The Relationship between Fatalism and Hope Level in Surgical Cancer Patients: A Cross-Sectional Study

Yıl 2024, , 243 - 248, 28.10.2024

Şenay Karadağ Arlı , Özge İşeri , Belgin Şen Atasayar

https://doi.org/10.31125/hunhemsire.1395424

Öz

Aim: This study was conducted to determine the relationship between fatalism and level of hope in surgical cancer patients.
Material and Methods: This descriptive study was conducted with the participation of 314 patients from the surgical clinics and oncology department of the Ondokuz Mayıs University Health Practice and Research Hospital between October 2021 and March 2023 in Turkey. All patients aged 18 and over who did not have communication problems, had cancer surgery, spread or radiation therapy, and did not agree to participate in the study were included in the study. Personal Information Form, Fatalism Tendency Scale, and Dispositional Hope Scale were used to collect data.
Results: The mean age of participants was 59.45±10.16 (min-max:27-80). The mean Fatalism Tendency total score of patients was 82.8 ± 12.2, and the mean Dispositional Hope total score was 52.3 ± 7.2. It was determined that there was a significant difference between the Fatalism Tendency total score average, and the marital status, education level, place of residence, person living with, and seeing spirituality as important (p<0.05). It was determined that there was a statistically significant positive correlation between fatalism tendency and continuous hope levels in oncology patients (r: 0.124, p<0.05).
Conclusion: Understanding the significance of surgical cancer patients' hope levels and fatalistic tendencies during surgical treatment and care can provide support to patients for treatment decisions, psychosocial assistance, experienced quality of life, and care planning.

Anahtar Kelimeler

Cancer patients, fatalism, hope, nurse, surgery

Cerrahi Kanser Hastalarında Kadercilik ile Umut Düzeyi Arasındaki İlişki: Kesitsel Bir Çalışma

Öz

Amaç: Bu çalışma cerrahi kanser hastalarında kadercilik ile umut düzeyi arasındaki ilişkiyi belirlemek amacıyla yapılmıştır.
Gereç ve Yöntem: Bu tanımlayıcı çalışma, Ekim 2021 ile Mart 2023 tarihleri arasında Onddokuz Mayıs Üniversitesi Sağlık Uygulama ve Araştırma Hastanesi'nin cerrahi klinikleri ve onkoloji bölümündeki 314 hastanın katılımıyla Türkiye’de gerçekleştirildi. Araştırmaya, iletişim sorunu olmayan, kanser ameliyatı geçirmiş, yayılan veya radyasyon tedavisi gören ve çalışmaya katılmayı kabul etmeyen 18 yaş ve üzeri tüm hastalar dahil edilmiştir. Verilerin toplanmasında Kişisel Bilgi Formu, Kadercilik Eğilim Ölçeği ve Sürekli Umut Ölçeği kullanılmıştır.
Bulgular: Katılımcıların yaş ortalaması 59.45±10.16 (min-maks:27-80) olarak belirlendi. Hastaların Kadercilik Eğilimi toplam puanı ortalaması 82.8 ± 12.2 ve Sürekli Umut toplam puanı ortalaması ise 52.3 ± 7.2 bulundu. Kadercilik Eğilimi toplam puan ortalamaları ile medeni durum, eğitim düzeyi, yaşadığı yer, kiminle yaşadığı ve maneviyata önem vermesi arasında istatistiksel olarak anlamlı farklılık olduğu bulundu (p<0.05). Onkoloji hastalarında kadercilik eğilimi ile sürekli umut düzeyleri arasında istatistiksel olarak anlamlı ve pozitif yönlü bir ilişki olduğu belirlendi (r: 0.124, p<0.05).
Sonuç: Cerrahi kanser hastalarının cerrahi tedavi ve bakım sırasındaki umut düzeylerinin ve kaderci eğilimlerinin öneminin anlaşılması, hastalara tedavi kararları, psikososyal yardım, deneyimlenen yaşam kalitesi ve bakım planlaması konularında destek sağlayabilir.

