Kanser Hastalarında Radyoterapiye Bağlı Anksiyete ve Depresyonun Yaşam Kalitesine Etkisi

Öz

Giriş ve Amaç: Bu çalışmanın amacı, kanser hastalarının radyoterapi öncesi ve sonrası anksiyete ve depresyon düzeylerinin ve yaşam kalitelerinin incelenmesidir. Gereç ve Yöntemler: Bu çalışma prospektif tanımlayıcı bir çalışmadır. Radyoterapi öncesi ve sonrası veri toplamak için Hasta Bilgi Formu, Hastane Anksiyete Depresyon Ölçeği (HADS) ve Yaşam Kalitesi Ölçeği (EORTC QLQ–C30) kullanıldı. Veriler ki-kare testi, t-testi ve çok değişkenli regresyon analizi ile analiz edildi. Bulgular: Radyoterapi öncesi ve sonrası yaşam kalitesi ölçeğinin alt ölçek puan ortalamaları arasında istatistiksel olarak anlamlı fark belirlendi. Radyoterapi öncesi anksiyete ve depresyonun emosyonel fonksiyon alt ölçeğini %52, radyoterapi sonrası anksiyeteyi ise %67 oranında etkilediği belirlendi. Sonuç: Bu çalışmanın bulguları, radyoterapi alan kanser hastalarında yaş, kemoterapi, metastaz varlığı, anksiyete ve depresyonun yaşam kalitesi üzerindeki anlamlı etkisini vurgulamaktadır. Onkoloji hemşirelerinin radyoterapi alan kanser hastalarında anksiyete ve depresyonu değerlendirmeleri ve eğitim vermeleri önerilir.

Anahtar Kelimeler

• Radyoterapi
• anksiyete
• depresyon
• yaşam kalitesi

The Effect of Radiotherapy-Related Anxiety and Depression on Quality of Life in Cancer Patients

Öz

Objective: This study aimed to investigate anxiety and depression levels and quality of life in cancer patients before and after radiotherapy. Materials and Methods: This study is a prospective descriptive study. Data were collected via patient information form, Hospital Anxiety Depression Scale (HADS) and European Organization for Research and Treatment (EORTC QLQ-C30) before and after radiotherapy. Data were analyzed by chi-squared test, t-test, and multivariate regression analysis. Results: There was a statistically significant difference between the mean scores for the subdimensions of the QOL scale before and after radiotherapy. Anxiety and depression before radiotherapy were found to affect the emotional function subdimension by 52% and anxiety after radiotherapy by 67%. Conclusion: The findings of this study emphasise the significant effect of age, chemotherapy, presence of metastasis, anxiety and depression on quality of life in cancer patients receiving radiotherapy. We recommend that oncology nurses should evaluate anxiety and depression and provide training in cancer patients receiving radiotherapy

Anahtar Kelimeler

• Radiotherapy
• anxiety
• depression
• quality of life
• Radyoterapi

Kaynakça

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