Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Jinekolojik Kanser Tanısı Konulan Kadınların Kansere Karşı Tepki Tarzları ile Öz Bakım Gücü Arasındaki İlişkinin İncelenmesi: Kesitsel Çalışma
Examination of the Relationship Between the Mental Adjustment to Cancer and Self Care Power in Women with Gynaecological Cancer: Cross-Sectional Study
Elif ULUDAĞa, Sinem GÖRAL TÜRKCÜa, Sevgi ÖZKANa
aPamukkale Üniversitesi Sağlık Bilimleri Fakültesi, Doğum ve Kadın Hastalıkları Hemşireliği, Denizli, Türkiye
Turkiye Klinikleri J Nurs Sci. 2022;14(2):364-71
doi: 10.5336/nurses.2021-84924
Article Language: TR
Full Text
ÖZET
 Amaç: Bu çalışmanın amacı, jinekolojik kanser tanısı alan kadınların kansere karşı verdikleri tepki tarzı ile öz bakım gücü arasındaki ilişkiyi incelemektir. Gereç ve Yöntemler: Bu araştırma, ilişkisel olarak yapılmıştır. Araştırma, Türkiye'de yer alan bir ilde bir üniversite hastanesinin ayaktan onkoloji polikliniğine başvuran jinekolojik kanser tanısı almış 185 kadın ile yapılmıştır. Veriler kişisel bilgi formu, Kansere Karşı Tepki Tarzı Ölçeği ve Öz Bakım Gücü ölçeği ile toplanmıştır. Bu çalışmada yüzde, ortalama ve standart sapmaları içeren tanımlayıcı istatistikler, Pearson korelasyon analizi ve çoklu doğrusal regresyon analizi yapılmıştır. Bulgular: Çoklu doğrusal regresyon analizi sonucunda jinekolojik kanser tanısı alan kadınların öz bakım gücünün Model 1'de mücadeleci ruh %71'ini (R2 : 0,707), Model 2'de çaresizlik/ümitsizlik %81'ini (R2 : 0,812), Model 3'te endişeli bekleyiş %14'ünü (R2 : 0,136), Model 4'te kadercilik %43'ünü (R2 : 0,429), Model 5'te inkâr %9'unu (R2 : 0,089), Model 6'da 5 değişken birlikte %83'ünü yordamaktadır (R2 : 0,832). Sonuç: Bu çalışmada, jinekolojik kanseri olan kadınların öz bakım güçleri orta düzeydedir. Kansere karşı verilen mücadeleci ruh, çaresizlik/ümitsizlik, endişeli bekleyiş, kadercilik ve inkâr tepkilerinin jinekolojik kanseri olan kadınlarda öz bakım gücünü etkilediği saptanmıştır. Jinekolojik kanseri olan kadınları, öz bakım gücünde en fazla çaresizlik/ümitsizlik tepkisinin; en az da endişeli bekleyiş tepkisinin etkili olduğu belirlenmiştir. Kadınların öz bakım gücünü artırmada, hemşirelere hem bakım hem de danışmanlıkta önemli görevler düşmektedir.

Anahtar Kelimeler: Jinekolojik kanser; öz bakım gücü; kansere karşı tepki tarzı
ABSTRACT
 Objective: The aim of this study was to examination of the relationship between the mental adjustment to cancer and self care power in women with gynaecological cancer. Material and Methods: This study had a correlational design. The study was performed with 185 women with gynaecological cancer in Türkiye in an outpatient oncology outpatient clinic of a university hospital. Data were gathered with a sociodemographic form, Mental Adjustment to Cancer scale and self care power scale. Descriptive statistics including percentages, means, and standard deviation values, Pearson correlation analysis and multiple linear regression analyses were conducted in this study. Results: In the multiple linear regression analyses, fighting spirit of 71% (R2 : 0.707) of self care power in Model 1, helplessness/hopelessness were predictive of 81% (R2 : 0.812) of self care power in Model 2, anxious preoccupation were predictive of 14% (R2 : 0.136) of self care power in Model 3, fatalism were predictive of 43% (R2 : 0.429) of self care power in Model 4, denial were predictive of 9% (R2 : 0.089) of self care power in Model 5. These 5 variables together were found to predictive of 83% (R2 : 0.832) of self care power in Model 6. Conclusion: In this study, women with gynaecological cancer have moderate self-care power. It has been determined that the fighting spirit, helplessness/hopelessness, anxious anticipation, fatalism and denial reactions against cancer affect the self-care power of women with gynaecological cancer. It was determined that the helplessness/hopelessness response was the most effective and the anxious anticipation response was the least effective in the self-care power of women with gynaecological cancer. Nurses have important roles in both care and counseling in increasing women's self-care capacity.

Keywords: Gynaecological cancer; self-care power; mental adjustment to cancer
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