Jinekolojik kanserli kadınlarda evlilik uyumunun değerlendirilmesi

Yıl 2024, , 134 - 139, 31.08.2024

Safiye Ağapınar Şahin , Sibel Öztürk

https://doi.org/10.61534/anatoljhr.1436620

Öz

Amaç: Araştırma jinekolojik kanserli kadınlarda evlilik uyumunun değerlendirilmesi amacıyla yapılmıştır.
Yöntem: Bu çalışma tanımlayıcı ve kesitsel bir araştırma olarak yapılmıştır. Araştırmanın örneklemini Mart 2021 ile Ocak 2022 tarihleri arasında Türkiye'nin doğusundaki bir üniversite hastanesinin kadın doğum kliniğinde jinekolojik kanser tedavisi gören 106 kadın oluşturmuştur. Araştırmanın verileri kişisel bilgi formu ve evlilik uyumu ölçeği kullanılarak toplanmıştır.
Bulgular: Jinekolojik kanser hastası kadınların %72.6'sının evlilik uyumu olmadığı, %27.4'ünün ise evlilik uyumu olduğu ortaya çıktı. Jinekolojik kanserli kadınların kanser türleri ile toplam evlilik uyumu ölçeği skorları arasında anlamlı fark bulundu (p<0,05) ve bu farkın endometrium kanseri olan kadınlardan kaynaklandığı görüldü. Araştırmaya katılan kadınlar arasında en düşük evlilik uyumu puanının endometrium kanseri olan kadınlarda (34.07±11.09) olduğu görüldü.
Sonuçlar: Araştırmada, jinekolojik kanserlerin evlilik uyumunu olumsuz yönde etkilediği, endometrium kanseri olan kadınların evlilik uyumlarının daha düşük olduğu sonucuna varıldı.

Anahtar Kelimeler

endometrium kanseri, evlilik, jinekoloji, kadın, uyum

Evaluation of marital adjustment in women with gynecologic cancer

Öz

Aim: The research was conducted to assess marital adjustment in women with gynecologic cancer.
Methods: The present study was carried out as a descriptive and cross-sectional study. The study sample comprised 106 women who received gynecologic cancer treatment at the gynecology and obstetrics clinic of a university hospital in the east of Türkiye between March 2021 and January 2022. The research data were collected using a personal information form and the Marital Adjustment Scale.
Results: It was found that 72.6% of women with gynecologic cancer did not have marital adjustment, while 27.4% had marital adjustment. A significant difference was identified between the cancer types and total marital adjustment scale scores of women with gynecologic cancer (p<0.05), and this difference arose from women with endometrial cancer. Women with endometrial cancer had the lowest marital adjustment score (34.07±11.09) among the women participating in the study.
Conclusion: The study found that gynecologic cancers adversely affect marital adjustment and that women with endometrial cancer have lower marital adjustment.

