman.2017.08.006
• 12. Gultom AB. Self-efficacy training improved the quality of life for cancer patients undergoing chemotherapy. Global Journal of Health Science. 2020;12(4):118-126. doi:10.5539/gjhs.v12n4p118
• 13. Krok D, Telka E, Zarzycka B. Illness perception and affective symptoms in gastrointestinal cancer patients: A moderated mediation analysis of meaning in life and coping. Psycho‐oncology. 2019;28(8):1728-1734. doi:10.1002/pon.5157
• 14. Aftab A, Lee EE, Klaus F, et al. Meaning in life and its relationship with physical, mental, and cognitive functioning: A study of 1,042 community-dwelling adults across the lifespan. J Clin Psychiatry. 2020;81(1):19m13064. doi:10.4088/JCP.19m13064
• 15. Serpentini S, Del Bianco P, Chirico A, et al. Self-efficacy for coping: Utility of the Cancer Behavior Inventory (Italian) for use in palliative care. BMC Palliat Care. 2019;18(1):34. doi:10.1186/s12904-019-0420-y
• 16. Erci B. Meaning in life of patients with cancer. Palliat Support Care. 2015;13(1):3-10. doi:10.1017/S1478951513000254.
• 17. Gravier AL, Shamieh O, Paiva CE, et al. Meaning in life in patients with advanced cancer: A multinational study. Supportive Care in Cancer. 2020;28:3927-3934. doi:10.1007/s00520-019-05239-5
• 18. Tomás-Sábado J, Villavicencio-Chávez C, Monforte-Royo C, Guerrero-Torrelles M, Fegg MJ, Balaguer A. What gives meaning in life to patients with advanced cancer? A comparison between Spanish, German, and Swiss patients. J Pain Symptom Manage. 2015;50:861-866. doi:10.1016/j.jpainsymman.2015.06.015
• 19. Thom B, Benedict C. The impact of financial toxicity on psychological well-being, coping self-efficacy, and cost-coping behaviors in young adults with cancer. J Adolesc Young Adult Oncol. 2019;8(3):236-242. doi:10.1089/jayao.2018.0143
• 20. Mystakidou K, Tsilika E, Parpa E, et al. Relationship of general self-efficacy with anxiety, symptom severity and quality of life in cancer patients before and after radiotherapy treatment. Psycho-oncology. 2013;22(5):1089-1095. doi:10.1002/pon.3106
• 21. Winger JG, Adams RN, Mosher CE. Relations of meaning in life and sense of coherence to distress in cancer patients: A meta‐analysis. Psycho‐oncology. 2016;25(1):2-10. doi:10.1002/pon.3798