CERRAHİ İŞLEM UYGULANAN YAŞLI HASTALARDA KANSER BİLGİ YÜKÜ İLE KANSER TARAMALARINA YÖNELİK TUTUMLARI ARASINDAKİ İLİŞKİ: KESİTSEL BİR ÇALIŞMA

Öz

Bu çalışmada cerrahi işlem uygulanan yaşlı hastalarda kanser bilgi yükü ile kanser taramalarına yönelik tutumları arasındaki ilişkinin belirlemesi amaçlandı. Kesitsel tipteki çalışmaya toplam 123 geriatrik birey katıldı. Araştırmaya katılanların yaş ortalaması 70.63±5.81'dir. Bireylerin %17.1'inin kanser olduğu, %30.9'unun birinci derece akrabalarında kanser olduğu, %52'sinin daha önce kanser taraması yaptırdığı ve en sık yaptırılan taramaların kolonoskopi (%23.6), pap smear (%14.6) ve kendi kendine meme muayenesi (%8.1) olduğu belirlendi. İnternet/medyadan kanser hakkında bilgi edinenlerin kanser taraması tutum ölçeği toplam puan ortalamalarının anlamlı oranda düşük olduğu belirlendi (p=0.030). Kanser bilgi yüklemesi ile kanser tarama tutum ölçeği toplam puanları arasında orta düzeyde negatif yönde anlamlı bir ilişki olduğu belirlendi (r=-0.303, p=0.001). Geriatrik popülasyonda taramayı teşvik etmek ve gereksiz tarama risklerini önlemek için doğru bilgiye erişimi kolaylaştıracak düzenlemeler yapılmalıdır.

Anahtar Kelimeler

• tutum
• kanser
• geriatri
• sağlık
• Bilgi yönetimi

THE RELATIONSHIP BETWEEN CANCER INFORMATION OVERLOAD AND ATTITUDES FOR CANCER SCREENING IN GERIATRIC PATIENTS WHO HAVE HAD SURGICAL PROCEDURE: A CROSS-SECTIONAL STUDY

Öz

This study aimed to determine the relationship between cancer information overload and attitudes toward cancer screening in elderly patients who underwent surgery. A total of 123 geriatric individuals participated in the cross-sectional study. The mean age of the participants in the study was 70.63±5.81. It was determined that 17.1% of the individuals had cancer, 30.9% had cancer in their first degree relatives, 52% had cancer screening before, and the most common screenings were colonoscopy (23.6%), pap smear (14.6%), and breast self-examination (8.1%). It was determined that the total score averages of the attitude scale for cancer screening of those who obtained information about cancer from the internet/media were significantly lower (p=0.030). It was determined that there was a significant moderate negative correlation between cancer information overload and the total scores of the attitude scale for cancer screening (r=-0.303, p=0.001). To encourage screening in the geriatric population and to prevent the risks of unnecessary screening, arrangements should be made to facilitate access to accurate information.

Anahtar Kelimeler

• Attitude
• cancer
• geriatrics
• health
• information management

Kaynakça

1. World Health Organization (WHO). The Top 10 Causes of Death.e-book] NIH Publication; 9 December 2020. Available from: https://www.who.int/news-room/fact-sheets/detail/the-top-10-causes-of-death Accessed: 18.2.2022.
2. Carlson LE, Zelinski EL, Toivonen KI, et al. Prevalence of psychosocial distress in cancer patients across 55 North American cancer centers. Journal of Psychosocial Oncology. 2019; 37:5–21.
3. Turkish Statistical Institute (TUIK). Death and cause of death statistics, 2019. Publication: 24 June 2020, Turkey. Available From: https://data.tuik.gov.tr/Bulten/Index?p=Olum-ve-Olum-Nedeni-Istatistikleri-2019-33710 Accessed: 3.01.2022.
4. Cancer Facts & Figures. American Cancer Society website, 2018. Available from: https://www.cancer.org/content/dam/cancer-org/research/cancer-facts-and-statistics/annual-cancer-facts-and-figures/2018/cancerfacts-and-figures-2018.pdf. Accessed June 20 2021.
5. Estapé T, Carrion IV, Estapé J, Neelamegam M. Exploring the knowledge and attitudes about cancer of older adults in Barcelona, Spain. Journal of Psychosocial Oncology Research and Practice. 2020;2(1): e16.
6. Tuna S. Comorbidity and clinical assessment in geriatric patients with cancer. Turkish Journal of Oncology. 2007;22(4):192-196.
7. Öztürk ENY, Uyar M, Şahi̇n TK. Development of an attitude scale for cancer screening. Turkish Journal of Oncology. 2020;35(4):394-404.
8. Republic of Turkey Ministry of Health General Directorate of Public Health Cancer Department. Cancer Screenings. Available From: https://hsgm.saglik. gov.tr/tr/kanser-taramalari Accessed; Dec 12, 2021.