Anahtar Kelimeler

umut., Cerrahi, hemşire, kadercilik, kanser hastaları

Etik Beyan

Etik onay, 19 Mayıs Üniversitesi Bilimsel Araştırmalar Etik Kurulu’ndan (Tarih: 28/05/2021, Sayı: 2021/462) alınmıştır.

Destekleyen Kurum

yok

Teşekkür

Çalışmamıza katılan tüm hastalara teşekkür ederiz.

Kaynakça

• 1. Sung H, Ferlay J, Siegel RL, Laversanne M, Soerjomataram I, Jemal A, et al. Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2021;71(3):209-49.
• 2. Ferlay J, Colombet M, Soerjomataram I, Parkin DM, Piñeros M, Znaor A, et al. Cancer statistics for the year 2020: An overview. Int J Cancer. 2021;149(4):778-89.
• 3. Bartlett DL, Howe JR, Chang G, Crago A, Hogg M, Karakousis G, et al. Management of cancer surgery cases during the COVID-19 pandemic: Considerations. Ann Surg Oncol. 2020;27:1717-20.
• 4. Shen A, Qiang W, Wang Y, Chen Y. Quality of life among breast cancer survivors with triple negative breast cancer role of hope, self-efficacy and social support. Eur J Oncol Nurs. 2020;46:101771.
• 5. Feldman DB, Corn BW. Hope and Cancer. Current Opinion in Psychology. 2022:101506.
• 6. Nierop-van Baalen C, Grypdonck M, Van Hecke A, Verhaeghe S. Associated factors of hope in cancer patients during treatment: A systematic literature review. J Adv Nurs. 2020;76(7):1520-37.
• 7. Kim HK, Lwin MO. Cultural determinants of cancer fatalism and cancer prevention behaviors among Asians in Singapore. Health Communication. 2021;36(8):940-9.
• 8. Kartal B, Şahin D, Güner Ö. The effect of fatalism perception of pregnant women on taking precautions against the risk of virus transmission in the Covid-19 pandemic in Turkey. Health Care Women In. 2023;1-17.
• 9. Bobov G, Capik C. The reliability and validity of the religious health fatalism scale in Turkish language. J Relig Health. 2020;59(2):1080-95.
• 10. Turan GB, Çiftçi B. Examination of Health Fatalism And Health Literacy In Patients With Heart Failure. EJM. 2023;28(2):211-8. 11. Yıldırım MS, Yıldız M, Okyar G. Family planning attitudes, religious orientation and fatalistic tendency levels: A descriptive-correlational study in Turkey. J Relig Health. 2021;60(6):4115-31.
• 12. Bachem R, Tsur N, Levin Y, Abu-Raiya H, Maercker A. Negative affect, fatalism, and perceived institutional betrayal in times of the coronavirus pandemic: A cross-cultural investigation of control beliefs. Front Psychiatry. 2020;11:589914.
• 13. Bogolyubova O, Fernandez AS-M, Lopez BT, Portelli P. Traumatic impact of the COVID-19 pandemic in an international sample: Contribution of fatalism to psychological distress and behavior change. Eur J Trauma Dissociation. 2021;5(2):100219.
• 14. Orhan K. Validity and reliability study of fatality tendency scale. INCISS. 2017;2(2):83-102.
• 15. Keller KG, Toriola AT, Schneider JK. The relationship between cancer fatalism and education. Cancer Causes Control. 2021;32:109-18.
• 16. Guo XM, Tom L, Leung I, O’Brian C, Zumpf K, Simon M. Associations between fatalistic cancer beliefs and cancer-screening behaviors in Chinese American immigrant women. J Immigr Minor Health. 2021;23:699-706.
• 17. Lee P, Edmund WJ, Shi P, Jingyuan. Examining the roles of fatalism, stigma, and risk perception on cancer information seeking and avoidance among Chinese adults in Hong Kong. J Psychosoc Oncol. 2022;40(4):425-40.
• 18. Salisu WJ, Mirlashari J, Seylani K, Varaei S, Thorne S. Fatalism, distrust, and breast cancer treatment refusal in Ghana. Can Oncol Nurs J. 2022;32(2):198.
