.: ORİJİNAL ARAŞTIRMA
Evaluation of the Satisfaction, Quality of Life and Anxiety Among Cancer Patients and Patient Relatives in the Radiotherapy Unit During the COVID-19 Pandemic: A Cross-Sectional Survey Study
COVID-19 Pandemisi Döneminde Radyoterapi Ünitesindeki Kanser Hastaları ve Hasta Yakınlarının Memnuniyeti,Yaşam Kalitesi ve Kaygılarının Değerlendirilmesi: Kesitsel Bir Anket Çalışması
Turkiye Klinikleri J Med Sci. 2023;43(3):294-301
doi: 10.5336/medsci.2023-97992
Makale Dili: EN
Tam Metin
ABSTRACT
Objective: It was aimed to investigate the psychological effects of the coronavirus disease-2019 (COVID-19) pandemic on cancer patients receiving radiotherapy and their relatives, as well as their satisfaction level and the effects of the pandemic on patients' quality of life. Material and Methods: 118 cancer patients who applied to our clinic between November 2021-February 2022 and 111 patients relatives were included in the study. The Short Form-36 Quality of Life Scale was only applied to patients, whereas the Hospital Anxiety and Depression Scale and COVID-19 Knowledge and Satisfaction survey were applied to both patients and their relatives. Results: A statistically significant difference was found between gender and anxiety and depression in females (p=0.009). While there was a significant difference between social functioning and age (p=0.042), no significant difference was found in other parameters. Comparison of anxiety levels among patient and patient relatives demonstrated that anxiety levels were significantly higher among patient relatives (p=0.044). Comparison of the quality of life among gender groups demonstrated that physical function was significantly higher among males compared to females (p=0.043). Comparison of the quality of life among different cancer types demonstrated that physical function was lower in the breast and gynecology cancer group than in the genito-urinary cancer group (p=0.020). Conclusion: It was determined that female gender was more inclined toward anxiety, social functioning was better in the old age group, patient relatives exhibited higher anxiety levels than patients, and physical function scores were higher in men than in women.
Keywords: COVID-19; quality of life; cancer; radiotherapy
Objective: It was aimed to investigate the psychological effects of the coronavirus disease-2019 (COVID-19) pandemic on cancer patients receiving radiotherapy and their relatives, as well as their satisfaction level and the effects of the pandemic on patients' quality of life. Material and Methods: 118 cancer patients who applied to our clinic between November 2021-February 2022 and 111 patients relatives were included in the study. The Short Form-36 Quality of Life Scale was only applied to patients, whereas the Hospital Anxiety and Depression Scale and COVID-19 Knowledge and Satisfaction survey were applied to both patients and their relatives. Results: A statistically significant difference was found between gender and anxiety and depression in females (p=0.009). While there was a significant difference between social functioning and age (p=0.042), no significant difference was found in other parameters. Comparison of anxiety levels among patient and patient relatives demonstrated that anxiety levels were significantly higher among patient relatives (p=0.044). Comparison of the quality of life among gender groups demonstrated that physical function was significantly higher among males compared to females (p=0.043). Comparison of the quality of life among different cancer types demonstrated that physical function was lower in the breast and gynecology cancer group than in the genito-urinary cancer group (p=0.020). Conclusion: It was determined that female gender was more inclined toward anxiety, social functioning was better in the old age group, patient relatives exhibited higher anxiety levels than patients, and physical function scores were higher in men than in women.
