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The Effect of Using Virtual Reality Goggles on Spiritual Well-Being and Life Attitudes in Cancer Patients Undergoing Outpatient Chemotherapy

Yıl 2024, Cilt: 11 Sayı: 4, 606 - 614, 29.12.2024
https://doi.org/10.34087/cbusbed.1481509

Öz

Aim; Cancer treatment can be a very challenging and stressful process for individuals. Virtual reality technology can be used as a tool to help support individuals in this challenging treatment process. This study aimed to examine the effect of using virtual reality goggles on the spiritual well-being and life attitude of cancer patients undergoing outpatient chemotherapy.
Method; This study, which was conducted in a quasi-experimental design with pre-test-post-test control group, was conducted in the outpatient chemotherapy unit of a training and research hospital between May 2023 and January 2024. The study included 42 individuals (21 control group; 21 intervention group) diagnosed with cancer. The Individual Descriptive Information Form, Functional Assessment of Chronic Illness Therapy- Spiritual Well-Being Scale and Life Attitude Profile Scale were used to collect the data. Patients in the intervention group were shown videos with relaxing music background and content through virtual reality goggles during three consecutive chemotherapy cycles.
Results; While 30.9% of the participants were in the age group of 32 to 50 years, 50% were in the age group of 51 to 69 years and 19.1% were in the age group of 70 years and older. In between-group comparisons, the post-test scores of the Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being Scale (p= 0.001; U= 87.00) and the Life Attitude Profile Scale (p< 0.001; U= 38.00) in the intervention group were significantly higher than in the control group.
Conclusion; In this study, it was found that the use of virtual reality goggles during chemotherapy helped individuals to increase their spiritual well-being and develop a positive life attitude. In this context, the use of virtual reality goggles during chemotherapy may provide support to cancer patients and nursing practices.