9. Tan A, Gibson L, Zafar H, et al. Associations Between Cancer-Related İnformation Seeking and Receiving PET imaging for Routine Cancer Surveillance-An Analysis of Longitudinal Survey Data. Cancer Epidemiology, Biomarkers & Prevention. 2014; 23:481-489.
10. Kim K, Lustria MLA, Burke D, Kwon N. Predictors of cancer information overload: findings from a national survey. Information Research. 2007; 12(4): 326-355.
11. Kelly B, Hornik R, Romantan A, et al. Cancer information scanning and seeking in the general population. Journal of Health Communication. 2010; 15(7): 734–753.
12. Jensen JD, Carcioppolo N, King AJ, et al. The cancer information overload (CIO) scale: establishing predictive and discriminant validity. Patient Education and Counseling. 2014; 94(1): 90–96.
13. Chae J, Lee CJ, Jensen JD. Correlates of Cancer İnformation Overload: Focusing on İndividual Ability and Motivation. Health Communication. 2016; 31(5): 626-634.
14. Cohen J. Statistical power analysis for the behavioral sciences (2nd ed.) Hillsdale, NJ: Erlbaum Associates, 1988.
15. Jensen JD, Liu M, Carcioppolo N, et al. Health information seeking and scanning among US adults aged 50–75 years: Testing a key postulate of the information overload model. Health Informatics Journal. 2017;23(2): 96-108.
16. Inci F, Başkale H, Ak P. Turkish adaptation and validity-reliability study of the Cancer Information Overload Scale. Çukurova Medical Journal. 2019; 44(1): 127-13.
17. Ural A, Kılıç İ. Bilimsel araştırma süreci ve SPSS ile veri analizi. Ankara: Detay Yayıncılık, 2013.
18. Lewis CL, Kistler CE, Amick HR, et al. Older adults' attitudes about continuing cancer screening later in life: a pilot study interviewing residents of two continuing care communities. BMC Geriatrics. 2006;6(1): 1-8.
19. Roy S, Moss JL, Rodriguez-Colon SM, et al. Examining older adults’ attitudes and perceptions of cancer screening and overscreening: a qualitative study. Journal of Primary Care & Community Health.2020; 11:2150132720959234.
20. Akin LK.Information overload: a multi-disciplinary explication and citation ranking within three selected disciplines: library studies, psychology/psychiatry, and consumer science: 1960-1996. Texas Woman’s University, Denton, Texas, USA, 1997.
21. Oztoprak FS, Emel E. Investigation of the relationship between cancer information overload and healthy lifestyle behaviors of female workers. Journal of Ege University Faculty of Nursing. 2021;37(2):141-156.
22. Niederdeppe J, Lee T, Robbins R, et al. Content and effects of news stories about uncertain cancer causes and preventive behaviors. Health Communication. 2014; 29(4): 332-346.
23. Jensen JD, Carcioppolo N, King AJ,et al. Including limitations in news coverage of cancer research: effects of news hedging on fatalism, medical skepticism, patient trust, and backlash. Journal of Health Communication. 2011;16: 486–503.
24. Hornik R, Parvanta S, Mello S, et al. Effects of Scanning-Routine Health İnformation Exposure-On Cancer Screening and Prevention Behaviors in the General Population. Journal of Health Communication. 2013; 18(12): 1422-1435.
25. Ertem U, İrdesel F, Göktaş N. Evaluatıon of health lıteracy level and related factors ın older adult patıents. Turkish Journal of Geriatrics. 2021; 24(4): 490-498.
26. Shariff-Marco S, Breen N, Stinchcomb DG, Klabunde CN. Multilevel predictors of colorectal cancer screening use in California. Am J Manag Care. 2013;19(3):205-206.
27. Hubbard RA, O’Meara ES, Henderson LM,et al. Multilevel factors associated with long-term adherence to screening mammography in older women in the US. Preventive Medicine. 2016;89:169-177.
28. Arora NK, Hesse BW, Rimer BK, et al. Frustrated and confused: the American public rates its cancer-related information-seeking experiences. Journal of General Internal Medicine. 2008; 23(3): 223–228.
29. Gadd N, Lee S, Obamiro K. Perception of Bowel Cancer Information Overload: A Cross-Sectional Study. Journal of Consumer Health on the Internet. 2022;26(3): 235-247.
30. Ramanadhan S, Viswanath K. Health and the information nonseeker: A profile. Health Commun 2006;20(2): 131–139.
31. Ebel MD, Stellamanns J, Keinki C, Rudolph I, Huebner J. Cancer patients and the Internet: a survey among German cancer patients. Journal of Cancer Education. 2017;32(3): 503– 508.
32. Lim HM, Wong SS, Yip KC, et al. Online health information-seeking behaviour of patients attending a primary care clinic in Malaysia: a cross-sectional study. Family Practice. 2022;39(1):38-45.
33. American Medical Association. Council of Scientific Affairs. Health Literacy: Report of the Council on Scientific Affairs. Journal of the American Medical Association. 1999; 281(6), 552-557.
34. Jensen JG, Petersen E, Frandsen TF. Avoiding Information during Serious Illness: Insights into the Information Behaviour of Cancer Patients. Proceedings of the Association for Information Science and Technology. 2021;58(1):466-471.
35. Jean B, Jindal G, Liao Y. Is ignorance really bliss? Exploring the interrelationships among information avoidance, health literacy and health justice. Proceedings of the Association for Information Science and Technology, 2017;54(1): 394–404
36. McCloud RF, Jung M, Gray SW, Viswanath K. Class, race and ethnicity and information avoidance among cancer survivors. British Journal of Cancer. 2013;108(10): 1949–1956.
37. Neter E, Brainin E, Baron-Epel O. Group differences in health literacy are ameliorated in ehealth literacy. Health Psychology and Behavioral Medicine, 2021; 9(1): 480-497.
38. Altun Y. Factors ınfluencing women's participation in cancer screening. Turkish Journal of Family Medicine and Primary Care.2020;14(2):210-215.
39. İlhan B, Bakkaloğlu OK.Fraılty and cancer screenıng rates in older adults.Journal of Istanbul Faculty of Medicine. 2019;82(1): 24-28.
40. Cetin NK, TaşGŞ, Cokpinar S, Yiğitbaşı E, Meteoğlu İ. Incıdence of prımary lung cancers, tumor types, and dıstrıbutıon of demographıc characterıstıcs ın gerıatrıc patıents: A 10-year retrospectıve analysıs of a sıngle center. Turkish Journal Of Geriatrics.2021; 24(4): 451-462.