Resilience in Women who Underwent Breast Cancer Surgery

Yıl 2022, Cilt: 8 Sayı: 3, 347 - 353, 01.09.2022

Hatice Balcı Şule Balcı Şener

https://doi.org/10.53394/akd.1059556

Cited By: 1

Öz

ABSTRACT
Although people generally display behavior like adaptation and patience when faced with difficulties, their response and coping mechanisms may differ when faced with a cancer diagnosis. Most early-stage breast cancer patients succumb to maladaptive behavior or clinical depression. In this case, psychological resilience is important. Derived from the Latin root "resiliens", it also meets the meanings such as "resilience, endurance, strength, resilience, ability to overcome difficulties, flexibility." Patients who underwent complex processes of treatment for breast cancer, the most common type of cancer, must be resilient to cope with the disease and its problems. Breast cancer survivors, who experienced the uncertainty of the disease and the difficult process of treatment, face numerous obstacles as they try to accept their new reality and return to their daily lives as before. At this stage, they contend for a struggling process. In the development of resilience, it is important to have protective and supportive factors to reduce and eliminate the impact of the risks exposed. Stage of breast cancer, treatment process, postoperative physical exercise, individual and social support mechanisms; It affects the rehabilitation process of patients, individualized nursing interventions and psychological resilience that improves the quality of life. Resilience of breast cancer survivors can be supported by the interaction between internal support mechanisms (personal characteristics of the individual, cognitive assessment, etc.) and external support mechanisms (health care professionals, family and social circle, etc.). Patients should be supported by external support mechanisms such as physical exercise, training and counseling during difficult treatment process.
Key Words: Resilience, Breast Cancer, Surgery

Anahtar Kelimeler

Resilience, Breast Cancer, Surgery

Meme Kanseri Cerrahisi Geçiren Kadınlarda Psikolojik Dayanıklılık

Öz

ÖZ
İnsanlar genellikle zorluklarla karşılaştıklarında uyum ve sabır benzeri davranış sergilemelerine rağmen, kanser teşhisi ile karşılaştıklarında gösterdikleri tepki ve başa çıkma mekanizmaları farklılık gösterebilir. Erken evre meme kanseri hastalarının çoğu uyumsuzluk davranışlarına veya klinik depresyona yenik düşer. Bu durumda psikolojik dayanıklılık önemlidir. Latince “resiliens” kökünden türetilmiş olup “yılmazlık, dayanıklılık, sağlamlık, dirençlilik, çabuk iyileşme gücü, zorlukların üstesinden gelebilme gücü, esneklik gibi anlamları da karşılamaktadır. En sık görülen kanser türü olan meme kanserinde karmaşık tedavi süreçlerinden geçmek zorunda olan hastalar; hastalıkla ve hastalığın getirdiği sorunlarla başedebilmek için psikolojik olarak dayanıklı olmalıdır. Hastalığın belirsizliğini ve zorlu tedavi sürecini yaşayan meme kanserinden kurtulanlar, içinde bulundukları süreci kabul ederek eskisi gibi günlük hayatlarına dönmeye çalışırken birçok engelle karşılaşmaktadır. Bu aşamada bir mücadele sürecine girmektedirler. Psikolojik dayanıklılığın gelişiminde, maruz kalınan risklerin etkisini azaltmak ve ortadan kaldırmak için koruyucu ve destekleyici faktörlerin bulunması önemlidir. Meme kanserinin evresi, tedavi süreci, ameliyat sonrası fiziksel egzersiz durumu, bireysel ve sosyal destek mekanizmaları; hastaların rehabilitasyon sürecini, bireyselleşmiş hemşirelik girişimlerini ve yaşam kalitesini iyileştiren psikolojik dayanıklılığı etkilemektedir. Meme kanserinden kurtulanların psikolojik dayanıklılığı; iç destek mekanizmaları (bireyin kişisel özellikleri, bilişsel değerlendirme vb.) ve dış destek mekanizmaları (sağlık çalışanları, aile ve sosyal çevre vb.) arasındaki etkileşimle desteklenebilir. Hastaların zorlu tedavi sürecinde fiziksel egzersiz, eğitim, danışmanlık gibi dış destek mekanizmalarıyla desteklenmeleri gerekmektedir.
Anahtar Kelimeler: Psikolojik Dayanıklılık, Meme Kanseri, Cerrahi