Keywords: Attitude, cancer, chemotherapy, spirituality, virtual reality

Proje Numarası

1919B012217239

Kaynakça

  • 1. Caldeira, S, Timmins, F, de Carvalho, E. C, Vieira, M, Spiritual well-being and spiritual distress in cancer patients undergoing chemotherapy: Utilizing the SWBQ as component of holistic nursing diagnosis, Journal of Religion and Health, 2017, 56(4), 1489-1502. doi: 10.1007/s10943-017-0390-4
  • 2. Ölmez, N, Karadağ, E, Ayaktan kemoterapi alan kanserli hastaların spiritüel iyilik hali ve psikolojik dayanıklılık düzeyi arasındaki ilişki, Sakarya Tıp Dergisi, 2022, 12(3), 390-402. doi:10.31832/smj.1075527
  • 3. Hong, Y. T, Yeh, Y. C, Sun, J. L, Symptom Distress, social support, spiritual well-being, and quality of life among women with gynecologic cancer, Hu Li Za Zhi, 2024, 71(1), 60-71. doi: 10.6224/JN.202402_71(1).08
  • 4. Smith, L, Webber, R, DeFrain, J, Spiritual well-being and its relationship to resilience in young people: A mixed methods case study, SAGE Open, 2013, 3(2), 1-16. doi:10.1177/2158244013485582
  • 5. Gonzalez, P, Castañeda, S. F, Dale, J, Medeiros, E. A, Buelna, C, Nuñez, A, et al., Spiritual well-being and depressive symptoms among cancer survivors, Supportive Care in Cancer, 2014, 22(9), 2393-2400. doi: 10.1007/s00520-014-2207-2
  • 6. Weathers, E, What is spirituality? In: Timmins, F, Caldeira, S (Eds.), Spirituality in healthcare: Perspectives for innovative practice, Springer Nature, Switzerland, 2019, p.2.
  • 7. Ioannou, A, Paikousis, L, Papastavrou, E, Avraamides, M. N, Astras, G, Charalambous, A, Effectiveness of virtual reality vs guided imagery on mood changes in cancer patients receiving chemotherapy treatment: A crossover trial, European Journal of Oncology Nursing, 2022, 61, 102188. doi: 10.1016/j.ejon.2022.102188
  • 8. Gautama, M. S. N, Huang, T. W, Haryani, H, A systematic review and meta-analysis of randomized controlled trials on the effectiveness of immersive virtual reality in cancer patients receiving chemotherapy, European Journal of Oncology Nursing, 2023, 67, 102424. doi: 10.1016/j.ejon.2023.102424
  • 9. Perna, L, Lund, S, White, N, Minton, O, The potential of personalized virtual reality in palliative care: A feasibility trial, The American Journal of Hospice & Palliative Care, 2021, 38(12), 1488-1494. doi: 10.1177/1049909121994299
  • 10. Fabi, A, Fotia, L, Giuseppini, F, Gaeta, A, Falcicchio, C, Giuliani, G, et al., The immersive experience of virtual reality during chemotherapy in patients with early breast and ovarian cancers: The patient's dream study, Frontiers in Oncology, 2022, 12, 960387. doi: 10.3389/fonc.2022.960387
  • 11. Geriş, A, Tunga, Y, Sanal gerçeklik ortamlarında bulunma hissi, Manisa Celal Bayar Üniversitesi Sosyal Bilimler Dergisi, 2020, 18(4), 261-282. doi: 10.18026/cbayarsos.818457
  • 12. Özdağ, S, İnkaya, B. V, Kanser hastalarının ağrı ve kaygı yönetiminde sanal gerçeklik teknolojisi kullanımı, Türkiye Sağlık Bilimleri ve Araştırmaları Dergisi, 2021, 4(2), 44-51. doi:10.51536/tusbad.901503
  • 13. Schneider, S. M, Prince-Paul, M, Allen, M. J, Silverman, P, Talaba, D, Virtual reality as a distraction intervention for women receiving chemotherapy, Oncology Nursing Forum, 2004, 31(1), 81-88. doi: 10.1188/04.ONF.81-88
  • 14. Indovina, P, Barone, D, Gallo, L, Chirico, A, De Pietro, G, Giordano, A, Virtual reality as a distraction intervention to relieve pain and distress during medical procedures: A comprehensive literature review, The Clinical Journal of Pain, 2018, 34(9), 858-877. doi: 10.1097/AJP.0000000000000599
  • 15. Chirico, A, Maiorano, P, Indovina, P, Milanese, C, Giordano, G. G, Alivernini, F, et al., Virtual reality and music therapy as distraction interventions to alleviate anxiety and improve mood states in breast cancer patients during chemotherapy, Journal of Cellular Physiology, 2020, 235(6), 5353-5362. doi: 10.1002/jcp.29422
  • 16. Birkhoff, S. D, Waddington, C, Williams, J, Verucci, L, Dominelli, M, Caplan, R, The effects of virtual reality on anxiety and self-efficacy among patients with cancer: A pilot study, Oncology Nursing Forum, 2021, 48(4), 431-439. doi: 10.1188/21.ONF.431-439
  • 17. Janssen, A, Fletcher, J, Keep, M, Ahmadpour, N, Rouf, A, Marthick, M, Booth, R, Experiences of patients undergoing chemotherapy with virtual reality: mixed methods feasibility study, Journal of Medical Internet Research Serious Games, 2022, 10(1), e29579. doi: 10.2196/29579
