Jinekolojik Kanser Hastaları ve Bakım Verenlerinde Maneviyatın Psikolojik Sağlamlık ve Umuda Etkisinin Aktör Partner Karşılıklı Bağımlılık Modeli ile İncelenmesi

Abstract

Yıldız T., Investigation of the Effect of Spirituality on Psychological Resilience and Hope in Gynecological Cancer Patients and Caregivers with Actor Partner Interdependence Model, Hacettepe University Graduate School of Health Sciences, Obstetrics and Gynecology Nursing Program Master's Thesis, Ankara, 2023. This study was conducted to examine the effect of spirituality on psychological resilience and hope in gynecologic cancer patients and their caregivers using the Actor Partner Interdependence Model (APIM). The cross-sectional study was conducted in gynecologic oncology clinics of two university hospitals. The study included 107 gynecologic cancer patients and their caregivers. The data were collected using the Gynecologic Cancer Patient and Caregiver Descriptive Characteristics Data Collection Forms, Spiritual Well-being Scale, Connor-Davidson Resilience Scale, and Dispositional Hope Scale. Descriptive statistics, Spearman's correlation analysis, and the APIM were used to analyze the data. The mean age of the gynecologic cancer patients who participated in the study was 57.98 ± 11.43 years and the mean age of the caregivers was 40.83 ± 14.53 years. Of the gynecologic cancer patients who participated in the study, 52.3% had ovarian cancer and 63.6% had stage III. In the study, 56.1% of the caregivers were the patient's sisters. According to the results of the study, the mean total score of the Spiritual Well-being Scale was 126.46 ± 18.77 and 120.94 ± 21.64; the mean total score of the Connor-Davidson Psychological Resilience Scale was 75.51 ± 20.78 and 75.07 ± 17.07; the mean total score of the Dispositional Hope Scale was 49.81 ± 7.82 and 50.82 ± 9.48, respectively. In the study, it was determined that the spirituality of gynecologic cancer patients had a positive, high level relationship with psychological resilience (r= 0.706; p=0.001) and a positive, moderate level relationship with hope (r= 0.656; p=0.001). The spirituality of caregivers was positively and highly correlated with psychological resilience (r= 0.715; p=0.001) and positively and moderately correlated with hope (r= 0.675; p=0.001). According to the APIM, spirituality had actor effects on psychological resilience and hope in gynecologic cancer patients (B=0.918 p<0.001; B=0.350 p<0.001, respectively) but not partner effects (B=0.118 p<0.052; B=-0.012 p=0.810, respectively); Similarly, it was found that spirituality had actor effects on psychological resilience and hope in caregivers (B=0.435 p<0.001; B=0.246 p<0.001, respectively) but not partner effects (B=-0.150 p<0.052; B=0.073 p=0.157, respectively). In line with these results, it can be said that spirituality is an important source that increases hope and psychological resilience for both patients and caregivers. Therefore, it is recommended that nurses caring for gynecologic cancer patients should evaluate the levels of spirituality, hope and psychological resilience of patients and caregivers and include spirituality-based interventions in care.