Anahtar Kelimeler

Psikolojik Dayanıklılık, Meme Kanseri, Cerrahi

Kaynakça

• 1. Menevşe A. Hastalıklara Karşı Tutumların Evrimi. Klinik Psikiyatri. 1999; 2:117-123.
• 2. DeSantis CE, Ma J, Goding Sauer A, Newman LA, Jemal A. Breast cancer statistics, 2017, racial disparity in mortality by state. CA: A Cancer Journal for Clinicians. 2017;67(6):439-448.
• 3. Oberguggenberger A, Meraner V, Sztankay M, et al. Health behavior and quality of life outcome in breast cancer survivors: Prevalence rates and predictors. Clinical Breast Cancer. 2018;18(1):38-44.
• 4. Panjari M, Bell RJ, Davis SR. Sexual function after breast cancer. The Journal of Sexual Medicine. 2011;8(1):294-302.
• 5. Savi-Çakar F, Karataş Z, Çakır, MA. Yetişkin Yılmazlık Ölçeği: Türk kültürüne uyarlanması. Mehmet Akif Ersoy Üniversitesi Eğitim Fakültesi Dergisi. 2014;32,22-39.
• 6. Kurtoğlu G, Doğan S. Duygusal Yılmazlık Ölçeği'nin Türkçeye uyarlanması: Güvenirlik ve geçerlik çalışması. FSM İlmî Araştırmalar İnsan ve Toplum Bilimleri Dergisi. 2016;8,223-239.
• 7. Gez A. Suriyeli çocuk ve ergenlerde algılanan sosyal destek ve psikolojik sağlamlık arasındaki ilişki (Mersin): Çağ Üniversitesi Sosyal Bilimler Enstitüsü. 2018. [cited 2018 Jan] Available from: https://tez.yok.gov.tr/UlusalTezMerkezi/tezSorguSonucYeni.jsp
• 8. Güngörmüş K, Okanlı A, Kocabeyoğlu T. Hemşirelik öğrencilerinin psikolojik dayanıklılıkları ve etkileyen faktörler. Psikiyatri Hemşireliği Dergisi. 2015;6(1):9-14.
• 9. Terzi Ş. Üniversite Öğrencilerinde Kendini Toparlama Gücünün İçsel Koruyucu Faktörlerle İlişkisi. Hacettepe Üniversitesi Eğitim Fakültesi Dergisi. 2008;35:297-306.
• 10. Sunaga M, Futawatari T. Development and validation of the breast cancer survivors resilience scale. 北関東医学, 2018;68(1):7-18.
• 11. Greene R. Human behavior theory: A resilience orientation. In: Greene R. Editör. Resiliency: An integrated approach to practice, policy, and research. Washington, (DC): NASW Press. Ltd;2002. p.1-28.
• 12. American heritage dictionary, The second college edition (1982). Boston: Houghton Mifflin Co.
• 13. Webster Yeni Yirminci Yüzyıl İngilizce Sözlüğü (1958). New York: Webster Publishing Co.
• 14. Masten AS, et al. Competence under stress: risk and protective factors. In:J. Rolf AS, Masten D, Cicchetti KH, Nuechterlein S. Weintraub editors. Risk and protective factors in the development of psychopathology New York: Cambridge University Press. Ltd;1990. p.236-256.
• 15. Masten A. Resilience in individual development: Successful adaptation despite risk and adversity. In:Wang, M, Gordon E. editors. Educational resilience in inner-city America. Hillsdale, NJ: Lawrence Erlbaum. 1994. p.158-166.
• 16. Baykara O. Kanser Tedavisinde Güncel Yaklaşımlar. Balıkesir Sağlık Bilimleri Dergisi. 2016;5(3):154-165.
• 17. Karayurt Ö, Erol Ursavaş F, Çömez S. Endokrin Cerrahisi: Meme Cerrahiside Bakım. Eti Aslan F. editör. Cerrahi Bakım: Vaka Analizleri ile Birlikte. Akademisyen Kitabevi, Ankara. Ltd;2016. s.583-628.
• 18. American Cancer Society. Breast Cancert Facts&Figures 2017-2018. [cited 2020 Jul 20]. Available from: https://www.cancer.org/content/dam/cancer-org/research/cancer-facts-andstatistics/breast-cancer-facts-and-figures/breast-cancer-facts-and-figures-2017-2018.pdf