Anahtar Kelimeler

adjustment, endometrial cancer, gynecology, marriage, woman

Kaynakça

• Abay, H., & Kaplan, S. (2017). Histerektomi sonrasi cinsel sorunların değerlendirilmesinde plissit modelinin kullanılması [Plissit model to evaluate sexual problems after hysterectomy]. International Refereed Journal of Nursing Researches, 11, 184-200.
• Bakker, R. M., Kenter, G. G., Creutzberg, C. L., Stiggelbout, A. M., Derks, M., Mingelen, W., Kroon, C. D., Vermeer, W. M., & Ter Kuile, M. M. (2017). Sexual distress and associated factors among cervical cancer survivors: A cross‐sectional multicenter observational study. Psycho‐oncology, 26(10), 1470-1477. https://doi.org/10.1002/pon.4317
• Baykara, O. (2016). Current modalities in treatment of cancer. Balikesir Health Sciences Journal, 5(3), 154-165. https://doi.org/10.5505/bsbd.2016.93823
• Brandao, T., Pedro, J., Nunes, N., Martins, M. V., Costa, M. E., & Matos, P. M. (2017). Marital adjustment in the context of female breast cancer: A systematic review. Psycho‐oncology, 26(12), 2019-2029. https://doi.org/10.1002/pon.4432
• Bray, F., Ferlay, J., Soerjomataram, I., Siegel, R. L., Torre, L. A., & Jemal, A. (2018). Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA: A Cancer Journal for Clinicians, 68(6), 394-424. https://doi.org/10.3322/caac.21492
• Carter, J., Huang, H., Chase, D. M., Walker, J. L., Cella, D., & Wenzel, L. (2012). Sexual function of patients with endometrial cancer enrolled in the gynecologic oncology group LAP2 study. International Journal of Gynecologic Cancer, 22(9), 1624-1633. https://doi.org/10.1097/IGC.0b013e31827277fa
• Çal, A., & Avcı, İ. A. (2023). Kanser sonrası süreçte eş ilişkilerindeki değişim [Changes in spousal relationships in the period after cancer]. Journal of Academic Research in Nursing, 9(1), 49-54. https://doi.org/10.55646/jaren.2023.18942
• Durmuş, E., & Baba, E. (2014). Evli çiftlerin duygusal zeka düzeyleri ile evlilik uyumlarının karşılaştırılması [A comparison of emotional intelligence levels and marital adjustments of married couples]. Çukurova Üniversitesi Sosyal Bilimler Enstitüsü Dergisi, 23(1), 352-369.
• Eker, A., & Aslan, E. (2017). Psychosocial approaches for gynecological cancer patients. Journal of Education and Research in Nursing, 14(4), 298-303. https://doi.org/10.5222/HEAD.2017.298
• Evcili, F., & Bekar, M. (2013). Jinekolojik kanser tanısı almanın psikososyal boyutu ve hemşirelik yaklaşımları [Psychosocial dimension of diagnosis of gynecological cancer and nursing approaches]. Türk Jinekolojik Onkoloji Dergisi, 16(1), 21-28.
• Fischer, O. J., Marguerie, M., & Brotto, L. A. (2019). Sexual function, quality of life, and experiences of women with ovarian cancer: A mixed-methods study. Sexual Medicine, 7(4), 530-539. https://doi.org/10.1016/j.esxm.2019.07.005
• Gregurek, R., Bras, M., Dordevic, V., Ratkovic, A. S., & Brajkovic, L. (2010). Psychological problems of patients with cancer. Psychiatria Danubina, 22(2), 227-230.
• Hallaç, S., & Öz, F. (2011). Existential Anxiety in diagnostic process of genital cancer. Current Approaches in Psychiatry, 3(4), 595-610. https://doi.org/10.5455/cap.20110326
• Hatta, S., Woon, L. S. C., Nik Sumayyah, N. M. N., & Mohamad Nasir, S. (2021). Psychosocial determinants of marital satisfaction among gynecologic cancer survivors in Malaysia. Frontiers in Psychiatry, 12, 744922. https://doi.org/10.3389/fpsyt.2021.744922
• Hocaoğlu, Ç., Kandemir, G., & Civil, F. (2007). The influence of breast cancer to family relationships. The Journal of Breast Health, 3(3), 163-165.
• Hoedjes, M., Nijman, I., & Hinnen, C. (2022). Psychosocial determinants of lifestyle change after a cancer diagnosis: A systematic review of the literature. Cancers, 14(8), 2026. https://doi.org/10.3390/cancers14082026