  • 18. Erdoğan, T. K, Koç, Z, Loneliness, death perception, and spiritual well-being in adult oncology patients, Cancer Nursing, 2021, 44(6), E503-E512. doi: 10.1097/NCC.0000000000000930
  • 19. Yu, Y, Liao, Y, Zhang, S, Wei, L, Mi, N, Li, W, Spiritual well-being and quality of life for patients undergoing chemotherapy for pancreatic cancer: Correlates and influencing factors, Alternative Therapies in Health and Medicine, 2023, 29(7), 404-411.
  • 20. Aktürk, Ü, Erci, B, Araz, M, Functional evaluation of treatment of chronic disease: Validity and reliability of the Turkish version of the Spiritual Well-Being Scale, Palliative & Supportive Care, 2017, 15(6), 684-692. doi:10.1017/S1478951517000013
  • 21. Erci, B, Meaning in life for patients with cancer: Validation of the Life Attitude Profile-Revised Scale, Journal of Advanced Nursing, 2008, 62(6), 704-711. doi: 10.1111/j.1365-2648.2008.04658.x
  • 22. Afrasiabifar, A, Mosavi, A, Jahromi, A. T, Hosseini, N, Randomized controlled trial study of the impact of a spiritual intervention on hope and spiritual well-being of persons with cancer, Investigación y Educación en Enfermería, 2021, 39(3), e08. doi: 10.17533/udea.iee.v39n3e08
  • 23. Lee, M. S, Tyson, D. M, Gonzalez, B. D, Small, B. J, Lechner, S. C, Antoni, M. H, et al., Anxiety and depression in Spanish-speaking Latina cancer patients prior to starting chemotherapy, Psycho-Oncology, 2018, 27(1), 333-338. doi: 10.1002/pon.4462
  • 24. Zare, A, Bahia, N. J, Eidy, F, Adib, N, Sedighe, F, The relationship between spiritual well-being, mental health, and quality of life in cancer patients receiving chemotherapy, Journal of Family Medicine and Primary Care, 2019, 8(5), 1701-1705. doi: 10.4103/jfmpc.jfmpc_131_19
  • 25. Miller, M, Kwekkeboom, K, Cherwin, C, The role of spirituality in symptom experiences among adults with cancer, Supportive Care in Cancer, 2022, 30(1), 49-57. doi: 10.1007/s00520-021-06399-z
  • 26. Barata, A, Hoogland, A. I, Small, B. J, Acevedo, K. I, Antoni, M. H, Gonzalez, B. D, et al., Spiritual well-being, distress and quality of life in Hispanic women diagnosed with cancer undergoing treatment with chemotherapy, Psycho-Oncology, 2022, 31(11), 1933-1940. doi: 10.1002/pon.6038
  • 27. Fadıloğlu, Ç, Ateş, M, Palyatif bakımda çok boyutlu hasta değerlendirmesi. İçinde: Yıldırım, Y, Fadıloğlu Ç (Ed.), Palyatif bakım semptom yönetimi ve yaşam sonu bakım, Ankara Nobel Tıp Kitapevleri, Ankara, 2017, s.51.
  • 28. Wei, L. L, Zhang, S. T, Liao, Y, Zhang, Y, Yu, Y, Mi, N, Factors influencing spiritual wellbeing among pancreatic ductal adenocarcinoma patients receiving chemotherapy, World Journal of Psychiatry, 2023, 13(9), 675-684. doi: 10.5498/wjp.v13.i9.675
  • 29. Quinto, R. M, De Vincenzo, F., Campitiello, L, Innamorati, M, Secinti, E, Iani, L, Meaning in life and the acceptance of cancer: A systematic review, International Journal of Environmental Research and Public Health, 2022, 19(9), 5547. doi: 10.3390/ijerph19095547
  • 30. Zhou, Y, Xu, W, Short report: The mediator effect of meaning in life in the relationship between self-acceptance and psychological wellbeing among gastrointestinal cancer patients, Psychology, Health & Medicine, 2019, 24(6), 725-731. doi: 10.1080/13548506.2018.1554252
  • 31. Li, Y, Zhang, M, Yang, C, Luo, Y, Influencing factors of meaning in life in patients with advanced lung cancer undergoing radiochemotherapy: A cross-sectional survey, Asia-Pacific Journal of Clinical Oncology, 2023, 19(3), 403-412. doi: 10.1111/ajco.13888
  • 32. Mostarac, I, Brajković, L, Life after facing cancer: Posttraumatic growth, meaning in life and life satisfaction, Journal of Clinical Psychology in Medical Settings, 2022, 29(1), 92-102. doi: 10.1007/s10880-021-09786-0
  • 33. Koh, S. J, Kang, K. A, Kim, H, Cheon, J, Im, H. S, Lee, J. H, et al., Perceptions of the meaning of life among Korean patients with advanced cancer: A mixed-methods study, Palliative & Supportive Care, 2023, 21(4), 658-669. doi: 10.1017/S1478951522000979
  • 34. Chin, S, Cavadino, A, Akroyd, A, Tennant, G, Dobson, R, Gautier, A, Reynolds, L, An investigation of virtual reality nature experiences in patients with metastatic breast cancer: Secondary analysis of a randomized controlled trial, Journal of Medical Internet Research Cancer, 2022, 8(3), e38300. doi: 10.2196/38300
  • 35. Mao, W, Chen, W, Wang, Y, Effect of virtual reality-based mindfulness training model on anxiety, depression, and cancer-related fatigue in ovarian cancer patients during chemotherapy, Technology and Health Care, 2024, 32(2), 1135-1148. doi: 10.3233/THC-230735