• 19. Gokal K, Wallis D, Ahmed S, Boiangiu I, Kancherla K, Munir F. Effects of a selfmanaged home-based walking intervention on psychosocial health outcomes for breast cancer patients receiving chemotherapy: a randomised controlled trial. Support Care Cancer. 2016;24:1139-1166.
• 20. Nakamura Y,et al. Involvement of 5-HT2A receptor hyperfunction in the anxiety-like behavior induced by doxorubicin and cyclophosphamide combination treatment in rats. J Pharmacol Sci. 2018;138(3):192–197.
• 21. Leach HJ, Danyluk JM, Nishimura KC, Culos-Reed SN. Evaluation of a community-based exercise program for breast Cancer patients undergoing treatment. Cancer Nurs. 2015;38:417-425.
• 22. Dieli-Conwright CM, Courneya KS, Demark-Wahnefried W, et al. Aerobic and resistance exercise improves physical fitness, bone health, and quality of life in overweight and obese breast cancer survivors: a randomized controlled trial. Breast Cancer Res. 2018;20:124. 23. Kameo SY, Sawada NO. Quality of life and adverse reactions caused by chemotherapy in breast cancer: an integrative review. IOSR Journal Of Pharmacy. 2016;6(4):51-61.
• 24. Sullivan CW, Leutwyler H, Dunn LB, et al. Stability of symptom clusters in patients with breast cancer receiving chemotherapy. Journal of Pain and Symptom Management 2018;55(1):39-55.
• 25. Göktaş S. Meme Cerrahisinde Bakım. Karadağ M, Bulut H. editörler. Cerrahi Hemşireliği 2 Kavram Haritası ve Akış Şemalı, Vize Yayıncılık, Ltd; 2019. s.1225.
• 26. Liu Z, Zhang L, Shi S. Objectively assessed exercise behavior in Chinese patients with earlystage cancer: A predictor of perceived benefits, communication with doctors, medical coping modes, depression and quality of life. PLoS One, 2017;12(1):1-9
• 27. Stewart DE, Yuen TA. A systematic review of resilience in the physically ill. Psychosomatics. 2011;52 (3):199–209.
• 28. Fagley NS. Appreciation uniquely predicts life satisfaction above demographics, the Big 5 personality factors, and gratitude. Personality and Individual Differences. 2012;53:59–63.
• 29. World Cancer Research Fund International. Breast Cancer [Internet]. World Cancer Research Fund International; 2018 [cited 2020 Jul 31]. Available from: https://www.wcrf.org/dietandcancer/breast-cancer
• 30. T.C. Sağlık Bakanlığı Türkiye Halk Sağlığı Kurumu. 2018 [cited 2020 May 31]. Available from:https://www.saglik.gov.tr/TR,62400/saglik-istatistikleri-yilligi-2018yayinlanmistir.html
• 31. World Health Organization. 2018 [cited 2020 May 31]. Available from: https://www.who.int/cancer/en/
• 32. Karanlık H, Özmen V, Asoğlu O, İğci A, Keçer M, Tuzlalı S, Müslümanoğlu M, Aslay I,Topuz E. Meme kanseri cerrahi tedavisinin uzun dönem sonuçları. Meme Sağlığı Dergisi. 2006;2(2):89-95.
• 33. Fitzmaurice C, et al. Global, regional, and national cancer incidence, mortality, years of life lost, years lived with disability, and disability-adjusted life-years for 32 cancer groups, 1990 to 2015: A systematic analysis for the global burden of disease study. JAMA Oncol 2017;3:524-548.
• 34. Huang Y, Huang,Y, Bao M, Zheng S, Du T, Wu, K. Psychological resilience of women after breast cancer surgery: a cross-sectional study of associated influencing factors. Psychology, Health & Medicine, 2019;24(7), 866-878.
• 35. Kondo M. Cancer survivorship and care. Japanese Journal of Cancer Care 2016;21:671673 (in Japanese).
• 36. Hsu T, Ennis M, Hood N, Graham M, Goodwin PJ. Quality of life in long‐term breast cancer survivors. Journal of Clinical Oncology. 2013;31(28):3540-3548.
