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A QUALITATIVE STUDY ON THE PROBLEMS AND NEEDS OF PATIENTS WITH BREAST CANCER DIAGNOSED WITH CHEMOTHERAPY

Yıl 2020, Cilt: 23 Sayı: 1, 127 - 134, 19.03.2020
https://doi.org/10.17049/ataunihem.621439

Öz

ABSTRACT

Aim: This study was conducted to determine the problems and needs of breast cancer patients receiving chemotherapy.

Methods: A qualitative study involving 24 women with breast cancer under chemotherapy. The data were collected through an in-depth individual interview using the Patient Information Form and the Semi-structured Interview Form. The raw data was then analyzed and interpreted using "content analysis technique". Necessary permissions were obtained from related institutions of Dokuz Eylül University and from all patients.

Results: The obtained data were divided into two main categories; Patients' Problems and Patients' Needs. Patients' Problems includes physical, psychological and sexual problems and also the problems about interpersonal relationships. Patients' Needs consists of needs related to health care professionals, family, as well as those about various institutions and organizations.

Conclusion: As a result, it is thought that the presence of a counseling unit along with treatment centers will be fruitful in terms of informing as well as meeting the needs of the patients. In addition to advising on these units, it is recommended that counseling services be provided at home before and during the chemotherapy period.

Kaynakça

  • Akçay D, Gözüm S. Evaluation of the effect of education of chemotherapy side effects and home follow-up on the quality of life in patients with breast cancer given chemotherapy. The Journal of Breast Health 2012; 8(4): 191–199.
  • Alacacıoğlu A. Assessment of the level of depression, anxiety and hopelessness in cancer patients and their family. Doctoral dissertation 2007. Dokuz Eylul University, İzmir.
  • American Cancer Society. Chemotherpy for breast cancer. 2017. Retrieved from URL: https://www.cancer.org/cancer/breast-cancer/treatment/chemotherapy-for-breast-cancer.html
  • Aslam MS, Naveed S, Ahmed A, Abbas Z, Gull I, Athar MA. Side effects of chemotherapy in cancer patients and evaluation of patients opinion about starvation based differential chemotherapy. Journal of Cancer Therapy 2014; 5: 817–822.
  • Aslan Ö, Vural H, Kömürcü Ş, Özet A. Effect of education on chemotherapy symptoms in cancer patients receiving chemotherapy. C.Ü. Hemşirelik Yüksekokulu Dergisi 2006; 10(1).
  • Ateşci FÇ, Oğuzhanoğlu NK, Baltalarlı B, Karadağ F, Özdel O, Karagöz N. Psychiatric disorders in cancer patients and associated factors. Türk Psikiyatri Dergisi 2003; 14(2): 145–152.
  • Aygın D, Eti Aslan F. A study of sexual dysfunction in women with breast cancer. The Journal of Breast Health 2008; 4(2): 105–114.
  • Başkale H, Serçekuş P, Günüşen N. Investigation of cancer patients’information sources, information needs and expectations of health professionals. Journal of Psychiatric Nursing 2015; 6(2): 65–70.
  • Boehmke MM, Dickerson SS. Symptom, symptom experiences, and symptom distress encountered by women with breast cancer undergoing current treatment modalities. Cancer Nursing 2005; 28(5): 382– 389.
  • Chan HK, Ismail S. Side effects of chemotherapy among cancer patients in a malaysian general hospital: experiences, perceptions and informational needs from clinical pharmacists. Asian Pacific Journal of Cancer Prevention 2014; 15(13): 5305–5309.
  • Helms RL, Erin L, O’hea EL, Corsa M. Body image issues in women with breast cancer. Psychology, health & medicine 2008; 13(3): 313– 325.
  • Irmak MK, Bilgin MG, Sızlan A. Cancer from the Perspective of Patients. TSK Koruyucu Hekimlik Bülteni 2008; 7(2): 167–172.
  • Kissane DW, Grabsch B, Love A, Clarke DM, Bloch S, Smith GC. Psychiatric disorder in women with early stage and advanced breast cancer: a comparative analysis. Australian and New Zealand Journal of Psychiatry 2004; 38(5): 320–326.
  • Lavin M, Hyde A. Sexuality as an aspect of nursing care for women receiving chemotherapy for breast cancer in an Irish context. European Journal of Oncology Nursing 2006; 10(1): 10–18.
  • Lee YM, Francis K, Walker J, Lee SM. What are the information needs of Chinese breast cancer patients receiving chemotherapy? European Journal of Oncology Nursing 2004; 8: 224–33.
  • Lei CP, Har YC, Abdullah KL. Informational needs of breast cancer patients on chemotherapy: differences between patients' and nurses' perceptions. Asian Pacific Journal of Cancer Prevention 2011; 12: 797–802.
  • Lemieux J, Maunsell E, Provencher L. Chemotherapy-induced alopecia and effects on quality of life among women with breast cancer: a literature review. Psycho-Oncology 2008; 17: 317–328.
  • Rosman S. Cancer and stigma: experience of patients with chemotherapy-induced alopecia. Patient Education and Counseling 2004; 52(3): 333–339.
  • Ministry of Health Kemoterapi. 2013. Retrieved from URL: http://kanser.gov.tr/kanser/kanser-tedavisi/37-kemoterapi.html
  • Siefert ML. Fatigue, Pain, and Functional Status During Outpatient Chemotherapy. Oncology Nursing Forum 2010; 37(2): 114–123. Spichiger E, Rieder E, Müller-Fröhlich Ch, Kesselring A. Fatigue in patients undergoing chemotherapy, their self-care and the role of health professionals: A qualitative study. European Journal of Oncology Nursing 2012; 16: 165–171.
  • Spichiger E, Rieder E, Müller-Fröhlich Ch, Kesselring A. Fatigue in patients undergoing chemotherapy, their self-care and the role of health professionals: A qualitative study. European Journal of Oncology Nursing 2012; 16: 165–171.
  • Üstündağ S. The effect of complementary treatment approaches in symptom management on the quality of life of cancer patients receiving chemotherapy. Master Science Thesis 2013. Ankara University, Ankara.
  • Yeşilbalkan ÖU, Akyol AD, Çetinkaya Y, Altın T, Ünlü D. Studying the symptoms that are being experienced due to treatment by the patients who receive chemotheraphy and theır effects on the quality of life. Ege Üniversitesi Hemşirelik Yüksek Okulu Dergisi EÜHYO 2005; 21(1): 13–31.
  • Yi M, Cho J, Noh DY, Song MR, Lee JL, Juon HS. Informational needs of Korean women with breast cancer: Cross–cultural adaptation of the Toronto informational needs questionnaire of breast. Asian Nursing Research 2007; 1(3).

