Jinekolojik Kanser Hastalarında Öz Yeterlilik, Benlik Saygısı ve Kanserle Baş Etmenin Hastalığa Psikososyal Uyuma Etkisinin Değerlendirilmesi

Abstract

This research, It was conducted to evaluation the effects of self-efficacy, self-esteem and coping on psychosocial adaptation to the disease of gynecological cancer patient. The descriptive study was conducted in the gynecology oncology services of two university hospitals. 105 gynecological cancer patients were included in the study. Research data were collected using the Descriptive Characteristics Data Collection Form, General Self-Efficacy Scale, Rosenberg's Self-Esteem Scale, Cancer Coping Questionnaire, Psychosocial Adjustment to Illness Scale, ECOG Performance Scale. Descriptive statistics, independent t test, one-way analysis of variance (ANOVA), pearson correlation test and hierarchical linear regression analysis were used to analyze the data. The average age of gynecological cancer patients in the study was 48.80±9.38 years. Of the gynecological cancer patients, 42.9% had endometrial cancer, 41.9% had ovarian cancer, 15.2% had cervical cancer, and 41.0% had stage III cancer. It was determined that 62.9% had recurrence and 73.3% received combined treatment. In the study, the mean score of the patients on the Psychosocial Adjustment to Illness Self-Report Scale was 70.22±4.60; General Self-Efficacy Scale mean score was 24.26±8.30; Rosenberg's Self-Esteem Scale mean score was 25.05±4.14; The average score of the Coping with Cancer Questionnaire was found to be 53.15±15.83. There was a moderate negative correlation between patients' psychosocial adaptation to the disease and general self-efficacy (r=-0.572; p=0.001); with self-esteem in a weakly negative direction (r=-0.277; p=0.004); It was determined that there was a moderate negative relationship (r = -0.581; p = 0.001) with coping with cancer. In gynecological cancer patients, single type of treatment (β=-0.332, p=0.001), self-efficacy (β=-0.312, p=0.001) and coping with cancer (β=-0.280, p=0.001) had an impact on psychosocial adaptation to the disease; It was found that self-esteem (β=-0.081, p=0.338) had no effect on the psychosocial adaptation of gynecological cancer patients to the disease. Research results show that gynecological cancer patients' psychosocial adaptation to the disease is related to their general self-efficacy and cancer coping strategies. In order to increase the psychosocial adaptation of gynecological cancer patients, individualized support programs and psychosocial interventions that will support patients' self-efficacy and coping with cancer should be integrated into nursing care.