• 37. Hurria A, Soto‐Perez‐de‐Celis E, Allred JB, et al. Functional decline and resilience in older women receiving adjuvant chemotherapy for breast cancer. Journal of the American Geriatrics Society. 2019;67(5):920-927.
• 38. Zhou K, Li J, Li X. Effects of cyclic adjustment training delivered via a mobile device on psychological resilience, depression, and anxiety in Chinese post-surgical breast cancer patients. Breast cancer research and treatment. 2019;178(1):95-103.
• 39. Öcalan, S., & Özçetin, Y. S. Ü. Kanser Deneyiminde Ruminasyon, Tükenmişlik ve Psikolojik Sağlamlık. Psikiyatride Güncel Yaklaşımlar-Current Approaches in Psychiatry. 2020;12(3), 421-433. doi: 10.18863/pgy.664396.
• 40. Ristevska-Dimitrovska G, Filov I, Rajchanovska D, Stefanovski P, Dejanova B. Resilience and quality of life in breast cancer patients. Open Access Maced J Med Sci. 2015;3:727-731.
• 41. Taheri A, Ahadi H, Kashani FL, Kermani RA. Mental hardiness and social support in life satisfaction of breast cancer patients. Procedia - Social and Behavioral Sciences. 2014;159:406-409.
• 42. Zhang T, Li H, Liu A, Wang H, Mei Y, Dou, W. Factors promoting resilience among breast cancer patients: a qualitative study. Contemporary nurse. 2018;54(3):293-303.
• 43. Ei OH. Effects of laughter therapy on depression, quality of life, resilience and immune responses in breast cancer survivors. Journal of Korean academy of nursing. 2011;41(3)285-93.
• 44. Kim E, Kim S, Kim S, Lee Y. Resilience and related factors for patients with breast cancer. Asian Oncology Nursing. 2015;15(4):193-202.
• 45. Kang J, Suh EE. The influence of stress, spousal support, and resilience on the ways of coping among women with breast cancer. Asian Oncology Nursing. 2015;15(1):1-8.
• 46. Öz F, Bahadır Yılmaz E. Ruh sağlığının korunmasında önemli bir kavram: Psikolojik sağlamlık. Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi. 2009;16(3):82-89.
• 47. Yuan P. Influence of aerobic exercise combined with continuity of care on post-traumatic growth and psychological resilience of breast cancer patients. Nursing Research of China. 2017;31(21):2617–2619.
• 48. Reeves MM, Terranova CO, Erickson JM, et al. Living well after breast cancer randomized controlled trial protocol: evaluating a telephone-delivered weight loss intervention versus usual care in women following treatment for breast cancer. BMC cancer. 2016;16(1):830.
• 49. Ye ZJ, et al. Effect of a multidiscipline mentor-based program, Be Resilient to Breast Cancer (BRBC), on female breast cancer survivors in mainland China—A randomized, controlled, theoretically 2016;158(3):509-522. 50. Zhu J, Ebert L, Liu X, Chan SWC. A mobile application of breast cancer e-support program versus routine care in the treatment of Chinese women with breast cancer undergoing chemotherapy: study protocol for a randomized controlled trial. BMC cancer. 2017;17(1):1-9.
• 51. Dong X,et al. The effects of the combined exercise intervention based on internet and social media software (CEIBISMS) on quality of life, muscle strength and cardiorespiratory capacity in Chinese postoperative breast cancer patients: a randomized controlled trial. Health and quality of life outcomes. 2019;17(1):109.
• 52. Hou IC, Lan MF, Shen SH, et al. The Development of a Mobile Health App for Breast Cancer SelfManagement Support in Taiwan: Design Thinking Approach. JMIR mHealth and uHealth. 2020;8(4):1-15.