Ayaktan Kemoterapi Alan Kanser Hastalarında Sanal Gerçeklik Gözlüğü Kullanımının Spiritüel İyilik Hali ve Yaşam Tutumu Üzerine Etkisi

Yıl 2024, Cilt: 11 Sayı: 4, 606 - 614, 29.12.2024
https://doi.org/10.34087/cbusbed.1481509

Öz

Giriş ve Amaç: Kanser tedavisi, bireyler için oldukça zorlu ve stresli bir süreç olabilmektedir. Sanal gerçeklik teknolojisi, bireylerin bu zorlu tedavi sürecinde desteklenmelerine yardımcı bir araç olarak kullanılabilir. Bu çalışma, ayaktan kemoterapi alan kanser hastalarında sanal gerçeklik gözlüğü kullanımının spiritüel iyilik hali ve yaşam tutumu üzerine etkisini incelemek amacıyla yürütüldü.
Gereç ve Yöntemler: Ön test-son test kontrol gruplu yarı deneysel tasarımda yürütülen bu çalışma, Mayıs 2023-Ocak 2024 tarihleri arasında bir eğitim ve araştırma hastanesinin ayaktan kemoterapi ünitesinde gerçekleştirildi. Araştırma kapsamına kanser tanısı olan 42 (21 kontrol; 21 müdahale grubu) birey alındı. Verilerin toplanmasında Bireyi Tanıtıcı Bilgi Formu, Kronik Hastalık Tedavisi Fonksiyonel Değerlendirmesi-Spiritüel İyilik Hali Ölçeği ve Yaşam Tutum Profili Ölçeği kullanıldı. Müdahale grubunda bulunan hastalara ardışık üç kemoterapi kürü esnasında sanal gerçeklik gözlüğü kullanılarak, rahatlatıcı müzik fonu ve içeriğe sahip videolar izletildi.
Bulgular: Katılımcıların %30,9’u 32-50 yaş grubunda yer alırken, %50’si 51-69 yaş grubunda, %19,1’i ise 70 yaş ve üzeri yaş grubundaydı. Grup arası karşılaştırmalarda müdahale grubunda bulunan hastaların Kronik Hastalık Tedavisi Fonksiyonel Değerlendirmesi-Spiritüel İyilik Hali Ölçeği (p= 0,001; U= 87,00) ve Yaşam Tutum Profili Ölçeği (p< 0,001; U= 38,00) son test puanlarının kontrol grubunda bulunanlara göre anlamlı düzeyde yüksek olduğu saptandı.
Sonuç: Bu çalışmada, kemoterapi esnasında sanal gerçeklik gözlüğü kullanımının bireylerin spiritüel iyilik düzeylerinin artırılmasına ve olumlu bir yaşam tutumu geliştirmelerine yardımcı olduğu tespit edildi. Bu doğrultuda kemoterapi esnasında sanal gerçeklik gözlüğünden yararlanılması, kanser hastalarına tedavi sürecinde destek sağlanmasına ve hemşirelik uygulamalarının desteklenmesine yardımcı olabilir.