Keywords: COVID-19; quality of life; cancer; radiotherapy
ÖZET
Amaç: Koronavirüs hastalığı-2019 [coronavirus disease-2019 (COVID-19)] pandemisinin radyoterapi alan kanser hastaları ve yakınları üzerindeki psikolojik etkilerinin yanı sıra memnuniyet düzeylerinin ve pandeminin hastaların yaşam kalitelerine etkilerinin araştırılması amaçlandı. Gereç ve Yöntemler: Kasım 2021-Şubat 2022 tarihleri arasında kliniğimize başvuran 118 kanser hastası ve 111 hasta yakını çalışmaya dâhil edildi. Yaşam Kalitesi Ölçeği olan Kısa Form36 sadece hastalara uygulanırken, Hastane Anksiyete ve Depresyon Ölçeği ile COVID-19 Bilgi ve Memnuniyet Ölçeği ise hem hastalara hem de hasta yakınlarına uygulandı. Bulgular: Kadınlarda cinsiyet ile anksiyete ve depresyon arasında istatistiksel olarak anlamlı fark bulundu (p=0,009). Sosyal işlevsellik ile yaş arasında anlamlı fark varken (p=0,042), diğer parametrelerde anlamlı fark bulunmadı. Hasta ve hasta yakınlarının kaygı düzeylerinin karşılaştırılması, hasta yakınlarının kaygı düzeylerinin anlamlı olarak yüksek olduğunu gösterdi (p=0,044). Cinsiyet grupları arasında yaşam kalitesinin karşılaştırılması, fiziksel fonksiyonun erkeklerde kadınlara göre anlamlı olarak daha yüksek olduğunu gösterdi (p=0,043). Farklı kanser türleri arasında yaşam kalitesinin karşılaştırılması, fiziksel fonksiyonun meme ve jinekoloji kanseri grubunda genitoüriner kanser grubuna göre daha düşük olduğunu gösterdi (p=0,020). Sonuç: Kadın cinsiyetin kaygıya daha yatkın olduğu, sosyal işlevsellik yaşlı grupta daha iyi olduğu, hasta yakınlarının anksiyete düzeylerinin hastalara göre daha yüksek olduğu ve fiziksel işlev puanlarının erkeklerde kadınlara göre daha yüksek olduğu belirlendi.
Anahtar Kelimeler: COVID-19; yaşam kalitesi; kanser; radyoterapi
Amaç: Koronavirüs hastalığı-2019 [coronavirus disease-2019 (COVID-19)] pandemisinin radyoterapi alan kanser hastaları ve yakınları üzerindeki psikolojik etkilerinin yanı sıra memnuniyet düzeylerinin ve pandeminin hastaların yaşam kalitelerine etkilerinin araştırılması amaçlandı. Gereç ve Yöntemler: Kasım 2021-Şubat 2022 tarihleri arasında kliniğimize başvuran 118 kanser hastası ve 111 hasta yakını çalışmaya dâhil edildi. Yaşam Kalitesi Ölçeği olan Kısa Form36 sadece hastalara uygulanırken, Hastane Anksiyete ve Depresyon Ölçeği ile COVID-19 Bilgi ve Memnuniyet Ölçeği ise hem hastalara hem de hasta yakınlarına uygulandı. Bulgular: Kadınlarda cinsiyet ile anksiyete ve depresyon arasında istatistiksel olarak anlamlı fark bulundu (p=0,009). Sosyal işlevsellik ile yaş arasında anlamlı fark varken (p=0,042), diğer parametrelerde anlamlı fark bulunmadı. Hasta ve hasta yakınlarının kaygı düzeylerinin karşılaştırılması, hasta yakınlarının kaygı düzeylerinin anlamlı olarak yüksek olduğunu gösterdi (p=0,044). Cinsiyet grupları arasında yaşam kalitesinin karşılaştırılması, fiziksel fonksiyonun erkeklerde kadınlara göre anlamlı olarak daha yüksek olduğunu gösterdi (p=0,043). Farklı kanser türleri arasında yaşam kalitesinin karşılaştırılması, fiziksel fonksiyonun meme ve jinekoloji kanseri grubunda genitoüriner kanser grubuna göre daha düşük olduğunu gösterdi (p=0,020). Sonuç: Kadın cinsiyetin kaygıya daha yatkın olduğu, sosyal işlevsellik yaşlı grupta daha iyi olduğu, hasta yakınlarının anksiyete düzeylerinin hastalara göre daha yüksek olduğu ve fiziksel işlev puanlarının erkeklerde kadınlara göre daha yüksek olduğu belirlendi.
Anahtar Kelimeler: COVID-19; yaşam kalitesi; kanser; radyoterapi
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