Examination of illness acceptance and quality of life in patients diagnosed with breast cancer

Yıl 2024, , 147 - 157, 29.05.2024

Zeynep Özçınr , Emel Yılmaz , Levent Yeniay , Hakan Baydur

https://doi.org/10.21673/anadoluklin.1339663

Öz

Aim: The study was conducted with the aim of determining illness acceptance and quality of life in patients diagnosed with breast cancer.

Methods: The study is descriptive and cross-sectional. The study included 154 patients who had previously undergone surgery for breast cancer and presented for follow-up examination at the General surgery clinic breast outpatient department of a university hospital in our country. Personal information forms, the Illness Acceptance Scale, the European Organization for Cancer Research and Treatment Quality of Life (EORTC QLQ-C30) and Breast Cancer-Specific Quality of Life (EORTC QLQ-BR23) scales and Short-Form (SF-12) were used as data collection tools. The data were evaluated using descriptive statistics, univariate analyses, and Spearman correlation analysis.

Results: The mean age of the patients participating in the study was determined 53.70±11.44 years. It was found that 57.8% of the study group had left breast cancer, 44.8% were in Stage I and the mean time after surgery was 26.92±10.79 months. It was determined that 39.0% of the patients underwent breast-conserving surgery, and 35.7% of them underwent postoperative radiation therapy and drug therapy. The mean score of the Illness Acceptance Scale was 30.54±7.59, SF-12 physical summary score was 43.39±6.85, mental summary score was 39.44±10.05. The patients’ EORTC QLQ-C30 functional scale sub-dimension scores were found to be high, while the symptom scale sub-dimensions scores were low. It was determined that they scored low in the EORTC QLQ-BR23 scale for functional scale (except for sexual pleasure and future expectation) and symptom scale sub-dimensions.

Conclusion: As a result of the study, it was determined that patients with breast cancer have high illness acceptance, good functional status related to cancer, lower symptoms, and an overall lower quality of life.

Anahtar Kelimeler

Breast cancer, patient, quality of life

Proje Numarası

yok

Meme kanseri tanısı alan hastalarda hastalık kabulü ve yaşam kalitesinin incelenmesi

Öz

Amaç: Araştırma meme kanseri tanısı alan hastalarda hastalık kabulü ve yaşam kalitesinin belirlenmesi amacı ile yapılmıştır.

Yöntemler: Araştırma tanımlayıcı ve kesitsel türdedir. Çalışmaya ülkemizdeki bir üniversite hastanesinin genel cerrahi kliniği meme polikliniği’ne daha önce meme kanseri tanısı ile ameliyat olan ve kontrol muayenesine gelen 154 hasta dahil edildi. Veriler kişisel bilgi formu, Hastalığı Kabul Ölçeği, Avrupa Kanser Araştırma ve Tedavi Teşkilatı Yaşam Kalitesi (EORTC QLQ-C30) ve Meme Kanserine Özgü Yaşam Kalitesi (EORTC QLQ-BR23) ölçekleri, Kısa Form-12 (SF-12) ile toplandı. Tanımlayıcı istatistikler, tek değişkenli analizler ve Spearman korelasyon analizi verilerin analizinde kullanıldı.

Bulgular: Araştırmaya katılan hastaların yaş ortalamasının 53,70±11,44 yıl olduğu belirlendi. Araştırma grubunun %57,8’inin sol memede kanser ve %44,8’inin Evre I’de ve ameliyattan sonra geçen süre ortalamasının 26,92±10,79 ay olduğu bulundu. Hastaların %39,0’ına meme koruyucu cerrahi yapıldığı, %35,7’sine ameliyat sonrası radyoterapi ve kemoterapi uygulandığı belirlendi. Hastalık Kabulü Ölçeği puan ortalaması 30,54±7,59, SF-12 fiziksel özet skor: 43,39±6,85, zihinsel özet skor: 39,44±10,05’tir. Hastaların EORTC QLQ-C30 fonksiyonel skala alt boyut puanları yüksek, semptom skalası alt boyut puanları düşük olarak saptandı. EORTC QLQ-BR23 ölçeği fonksiyonel skala (cinsel haz ve gelecek beklentisi hariç) ve semptom skalası alt boyutlarından düşük puan aldıkları belirlendi.

Sonuç: Araştırma sonucunda meme kanserli hastaların hastalığı kabul düzeylerinin yüksek, kansere bağlı fonksiyonel durumlarının iyi olduğu, semptomları daha az hissettikleri ancak genel yaşam kalitelerinin düşük olduğu saptandı.

Anahtar Kelimeler

Hasta, meme kanseri, yaşam kalitesi

Destekleyen Kurum

yok

Proje Numarası

yok

Teşekkür

-

Kaynakça

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