Anahtar kelimeler: Kanser, kemoterapi, maneviyat, sanal gerçeklik, tutum

Etik Beyan

Bu çalışma için etik kurul onayı Amasya Üniversitesi Girişimsel Olmayan Klinik Araştırmalar Etik Kurulu'ndan alınmıştır (Tarih: 06.04.2023 ve Sayı No: 2023/56).

Destekleyen Kurum

Bu araştırma, TÜBİTAK–2209-A Üniversite Öğrencileri Araştırma Projeleri Desteği Programı kapsamında desteklenmiştir (No: 1919B012217239).

Proje Numarası

1919B012217239

Teşekkür

Araştırmaya katılan tüm katılımcılara teşekkür ederiz.

Kaynakça

  • 1. Caldeira, S, Timmins, F, de Carvalho, E. C, Vieira, M, Spiritual well-being and spiritual distress in cancer patients undergoing chemotherapy: Utilizing the SWBQ as component of holistic nursing diagnosis, Journal of Religion and Health, 2017, 56(4), 1489-1502. doi: 10.1007/s10943-017-0390-4
  • 2. Ölmez, N, Karadağ, E, Ayaktan kemoterapi alan kanserli hastaların spiritüel iyilik hali ve psikolojik dayanıklılık düzeyi arasındaki ilişki, Sakarya Tıp Dergisi, 2022, 12(3), 390-402. doi:10.31832/smj.1075527
  • 3. Hong, Y. T, Yeh, Y. C, Sun, J. L, Symptom Distress, social support, spiritual well-being, and quality of life among women with gynecologic cancer, Hu Li Za Zhi, 2024, 71(1), 60-71. doi: 10.6224/JN.202402_71(1).08
  • 4. Smith, L, Webber, R, DeFrain, J, Spiritual well-being and its relationship to resilience in young people: A mixed methods case study, SAGE Open, 2013, 3(2), 1-16. doi:10.1177/2158244013485582
  • 5. Gonzalez, P, Castañeda, S. F, Dale, J, Medeiros, E. A, Buelna, C, Nuñez, A, et al., Spiritual well-being and depressive symptoms among cancer survivors, Supportive Care in Cancer, 2014, 22(9), 2393-2400. doi: 10.1007/s00520-014-2207-2
  • 6. Weathers, E, What is spirituality? In: Timmins, F, Caldeira, S (Eds.), Spirituality in healthcare: Perspectives for innovative practice, Springer Nature, Switzerland, 2019, p.2.
  • 7. Ioannou, A, Paikousis, L, Papastavrou, E, Avraamides, M. N, Astras, G, Charalambous, A, Effectiveness of virtual reality vs guided imagery on mood changes in cancer patients receiving chemotherapy treatment: A crossover trial, European Journal of Oncology Nursing, 2022, 61, 102188. doi: 10.1016/j.ejon.2022.102188
  • 8. Gautama, M. S. N, Huang, T. W, Haryani, H, A systematic review and meta-analysis of randomized controlled trials on the effectiveness of immersive virtual reality in cancer patients receiving chemotherapy, European Journal of Oncology Nursing, 2023, 67, 102424. doi: 10.1016/j.ejon.2023.102424
  • 9. Perna, L, Lund, S, White, N, Minton, O, The potential of personalized virtual reality in palliative care: A feasibility trial, The American Journal of Hospice & Palliative Care, 2021, 38(12), 1488-1494. doi: 10.1177/1049909121994299
  • 10. Fabi, A, Fotia, L, Giuseppini, F, Gaeta, A, Falcicchio, C, Giuliani, G, et al., The immersive experience of virtual reality during chemotherapy in patients with early breast and ovarian cancers: The patient's dream study, Frontiers in Oncology, 2022, 12, 960387. doi: 10.3389/fonc.2022.960387
  • 11. Geriş, A, Tunga, Y, Sanal gerçeklik ortamlarında bulunma hissi, Manisa Celal Bayar Üniversitesi Sosyal Bilimler Dergisi, 2020, 18(4), 261-282. doi: 10.18026/cbayarsos.818457