• Kışlak, T. Ş. (1999). Evlilikte uyum ölçeğinin geçerlilik ve güvenirlik çalışması [Reliability and validity study of the marital adjustment scale]. Psikiyatri Psikoloji Psikofarmakoloji Dergisi, 7(1), 50-57.
• Kiecolt-Glaser, J. K., & Newton, T. L. (2001). Marriage and health: His and hers. Psychological Bulletin, 127(4), 472-503. https://doi.org/10.1037/0033-2909.127.4.472
• Kök, G., Erdoğan, E. N., Söylemez, E. B., & Güvenç, G. (2020). Histerektomi olan hastanın fonksiyonel sağlık örüntülerine göre hemşirelik bakımı: olgu sunumu [Nursing care of patient who had undergone hysterectomy according to functional health patterns: Case report]. Süleyman Demirel Üniversitesi Sağlık Bilimleri Dergisi,11(2), 273-278.
• Locke, H. J., & Wallace, K. M. (1959). Short marital-adjustment and prediction tests: Their reliability and validity. Marriage and Family Living, 21(3), 251-255. https://doi.org/10.2307/348022
• Mofrad, S. A., Nasiri, A., Mahmoudirad, G., Shandiz, F. H. (2021). Challenges in the marital life of women with gynecological cancers: A qualitative study. Modern Care Journal, 18(2), e115558. https://doi.org/10.5812/modernc.115558
• Osazuwa‐Peters, N., Christopher, K. M., Cass, L. M., Massa, S. T., Hussaini, A. S., Behera, A., Walker, R. J., & Varvares, M. A. (2019). What's love got to do with it? Marital status and survival of head and neck cancer. European Journal of Cancer Care, 28(4), e13022. https://doi.org/10.1111/ecc.13022
• Pınar, G., Algier, L., Çolak, M., & Ayhan, A. (2008). Quality of life in patients with gynecologic cancer. International Journal of Hematology and Oncology, 18(3), 141-149.
• Pınar, G., Ökdem, S., Doğan, N., Büyükgönenç, L., & Ayhan, A. (2012). The effects of hysterectomy on body image, self-esteem, and marital adjustment in Turkish women with gynecologic cancer. Clinical Journal of Oncology Nursing, 16(3), E99-E104. https://doi.org/10.1188/12.CJON.E99-E104
• Rajaei, A., Jensen, J. F., Brimhall, A. S., Torres, E. T., & Schwartz, A. J. (2021). Dyadic function of couples with cancer: A review. Journal of Couple & Relationship Therapy, 20(3), 279-302. https://doi.org/10.1080/15332691.2020.1841055
• Sanchuli, H. N., Rahnama, M., Shahdadi, H., & Moghaddam, M. P. (2017). From love and fidelity to infidelity-individual experiences of women with breast cancer regarding relationships with their spouses. Asian Pacific Journal of Cancer Prevention: APJCP, 18(10), 2861-2866. https://doi.org/10.22034/APJCP.2017.18.10.2861
• Şen, E.T., & Oğuz, E. U. (2017). Psikiyatrik tanı alan bireylerin ve eşlerinin evlilik uyumları [Person’s who have psychiatric diagnosis and his spouse’s marital adjustment]. Journal of Health Science and Profession, 4(1), 16-24.
• Tarney, C. M., & Han, J. (2014). Postcoital bleeding: A review on etiology, diagnosis, and management. Obstetrics and Gynecology İnternational, 192087. https://doi.org/10.1155/2014/192087
• Yarandi, F., Montazeri, A., Shirali, E., Mohseni, M., Fakehi, M., & Ghaemi, M. (2021). Sexual quality of life in gynecological cancer survivors in Iran. Asian Pacific Journal of Cancer Prevention: APJCP, 22(7), 2171-2175. https://doi.org/10.31557/APJCP.2021.22.7.2171
• Yılmaz, E., Karataş, B., & Sancı, M. (2015). Kadınlarda histerektomi sonrası cinsel fonksiyon ve yaşam kalitesi [Sexual function and quality of life in women after hysterectomy]. Ege Üniversitesi Hemşirelik Fakültesi Dergisi, 31(2), 40-52.
• Zhang, L., Gu, W., Zhang, L., Miao, R., Jing, X., Zhi, S., Li, H., Ramachandran, H. J., & Wang, W. (2022). The effects of a nurse-led couples intervention on marital quality of couples with gynecological cancer: A clinical randomized controlled trial. Gynecologic Oncology, 165(3), 629-636. https://doi.org/10.1016/j.ygyno.2022.03.010