THE RELATIONSHIP BETWEEN PSYCHOLOGICAL AND SOCIAL PROBLEMS OF THE SPOUSES WHO CARED FOR THE TERMINAL CANCER PATIENTS

Abstract

Purpose: The aim of this study is to determine the psychological and social problems of the spouses who cared for the terminal cancer patients. Material and Method: It was held descriptif study. The data of this study were collected by applying a “personnel information form” and “physiological and social problems inventory”. The sample of the study, which consists of 103 persons, was the spouses who cared for the terminal cancer patients and stayed in four hospitals of Ankara in between 1.8.2000 and 1.4.2001. These hospitals are University of Ankara İbn-i Sina Hospital, Demetevler Oncology Hospital, University of Hacettepe Hospital and Numune Hospital. The descriptive statistics and correlation matrices were used for the analyses of the study. Findings and Results: In this study, it has been determined that experiencing psychological and social problems of the spouses who cared for the patients with the terminally ill cancer. It have been observed that the most frequent experienced psychological problem is depressive affect and the most frequent experienced social problem is impaired social interactions. In addition, it has been determined that physiological and social problems are interacting each other. It was found that spiritual distress and hopelessness are related with ineffective coping and ineffective role performance; ineffective coping is related with impaired home maintenance and caregiver role strain. The following signiŞcant relations are found for the social problems. These relations are between; impaired home maintenance, social interaction and role performance, deŞcient diversional activity, social isolation. At the same time it have been observed a relationship between ineffective role performance and social isolation, too

Keywords

• Cancer,terminal stage,spouse of the patient,caring,physiological problems,social problems

TERMİNAL DÖNEM KANSER HASTASINA BAKIM VEREN EŞLERİN DUYGUSAL VE SOSYAL SORUNLARI ARASINDAKİ İLİŞKİ

Abstract

Amaç: Araştırma, terminal dönem kanser hastasına bakım veren eşlerin duygusal ve sosyal sorunlarını belirlemek amacıyla yapılmıştır.Gereç-Yöntem: Tanımlayıcı bir araştırmadır. Veriler, 1 Ağustos 2000 ve 1 Nisan 2001 tarihleri arasında “Kişisel Bilgi Formu” ve “Duygusal ve Sosyal Sorunları Belirleme Formu” ile toplanmıştır. Araştırmanın örneklemini, Hacettepe Üniversitesi Erişkin Hastanesi, Ankara Üniversitesi İbn-i Sina Hastanesi, Ankara Numune Eğitim ve Araştırma Hastanesi ve Doktor Abdurrahman Yurtarslan Ankara Onkoloji Eğitim ve Araştırma Hastanesi’nde terminal dönem kanser hastasına bakım veren 103 eş oluşturmuştur. Verilerin değerlendirilmesinde yüzdelik, puan ortalamaları ve korelasyon analizi kullanılmıştır. Bulgular ve Sonuçlar: Araştırmada terminal dönem kanser hastasına bakım veren eşlerin duygusal ve sosyal alanda sorunlar yaşadıkları saptanmıştır. Duygusal sorunlardan en fazla depresif duygulanım yaşanırken, sosyal sorunlardan ise en fazla değişim sosyal etkileşimde yaşanmaktadır. Ayrıca, duygusal ve sosyal sorunların karşılıklı olarak birbirini etkilediği belirlenmiştir. Duygusal sorunlardan spiritual sıkıntı ve ümitsizliğin etkisiz bireysel başetme ve rol performansında değişim ile, etkisiz bireysel başetmenin günlük işleri sürdürme ve bakım verici rolünde zorlanma ile ilişkili olduğu bulunmuştur. Sosyal sorun alanlarında ise günlük işleri sürdürmede yetersizlik ile sosyal etkileşimde ve rol performansında değişim arasında ilişki olduğu diğer yandan, eğlence faaliyetlerinde değişim ile rol performansında değişim arasında ilişki olduğu gözlenmiştir. Aynı zamanda rol performansında değişimin de sosyal izolasyonla ilişkili olduğu saptanmıştır

Keywords

• Kanser,terminal dönem,hastanın eşi,bakım verme,duygusal sorunlar,sosyal sorunlar

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