  • 12. Özdağ, S, İnkaya, B. V, Kanser hastalarının ağrı ve kaygı yönetiminde sanal gerçeklik teknolojisi kullanımı, Türkiye Sağlık Bilimleri ve Araştırmaları Dergisi, 2021, 4(2), 44-51. doi:10.51536/tusbad.901503
  • 13. Schneider, S. M, Prince-Paul, M, Allen, M. J, Silverman, P, Talaba, D, Virtual reality as a distraction intervention for women receiving chemotherapy, Oncology Nursing Forum, 2004, 31(1), 81-88. doi: 10.1188/04.ONF.81-88
  • 14. Indovina, P, Barone, D, Gallo, L, Chirico, A, De Pietro, G, Giordano, A, Virtual reality as a distraction intervention to relieve pain and distress during medical procedures: A comprehensive literature review, The Clinical Journal of Pain, 2018, 34(9), 858-877. doi: 10.1097/AJP.0000000000000599
  • 15. Chirico, A, Maiorano, P, Indovina, P, Milanese, C, Giordano, G. G, Alivernini, F, et al., Virtual reality and music therapy as distraction interventions to alleviate anxiety and improve mood states in breast cancer patients during chemotherapy, Journal of Cellular Physiology, 2020, 235(6), 5353-5362. doi: 10.1002/jcp.29422
  • 16. Birkhoff, S. D, Waddington, C, Williams, J, Verucci, L, Dominelli, M, Caplan, R, The effects of virtual reality on anxiety and self-efficacy among patients with cancer: A pilot study, Oncology Nursing Forum, 2021, 48(4), 431-439. doi: 10.1188/21.ONF.431-439
  • 17. Janssen, A, Fletcher, J, Keep, M, Ahmadpour, N, Rouf, A, Marthick, M, Booth, R, Experiences of patients undergoing chemotherapy with virtual reality: mixed methods feasibility study, Journal of Medical Internet Research Serious Games, 2022, 10(1), e29579. doi: 10.2196/29579
  • 18. Erdoğan, T. K, Koç, Z, Loneliness, death perception, and spiritual well-being in adult oncology patients, Cancer Nursing, 2021, 44(6), E503-E512. doi: 10.1097/NCC.0000000000000930
  • 19. Yu, Y, Liao, Y, Zhang, S, Wei, L, Mi, N, Li, W, Spiritual well-being and quality of life for patients undergoing chemotherapy for pancreatic cancer: Correlates and influencing factors, Alternative Therapies in Health and Medicine, 2023, 29(7), 404-411.
  • 20. Aktürk, Ü, Erci, B, Araz, M, Functional evaluation of treatment of chronic disease: Validity and reliability of the Turkish version of the Spiritual Well-Being Scale, Palliative & Supportive Care, 2017, 15(6), 684-692. doi:10.1017/S1478951517000013
  • 21. Erci, B, Meaning in life for patients with cancer: Validation of the Life Attitude Profile-Revised Scale, Journal of Advanced Nursing, 2008, 62(6), 704-711. doi: 10.1111/j.1365-2648.2008.04658.x
  • 22. Afrasiabifar, A, Mosavi, A, Jahromi, A. T, Hosseini, N, Randomized controlled trial study of the impact of a spiritual intervention on hope and spiritual well-being of persons with cancer, Investigación y Educación en Enfermería, 2021, 39(3), e08. doi: 10.17533/udea.iee.v39n3e08
  • 23. Lee, M. S, Tyson, D. M, Gonzalez, B. D, Small, B. J, Lechner, S. C, Antoni, M. H, et al., Anxiety and depression in Spanish-speaking Latina cancer patients prior to starting chemotherapy, Psycho-Oncology, 2018, 27(1), 333-338. doi: 10.1002/pon.4462
