Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Kemoterapi Tedavisi Alan Kanser Hastalarında Aleksitimi ve Psikolojik İyi Oluş: Tanımlayıcı ve İlişkisel Bir Çalışma
Alexithymia and Psychological Well-Being in Cancer Patients Receiving Chemotherapy Treatment: A Descriptive and Relational Study
Asuman ÇOBANOĞLUa , Hatice OĞUZHANb
aGiresun Üniversitesi Sağlık Bilimleri Fakültesi, Hemşirelik Esasları ABD, Giresun, Türkiye
bGümüşhane Üniversitesi, Sağlık Bakım Hizmetleri Bölümü, Gümüşhane, Türkiye
Turkiye Klinikleri J Nurs Sci. 2023;15(2):490-8
doi: 10.5336/nurses.2022-94485
Article Language: TR
Full Text
ÖZET
 Amaç: Bu araştırma, kemoterapi tedavisi alan kanser hastalarında aleksitimi ve psikolojik iyi oluş düzeyleri arasındaki ilişkiyi belirlemek amacıyla tanımlayıcı olarak yapılmıştır. Gereç ve Yöntemler: Bu araştırmada tanımlayıcı ve ilişkisel bir araştırma deseni kullanılmıştır. Araştırmanın örneklemini, Temmuz 2022-Ekim 2022 tarihleri arasında bir eğitim ve araştırma hastanesinde ayaktan kemoterapi tedavisi gören 151 hasta oluşturmuştur. Veriler Hasta Bilgi Formu, Toronto Aleksitimi Ölçeği (TAÖ-20) ve Psikolojik İyi Oluş Ölçeği (PİOÖ) kullanılarak toplanmıştır. Verilerin değerlendirilmesinde tanımlayıcı istatistikler ile Kruskall Wallis testi ve Spearman Korelasyon testi kullanılmıştır. Bulgular: Kemoterapi alan hastaların yaş ortalamasının 59,26±11,24 yıl olduğu, %51'inin kadın cinsiyette olduğu ve %78,8'inin çalışmadığı saptanmıştır. Hastaların %23,8'inin meme kanseri olduğu ve %53'ünün kronik bir hastalık tanısının olduğu belirlenmiştir. Hastaların PİOÖ genel toplam puan ortalaması 48,44±6,76, TAÖ-20 genel toplam puan ortalamasının ise 44,70±7,51 olarak bulunmuştur. PİOÖ ile TAÖ-20 arasında negatif yönde ve orta düzeyde bir ilişki olduğu belirlenmiştir. Ayrıca hastaların metastaz durumlarına göre PİOÖ ve TAÖ-20 arasında istatistiksel açıdan anlamlı bir farklılık olduğu belirlenmiştir. Sonuç: Bu araştırmada, kemoterapi alan kanser hastalarının psikolojik iyi oluş düzeylerinin yüksek, aleksitimi düzeylerinin ise düşük olduğu saptanmıştır. Ayrıca hastaların psikolojik iyi oluş düzeyleri arttıkça aleksitimi düzeylerinin düştüğü belirlenmiştir.

Anahtar Kelimeler: Aleksitimi; kemoterapi; psikolojik iyi oluş
ABSTRACT
 Objective: This study was conducted as a descriptive study in order to determine the relationship between the levels of alexithymia and psychological well-being in cancer patients receiving chemotherapy treatment. Material and Methods: In this research, a descriptive and relational design was used. The sample of the study consisted of 151 patients who received outpatient chemotherapy treatment in a training and research hospital between the dates of July 2022- October 2022. The data were collected through the Patient Information Form, Toronto Alexithymia Scale (TAS-20), and Psychological WellBeing Scale (PWBS). Descriptive statistics and Kruskal-Wallis, and Spearman's Correlation tests were used for data evaluation. Results: It was determined that the average age of the patients receiving chemotherapy was 59.26±11.24 years, 51% of them were female, and 78.8% of them were unemployed. It was also determined that 23.8% of the patients had breast cancer and 53% of them had a diagnosis of chronic disease. The overall average score of the patients on the PWBS was 48.44±6.76 while it was 44.70±7.51 on the TAS-20. It was also determined that there was a moderate negative relationship between PWBS and TAS-20. In addition, it was determined that there was a statistically significant difference between PWBS and TAS-20 according to the metastasis status of the patients. Conclusion: In this study, it was determined that the psychological well-being levels of cancer patients who received chemotherapy were high and their alexithymia levels were low. In addition, it was determined that as the psychological well-being levels of the patients increased, their alexithymia levels decreased.

Keywords: Alexithymia; chemotherapy; psychological well-being
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