Kemoterapi Alan Meme Kanseri Tanılı Hastaların Sorunları ve İhtiyacı Üzerine Niteliksel Bir Çalışma

Yıl 2020, Cilt: 23 Sayı: 1, 127 - 134, 19.03.2020
https://doi.org/10.17049/ataunihem.621439

Öz

ÖZ

Amaç: Niteliksel olan bu çalışma kemoterapi alan meme kanserli hastaların yaşadıkları sorunlar ve gereksinimlerini belirlenmek amacı ile yapılmıştır.

Yöntem: Bu çalışma, bir üniversite hastanesinin Tıbbi Onkoloji Bilim Dalında kayıtlı olan meme kanserli kadınlar üzerinde planlanmıştır. Veriler, Hasta Bilgi Formu, Yarı Yapılandırılmış Görüşme Formu kullanılarak derinlemesine bireysel görüşme yöntemi ile toplanmıştır. Toplamda 24 kadın çalışmaya dahil edilmiştir. Dokuz Eylül Üniversitesi Girişimsel Olmayan Araştırmalar Etik Kurulundan izin alınmıştır.

Bulgular: Elde edilen veriler içerik analizi sonucunda iki ana temaya ayrılmıştır; hastaların yaşadıkları sorunlar ve hasta gereksinimleri. Çalışmada hastaların yaşadıkları sorunlar teması; fiziksel sorunlar, psikolojik sorunlar, kişilerarası ilişkilerde sorunlar, cinsel sorunlar şeklinde ve Hasta gereksinimleri başlığı altında, sağlık personeline yönelik gereksinimler, aileye yönelik gereksinimler, diğer kurum ve kuruluşlara yönelik olarak kategorize edilmiştir.

Sonuç: Tedavi merkezlerinde bir danışma biriminin bulunması, hasta ihtiyaçlarının karşılanmasına ek olarak bilgilendirme açısından da verimli olacağı düşünülmektedir. Bu birimler tarafından sağlanacak önerilere ek olarak, kemoterapi öncesi ve süreç boyunca evde danışmanlık hizmetlerinin verilmesi önerilmektedir. 