  • 24. Zare, A, Bahia, N. J, Eidy, F, Adib, N, Sedighe, F, The relationship between spiritual well-being, mental health, and quality of life in cancer patients receiving chemotherapy, Journal of Family Medicine and Primary Care, 2019, 8(5), 1701-1705. doi: 10.4103/jfmpc.jfmpc_131_19
  • 25. Miller, M, Kwekkeboom, K, Cherwin, C, The role of spirituality in symptom experiences among adults with cancer, Supportive Care in Cancer, 2022, 30(1), 49-57. doi: 10.1007/s00520-021-06399-z
  • 26. Barata, A, Hoogland, A. I, Small, B. J, Acevedo, K. I, Antoni, M. H, Gonzalez, B. D, et al., Spiritual well-being, distress and quality of life in Hispanic women diagnosed with cancer undergoing treatment with chemotherapy, Psycho-Oncology, 2022, 31(11), 1933-1940. doi: 10.1002/pon.6038
  • 27. Fadıloğlu, Ç, Ateş, M, Palyatif bakımda çok boyutlu hasta değerlendirmesi. İçinde: Yıldırım, Y, Fadıloğlu Ç (Ed.), Palyatif bakım semptom yönetimi ve yaşam sonu bakım, Ankara Nobel Tıp Kitapevleri, Ankara, 2017, s.51.
  • 28. Wei, L. L, Zhang, S. T, Liao, Y, Zhang, Y, Yu, Y, Mi, N, Factors influencing spiritual wellbeing among pancreatic ductal adenocarcinoma patients receiving chemotherapy, World Journal of Psychiatry, 2023, 13(9), 675-684. doi: 10.5498/wjp.v13.i9.675
  • 29. Quinto, R. M, De Vincenzo, F., Campitiello, L, Innamorati, M, Secinti, E, Iani, L, Meaning in life and the acceptance of cancer: A systematic review, International Journal of Environmental Research and Public Health, 2022, 19(9), 5547. doi: 10.3390/ijerph19095547
  • 30. Zhou, Y, Xu, W, Short report: The mediator effect of meaning in life in the relationship between self-acceptance and psychological wellbeing among gastrointestinal cancer patients, Psychology, Health & Medicine, 2019, 24(6), 725-731. doi: 10.1080/13548506.2018.1554252
  • 31. Li, Y, Zhang, M, Yang, C, Luo, Y, Influencing factors of meaning in life in patients with advanced lung cancer undergoing radiochemotherapy: A cross-sectional survey, Asia-Pacific Journal of Clinical Oncology, 2023, 19(3), 403-412. doi: 10.1111/ajco.13888
  • 32. Mostarac, I, Brajković, L, Life after facing cancer: Posttraumatic growth, meaning in life and life satisfaction, Journal of Clinical Psychology in Medical Settings, 2022, 29(1), 92-102. doi: 10.1007/s10880-021-09786-0
  • 33. Koh, S. J, Kang, K. A, Kim, H, Cheon, J, Im, H. S, Lee, J. H, et al., Perceptions of the meaning of life among Korean patients with advanced cancer: A mixed-methods study, Palliative & Supportive Care, 2023, 21(4), 658-669. doi: 10.1017/S1478951522000979
  • 34. Chin, S, Cavadino, A, Akroyd, A, Tennant, G, Dobson, R, Gautier, A, Reynolds, L, An investigation of virtual reality nature experiences in patients with metastatic breast cancer: Secondary analysis of a randomized controlled trial, Journal of Medical Internet Research Cancer, 2022, 8(3), e38300. doi: 10.2196/38300
  • 35. Mao, W, Chen, W, Wang, Y, Effect of virtual reality-based mindfulness training model on anxiety, depression, and cancer-related fatigue in ovarian cancer patients during chemotherapy, Technology and Health Care, 2024, 32(2), 1135-1148. doi: 10.3233/THC-230735
Toplam 35 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Sağlık Hizmetleri ve Sistemleri (Diğer)
Bölüm Araştırma Makalesi
Yazarlar

