Jinekolojik Kanserli Hastalarda Evde Bakım Hizmetinin Yaşam Kalitesine Etkisi

Abstract

This paper covers a random intervened case control study performed to evaluate any possible effects of the home care service on the life quality of the gynecological cancer patients. The sampling covers total 70 women, including 35 ones in each of the intervention and control groups, who underwent gynecological cancer treatment at the Zekai Tahir Burak Woman Health Training and Research Hospital under the Turkish Ministry of Health. The intervention and control groups, the Questionnaire, Life Quality Scale/Cancer Patient, Golombok-Rust Inventory of Sexual Satisfaction (GRİSS) and Visual Analog Skale were applied to collect data. The nursing care service was rendered to the women of intervention group in the oncology clinic, where a number of discharge training courses took place, followed by three postdischarge home visits in the 1st, 6th and 12th weeks in addition to two phone calls in the 2nd and 3rd weeks for the ongoing care and consulting services. The control group women were known in the oncology service unit, followed by two postdischarge home visits in the 1st and 12th weeks. The control group women took no care or consultancy. The data evaluation was based on the percentage rating, Chisquare, Eisher Exact Test, Mc-Nemar Test, ANOVA. The obtained results; The control group women were found to experience problems twice higher than the intervention group (p<0,05). During the entire course of monitoring the intergroup difference was significant as of the hopelessness, fatigue, lack of feminine feeling (p<0,05). The point averages of total life quality of the control group women were low level than those of the intervention group, the point averages of GRİSS of the control group women high level than those of the intervention group and the difference between two groups was statistically significant (p<0,05). In line with the obtained results, it is suggested to make home visits for taking actions to improve the life quality and provide sexual consultancy.