• 19. Peng W, Carcioppolo N, Occa A, Ali K, Yang Q, Yang F. Feel worried, overloaded, or fatalistic? The determinants of cancer uncertainty management preferences. Health Commun. 2021;36(3):347-60. 20. Frank J. The role of hope in psychotherapy. Int J Psychiatry. 1968;5(5):383-95.
• 21. Atlas M, Hart TL. Appraisals of cancer, religious/spiritual coping, and hope in patients with colorectal cancer. J Psychosoc Oncol. 2023;41(3):337-54.
• 22. Bovero A, Opezzo M, Botto R, Gottardo F, Torta R. Hope in end-of-life cancer patients: A cross-sectional analysis. Palliat Support Care. 2021;19(5):563-9.
• 23. Sabanciogullari S, Yilmaz FT. The effect of religious coping on hope level of cancer patients receiving chemotherapy. J Relig Health. 2021;60(4):2756-69.
• 24. Erol HC. The Relationship of Perceived Stress With Hope in Patients Taking Chemotherapy (Turkey); 2009.
• 25. Kaya A, Bozkur B. Development of fatalism Tendency Scale: Validity and Reliability Study. MEÜ. 2015;11(3):935-46.
• 26. Alim K, Bozkur B. Investigating the Relationship Between Tendency of Fatalism, Self-Efficacy and Defense Styles. Ege Eğitim Dergisi. 2017;18(1):124-45.
• 27. Snyder CR, Harris C, Anderson JR, Holleran SA, Irving LM, Sigmon ST, et al. The will and the ways: development and validation of an individual-differences measure of hope. J Pers Soc Psychol. 1991;60(4):570.
• 28. Tarhan S, Bacanlı H. Adaptation of Dispositional Hope Scale into Turkish: Validity and reliability study. JHWB. 2015;3(1):1-14.
• 29. Joshanloo M. The relationship between fatalistic beliefs and well-being depends on personal and national religiosity: A study in 34 countries. Heliyon. 2022;8(6):e09814.
• 30. Ngueutsa R, Tchagneno CL, Wassouo E, Kouabenan DR. Fatalistic Beliefs, Cultural Beliefs and Socio-Instrumental Control Beliefs: What are the Links? Can We Speak of an Active Fatalism? Psychological Reports. 2023:00332941231153799.
• 31. Naigino R, Wagner GJ, Mukasa B, Musoke W, Sileo KM, Bogart LM, et al. HIV fatalism and engagement in transactional sex among Ugandan fisherfolk living with HIV. SAHARA J. 2019;16(1):1-9.
• 32. Layne TM, Agarwal P, Rapkin BD, Jandorf LH, Bickell NA. Cancer beliefs and screening behaviors: The impact of neighborhood and other social determinants of health. Front Oncol. 2023;13:1072259.
• 33. Selvi A, Kaya H. The Relationship Between Learning Needs and Fatalism Tendency in Women Who Have a Relative with Breast Cancer. J Relig Health. 2022:1-18.
• 34. Corn BW, Feldman DB, Wexler I. The science of hope. The Lancet Oncol. 2020;21(9):e452-e9.
• 35. Chan K, Wong FK, Lee PH. A brief hope intervention to increase hope level and improve well-being in rehabilitating cancer patients: a feasibility test. SAGE Open Nurs. 2019;5:2377960819844381.
• 36. Shah M, Ferguson A, Corn PD, Varadhan R, Ariely D, Stearns V, et al. Developing workshops to enhance hope among patients with metastatic breast cancer and oncologists: a pilot study. JCO Oncol Pract. 2021;17(6):e785-e93.
• 37. Corn BW, Feldman DB. It's hard to extinguish hope. Cancer.2022; 128(6): 1168-70.
• 38. Todorov N, Sherman KA, Kilby CJ, Australia BCN. Self compassion and hope in the context of body image disturbance and distress in breast cancer survivors. Psycho-oncology. 2019;28(10):2025-32.
• 39. Baczewska B, Block B, Kropornicka B, Niedzielski A, Malm M, Łukasiewicz J, et al. Hope of recovery in patients in the terminal phase of cancer under palliative and hospice care in Poland. Biomed Res Int. 2020;7:7529718.