Kaynakça

  • Akçay D, Gözüm S. Evaluation of the effect of education of chemotherapy side effects and home follow-up on the quality of life in patients with breast cancer given chemotherapy. The Journal of Breast Health 2012; 8(4): 191–199.
  • Alacacıoğlu A. Assessment of the level of depression, anxiety and hopelessness in cancer patients and their family. Doctoral dissertation 2007. Dokuz Eylul University, İzmir.
  • American Cancer Society. Chemotherpy for breast cancer. 2017. Retrieved from URL: https://www.cancer.org/cancer/breast-cancer/treatment/chemotherapy-for-breast-cancer.html
  • Aslam MS, Naveed S, Ahmed A, Abbas Z, Gull I, Athar MA. Side effects of chemotherapy in cancer patients and evaluation of patients opinion about starvation based differential chemotherapy. Journal of Cancer Therapy 2014; 5: 817–822.
  • Aslan Ö, Vural H, Kömürcü Ş, Özet A. Effect of education on chemotherapy symptoms in cancer patients receiving chemotherapy. C.Ü. Hemşirelik Yüksekokulu Dergisi 2006; 10(1).
  • Ateşci FÇ, Oğuzhanoğlu NK, Baltalarlı B, Karadağ F, Özdel O, Karagöz N. Psychiatric disorders in cancer patients and associated factors. Türk Psikiyatri Dergisi 2003; 14(2): 145–152.
  • Aygın D, Eti Aslan F. A study of sexual dysfunction in women with breast cancer. The Journal of Breast Health 2008; 4(2): 105–114.
  • Başkale H, Serçekuş P, Günüşen N. Investigation of cancer patients’information sources, information needs and expectations of health professionals. Journal of Psychiatric Nursing 2015; 6(2): 65–70.
  • Boehmke MM, Dickerson SS. Symptom, symptom experiences, and symptom distress encountered by women with breast cancer undergoing current treatment modalities. Cancer Nursing 2005; 28(5): 382– 389.
  • Chan HK, Ismail S. Side effects of chemotherapy among cancer patients in a malaysian general hospital: experiences, perceptions and informational needs from clinical pharmacists. Asian Pacific Journal of Cancer Prevention 2014; 15(13): 5305–5309.
  • Helms RL, Erin L, O’hea EL, Corsa M. Body image issues in women with breast cancer. Psychology, health & medicine 2008; 13(3): 313– 325.
  • Irmak MK, Bilgin MG, Sızlan A. Cancer from the Perspective of Patients. TSK Koruyucu Hekimlik Bülteni 2008; 7(2): 167–172.
  • Kissane DW, Grabsch B, Love A, Clarke DM, Bloch S, Smith GC. Psychiatric disorder in women with early stage and advanced breast cancer: a comparative analysis. Australian and New Zealand Journal of Psychiatry 2004; 38(5): 320–326.
  • Lavin M, Hyde A. Sexuality as an aspect of nursing care for women receiving chemotherapy for breast cancer in an Irish context. European Journal of Oncology Nursing 2006; 10(1): 10–18.
  • Lee YM, Francis K, Walker J, Lee SM. What are the information needs of Chinese breast cancer patients receiving chemotherapy? European Journal of Oncology Nursing 2004; 8: 224–33.
  • Lei CP, Har YC, Abdullah KL. Informational needs of breast cancer patients on chemotherapy: differences between patients' and nurses' perceptions. Asian Pacific Journal of Cancer Prevention 2011; 12: 797–802.
  • Lemieux J, Maunsell E, Provencher L. Chemotherapy-induced alopecia and effects on quality of life among women with breast cancer: a literature review. Psycho-Oncology 2008; 17: 317–328.
  • Rosman S. Cancer and stigma: experience of patients with chemotherapy-induced alopecia. Patient Education and Counseling 2004; 52(3): 333–339.
  • Ministry of Health Kemoterapi. 2013. Retrieved from URL: http://kanser.gov.tr/kanser/kanser-tedavisi/37-kemoterapi.html
  • Siefert ML. Fatigue, Pain, and Functional Status During Outpatient Chemotherapy. Oncology Nursing Forum 2010; 37(2): 114–123. Spichiger E, Rieder E, Müller-Fröhlich Ch, Kesselring A. Fatigue in patients undergoing chemotherapy, their self-care and the role of health professionals: A qualitative study. European Journal of Oncology Nursing 2012; 16: 165–171.
  • Spichiger E, Rieder E, Müller-Fröhlich Ch, Kesselring A. Fatigue in patients undergoing chemotherapy, their self-care and the role of health professionals: A qualitative study. European Journal of Oncology Nursing 2012; 16: 165–171.
  • Üstündağ S. The effect of complementary treatment approaches in symptom management on the quality of life of cancer patients receiving chemotherapy. Master Science Thesis 2013. Ankara University, Ankara.
  • Yeşilbalkan ÖU, Akyol AD, Çetinkaya Y, Altın T, Ünlü D. Studying the symptoms that are being experienced due to treatment by the patients who receive chemotheraphy and theır effects on the quality of life. Ege Üniversitesi Hemşirelik Yüksek Okulu Dergisi EÜHYO 2005; 21(1): 13–31.
  • Yi M, Cho J, Noh DY, Song MR, Lee JL, Juon HS. Informational needs of Korean women with breast cancer: Cross–cultural adaptation of the Toronto informational needs questionnaire of breast. Asian Nursing Research 2007; 1(3).
Toplam 24 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Kurumları Yönetimi
Bölüm Makaleler
Yazarlar

Somayyeh Norouznıa 0000-0002-0409-9648

Nihal Gördes Aydoğdu 0000-0003-1828-3128

İşıl Somalı Bu kişi benim 0000-0003-3135-9043

Yayımlanma Tarihi 19 Mart 2020
Gönderilme Tarihi 18 Eylül 2019
Yayımlandığı Sayı Yıl 2020 Cilt: 23 Sayı: 1

Kaynak Göster

Vancouver Norouznıa S, Gördes Aydoğdu N, Somalı İ. A QUALITATIVE STUDY ON THE PROBLEMS AND NEEDS OF PATIENTS WITH BREAST CANCER DIAGNOSED WITH CHEMOTHERAPY. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi. 2020;23(1):127-34.

Dergimiz 2019 dan itibaren EBSCO CINAHL Database'de listelenmektedir.

Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi Creative Commons Attribution-NonCommercial 4.0 (CC BY-NC 4.0) ile lisanslanmıştır.

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