Busenur Çiftlik 0009-0005-5111-0191

Asli Kurtgöz 0000-0001-5903-9389

Proje Numarası 1919B012217239
Yayımlanma Tarihi 29 Aralık 2024
Gönderilme Tarihi 10 Mayıs 2024
Kabul Tarihi 22 Ağustos 2024
Yayımlandığı Sayı Yıl 2024 Cilt: 11 Sayı: 4

Kaynak Göster

APA Çiftlik, B., & Kurtgöz, A. (2024). Ayaktan Kemoterapi Alan Kanser Hastalarında Sanal Gerçeklik Gözlüğü Kullanımının Spiritüel İyilik Hali ve Yaşam Tutumu Üzerine Etkisi. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi, 11(4), 606-614. https://doi.org/10.34087/cbusbed.1481509
AMA Çiftlik B, Kurtgöz A. Ayaktan Kemoterapi Alan Kanser Hastalarında Sanal Gerçeklik Gözlüğü Kullanımının Spiritüel İyilik Hali ve Yaşam Tutumu Üzerine Etkisi. CBU-SBED. Aralık 2024;11(4):606-614. doi:10.34087/cbusbed.1481509
Chicago Çiftlik, Busenur, ve Asli Kurtgöz. “Ayaktan Kemoterapi Alan Kanser Hastalarında Sanal Gerçeklik Gözlüğü Kullanımının Spiritüel İyilik Hali Ve Yaşam Tutumu Üzerine Etkisi”. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi 11, sy. 4 (Aralık 2024): 606-14. https://doi.org/10.34087/cbusbed.1481509.
EndNote Çiftlik B, Kurtgöz A (01 Aralık 2024) Ayaktan Kemoterapi Alan Kanser Hastalarında Sanal Gerçeklik Gözlüğü Kullanımının Spiritüel İyilik Hali ve Yaşam Tutumu Üzerine Etkisi. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi 11 4 606–614.
IEEE B. Çiftlik ve A. Kurtgöz, “Ayaktan Kemoterapi Alan Kanser Hastalarında Sanal Gerçeklik Gözlüğü Kullanımının Spiritüel İyilik Hali ve Yaşam Tutumu Üzerine Etkisi”, CBU-SBED, c. 11, sy. 4, ss. 606–614, 2024, doi: 10.34087/cbusbed.1481509.
ISNAD Çiftlik, Busenur - Kurtgöz, Asli. “Ayaktan Kemoterapi Alan Kanser Hastalarında Sanal Gerçeklik Gözlüğü Kullanımının Spiritüel İyilik Hali Ve Yaşam Tutumu Üzerine Etkisi”. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi 11/4 (Aralık 2024), 606-614. https://doi.org/10.34087/cbusbed.1481509.
JAMA Çiftlik B, Kurtgöz A. Ayaktan Kemoterapi Alan Kanser Hastalarında Sanal Gerçeklik Gözlüğü Kullanımının Spiritüel İyilik Hali ve Yaşam Tutumu Üzerine Etkisi. CBU-SBED. 2024;11:606–614.
MLA Çiftlik, Busenur ve Asli Kurtgöz. “Ayaktan Kemoterapi Alan Kanser Hastalarında Sanal Gerçeklik Gözlüğü Kullanımının Spiritüel İyilik Hali Ve Yaşam Tutumu Üzerine Etkisi”. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi, c. 11, sy. 4, 2024, ss. 606-14, doi:10.34087/cbusbed.1481509.
Vancouver Çiftlik B, Kurtgöz A. Ayaktan Kemoterapi Alan Kanser Hastalarında Sanal Gerçeklik Gözlüğü Kullanımının Spiritüel İyilik Hali ve Yaşam Tutumu Üzerine Etkisi. CBU-SBED. 2024;11(4):606-14.