Fear of Cancer and Influencing Factors in Women with Abnormal Uterine Bleeding

Öz

Background: Abnormal uterine bleeding (AUB) is a common symptom observed in both reproductive and menopausal phases. It can adversely affect women physically, socially, economically, and psychologically. Objective: The aim of this study was to determine cancer fear and affecting factors in women with AUB. Method: This descriptive study was conducted in gynecology centre of a training and research hospital. The study included 102 women with AUB. Data were collected by using “Participant Description Questionnaire” and “Cancer Worry Scale (CWS)”. The data were analyzed with SPSS 22.00. Mann Whitney-U test, Kruskal-Wallis test and Spearman correlation test were used to evaluate the data. Results: In this study, the mean age of women was 49.5±11.5 and 47.1% were in menopause. It was determined that 30 %of women had menorrhea and 70.6 % did not know the cause of bleeding. Women's AUB has an average of 24.0±32.1 days and an average of 4.1±2.5 pad bleeding per day. Women's CWS total score average was 17.6±4.2. A statistically significant difference was found between the conditions of knowing the cause of the AUB (p <0.001) and using contraceptive methods (p <0.05) and the total score of CWS. Conclusion: In this study, it was determined that the cancer fear of the women was moderate. It was observed that cancer fear was more common in women who did not know the cause of AUB and used contraceptive methods. Identifying cancer fear and affecting factors in women with AUB is very important in terms of providing these women with support and planning education and counseling services for cancer fear.

Anahtar Kelimeler

• Abnormal uterine bleeding
• cancer
• cancer fear

Anormal Uterin Kanamalı Kadınlarda Kanser Korkusu ve Etkileyen Faktörler

Öz

Giriş: Anormal uterin kanama (AUK), hem üreme çağında hem de menopozal dönemde görülen yaygın bir semptomdur. Kadınları fiziksel, sosyal, ekonomik ve psikolojik açıdan olumsuz olarak etkileyebilmektedir. Amaç: Bu araştırma ile AUK’u olan kadınların kanser korkusu ve bu durumu etkileyen faktörlerin belirlenmesi amaçlanmıştır. Yöntem: Tanımlayıcı tipteki bu çalışma, bir eğitim araştırma hastanesinin kadın hastalıkları kliniğinde yürütülmüştür. Araştırma AUK’u olan 102 kadın ile yürütülmüştür. Verilerin toplanmasında “Katılımcı Tanılama Formu” ve “Kanser Kaygı Ölçeği” kullanılmıştır. Araştırma verileri SPSS 22.0 ile işlenmiş ve analiz edilmiştir. Verilerin değerlendirilmesinde Mann Whitney-U testi, Kruskal-Wallis testi ve Spearman korelasyon testi kullanılmıştır. Bulgular: Araştırma kapsamındaki kadınların yaş ortalaması 49.5±11.5 olup, % 47.1’i menopozdadır. Kadınların %30’unun ağır menstrual kanamasının olduğu ve %70.6’sının kanama nedenini bilmediği belirlenmiştir. Kadınların ortalama 24.0±32.1 gündür AUK’unun sürdüğü ve günde ortalama 4.1±2.5 ped kullandıkları saptanmıştır. Kadınların Kanser Kaygı Ölçeği toplam puan ortalaması 17.6±4.2’dir. Kadınların AUK nedenini bilme (p<0.001) ve kontraseptif yöntem kullanma (p<0.05) durumları ile Kanser Kaygı Ölçeği toplam puanı arasında istatistiksel olarak anlamlı bir fark bulunmuştur. Sonuç: Araştırma kapsamındaki kadınların kanser korkusunun orta düzeyde olduğu söylenebilir. AUK nedenini bilmeyen ve kontraseptif yöntem kullanan kadınlarda kanser korkusunun daha fazla olduğu bulunmuştur. AUK’u olan kadınlarda kanser korkusu ve etkileyen faktörlerin belirlenmesi, bu kadınlara kanser korkusuna yönelik destek sağlanması, eğitim ve danışmanlık hizmetlerinin planlanması açısından oldukça önemlidir.

Anahtar Kelimeler

• Anormal uterin kanama
• kanser
• kanser korkusu

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