Gastrointestinal Sistem Kanseri Olan Hasta ve Bakımverenlerine Verilen Bireysel Danışmanlığın Yaşam Kalitesi ve Kaygı Düzeylerine Etkisi

Öz

Amaç: Bu çalışmada pankreas, mide ve safra kesesi kanseri tanısı alan bireylere ve bakım verenlerine verilen bireysel eğitimin yaşam kalitesi ve kaygı düzeylerine etkisinin incelenmesi amaçlandı. Yöntem: Araştırmada öntest-sontest deneysel tasarım kullanılmıştır. Örneklem, çalışmaya katılacak 30 hasta ve 30 bakım verenden oluşmuştur. Hastalar ve onların bakımverenleriyle iki eğitim oturumu ve son bir takip dahil olmak üzere toplam üç görüşme gerçekleştirildi. Bulgular: Hastaların Yaşam Kalitesi ve HADS alt ölçek puanları arasındaki fark incelendiğinde, hastaların genel iyilik hali ölçümleri arasında istatistiksel olarak anlamlı bir fark olduğu görüldü (p<0,05). Bakım verenlerin genel yaşam kalitesi ölçeği ve alt ölçeklerinden aldıkları puan ortalamaları arasındaki fark incelendiğinde, psikolojik ve manevi sağlık durumu puanlarının zaman içinde istatistiksel olarak farklılık gösterdiği ortaya çıktı (p<0,05). Sonuç: Planlanan eğitimin hem hastanın hem de bakım verenin yaşam kalitesini, anksiyete ve depresyon durumunu olumlu yönde etkilediği saptanmıştır. Bu çalışmanın bulguları, özellikle mide, pankreas ve safra kesesi kanserleri olmak üzere kanser yönetimine bakımverenlerinin de katılımını desteklemektedir. Aile odaklı psikoeğitim ve semptom yönetimi programı, bakım verenin yükünü iyileştirmede etkili olduğu bulunmuştur.

Anahtar Kelimeler

• Mide
• Pankreas ve Safra kesesi kanserleri
• Yaşam kalitesi
• Anksiyete seviyesi
• Bireysel danışmanlık

The Effect of Individual Counseling Provided to Patients with Gastrointestinal System Cancer and Their Caregivers on Quality of Life and Anxiety Levels

Öz

Objective: This study aimed to examine the effect of individual training given to individuals diagnosed with pancreatic, gastric, and gallbladder cancer and their caregivers on their quality of life and anxiety levels. Method: The study used pretest-posttest experimental design. The sample consisted of 30 patients and 30 caregivers to participate in the study. Total 60 adults were newly diagnosed with pancreatic, gastric, or gallbladder cancer, completed curative surgery, came to receive preoperative treatment (neoadjuvant). A total of three interviews, including two training sessions and a final follow-up, were held with the patients and their caregivers. Results: The examination of the difference between the patients Quality of Life and HADS subscale scores indicated that there was a statistically significant difference between the measurements of the general well-being score of patients (p <0.05). The examination of the difference between the caregivers' mean scores from the overall quality of life scale and its subscales revealed that the psychological and spiritual health status scores varied statistically over time (p <0.05). Conclusion: It was planned training positively affected the quality of life, anxiety and depression status of both the patient, the caregivers. The findings of this study support family participation in cancer management, especially in Stomach, pancreatic, and gallbladder cancers. The family-focused dyadic psycoeducation and symptom management programme is effective to improve caregiver burden.

Anahtar Kelimeler

• Stomach
• Pancreatic and gallbladder cancer
• Caregivers
• Quality of life
• Anxiety levels
• Individual counseling

Kaynakça

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