Meme Kanserinde Ergoterapi Temelli Problem Çözme Stratejisi Eğitiminin Etkinliği

Abstract

This study was planned to evaluate activity participation, cancer-related fatigue, depression and quality of life in individuals with breast cancer and to examine the effect of occupational therapy based problem solving strategy training (OTB-PSST) applied to them. Study included randomly chosen 22 individuals with breast cancer who applied to Hacettepe University Oncology Hospital Outpatient Polyclinic. The Socio-demographic and Clinical Features Information Collection Form and Canada Occupational Performance Measurement (COPM) were applied with the semi-structured interview method in the light of Canadian Model of Occupational Performance perspective. Cancer Fatigue Scale (CFS), Beck Depression Inventory (BDI), European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QOL-C30 -EORTC QOL-BR23) were also applied to them. The Turkish translation, reliability and the validity study of CFS was designed as a preliminary study during the thesis study; it’s test-retest reliability (ICC: 0,95) were high and good internal consistency (Cronbach alpha: 0,74). OTB- PSST intervention was administered for 6 weeks, 1 session per week for an average of 60 minutes each session. At the end of the intervention, the individuals with breast cancer were evaluated again with the same scales and the results were compared. As a result of our study, there was a statistically significant difference between the pre and post treatment measurements in the CFS, BDI and COPM performance and satisfaction scores (p<0,01). When the activity distribution results are analyzed according to the performance areas, it was determined that the individuals with breast cancer had most of their problems in the productivity area (household management) activities. According to the results of individuals’ problem-solving strategy steps, most of the activity performance problems were addressed by developing adaptive strategies such as adding new steps to the activity. When the EORTC QOL-C30 and EORTC QOL-BR23 quality of life test results are examined; the difference between pre-intervention and post-intervention results of the functional status and symptom scale subscale scores of the tests were statistically significant (p<0,05). OTB- PSST interventions provide positive benefits for individuals with breast cancer, reducing cancer-related fatigue and depression, improving performance and satisfaction levels of activities, and increasing quality of life.