Kanser Hastalarının Hemşirenin Varlığını Algılamaları ile Psikolojik Dayanıklılık Düzeyleri Arasındaki İlişkinin İncelenmesi

Yıl 2025, Cilt: 28 Sayı: 3, 267 - 274, 24.09.2025

Zahide Gül Yazgı Demir , Suzan Havlioğlu , Hanife Çelik , Mustafa Karaağaç

https://doi.org/10.17049/jnursology.1515680

Öz

Amaç: Literatürde kanser hastalarının hemşire varlığını nasıl algıladıkları ve bu algıların ruh sağlığı üzerindeki etkilerine ilişkin çalışmaların oldukça sınırlı olduğu görülmektedir. Bu araştırmada kanser hastalarının hemşirenin varlığını algılamaları ile psikolojik dayanıklılık düzeyleri arasındaki ilişkinin belirlenmesi amaçlanmıştır.

Yöntemler: Tanımlayıcı tipte olan bu araştırma, Malatya ilinde bulunan Turgut Özal Tıp Merkezi Onkoloji Hastanesi'nde yatan 153 kanser hastası ile gerçekleştirilmiştir. Veriler Tanımlayıcı Bilgi Formu, Hemşire Varlığı Ölçeği ve Yetişkinlere Yönelik Psikolojik Dayanıklılık Ölçeği kullanılarak toplanmıştır.

Bulgular: Araştırmaya katılan hastaların Hemşire Varlığı Ölçeği puan ortalaması 89,31±19,93, Psikolojik Dayanıklılık Ölçeği puan ortalaması ise 98,31±22,11'dir. Hemşire Varlığı Ölçeği ile Psikolojik Dayanıklılık Ölçeği puan ortalamaları arasında ilişki bulunmamıştır. Kanser hastalarının hemşirenin varlığını algılama düzeylerinin orta seviyenin üzerinde ve psikolojik dayanıklılık düzeylerinin orta seviyede olduğu belirlenmiştir.

Sonuç: Hemşirelerin varlığını sunmaya ilişkin farkındalıklarını arttırmaya ve varlığını sunmalarını sağlayan davranışları geliştirmeye yönelik eğitimlerin düzenlenmesi önerilmektedir. Ayrıca hastaların psikolojik dayanıklılık düzeylerinin düzenli aralıklarla değerlendirilmesi ve hastaların psikolojik dayanıklılık düzeyini etkileyebilecek bireysel, çevresel ve kültürel farklılıkları göz önünde bulundurulması, sunulacak bakımda olumlu sonuçların elde edilmesine ilişkin müdahalelerin planlanmasında etkili olabilir.

Anahtar Kelimeler

Hemşirenin algılanması , hemşirenin varlığı , psikolojik dayanıklılık , kanser hastaları

Investigation of the Relationship Between Cancer Patients' Perception of Nurse Presence and Psychological Resilience Levels

Öz

Objective: In the literature, studies on how cancer patients perceive nurse presence and the effects of these perceptions on mental health are quite limited. In this study, it was aimed to determine the relationship between cancer patients' perception of nurse presence and psychological resilience levels.

Methods: This descriptive study was conducted with 153 cancer patients hospitalised at the Turgut Özal Medical Centre Oncology Hospital in Malatya province. Data were collected using the Personal Information Form, Nurse Presence Scale and Adult Psychological Resilience Scale.

Results: The mean score of the patients participating in the study was 89.31±19.93 on the Nurse Presence Scale and 98.31±22.11 on the Psychological Resilience Scale. No relationship was found between the mean scores of the Nurse Presence Scale and the Psychological Resilience Scale. It was determined that the level of cancer patients' perception of the presence of the nurse was above the medium level and their psychological resilience level was at the medium level.

Conclusion: It is recommended to organize trainings to increase the awareness of nurses about offering their presence and to develop behaviors that enable them to offer their presence. In addition, evaluating the psychological resilience levels of patients at regular intervals and considering individual, environmental and cultural differences that may affect the psychological resilience level of patients may be effective in planning interventions to achieve positive results in the care to be provided.

Anahtar Kelimeler

Perception of nurse , nurse presence , psychological resilience , cancer patients

Kaynakça

• 1. Weis J. Psychosocial care for cancer patients. Breast Care. 2015;10(2):84-86. https://doi.org/10.1159%2F000381969
• 2. Global Cancer Observatory: World Health Organization International Agency for Research on Cancer 2022. Accessed April 18, 2025. https://gco.iarc.who.int/media/globocan/factsheets/populations/900-world-fact-sheet.pdf
• 3. Wang Y, Feng W. Cancer-related psychosocial challenges. Gen Psychiatr. 2022;35(5):1-6. https://doi.org/10.1136%2Fgpsych-2022-100871
• 4. Grassi L. Psychiatric and psychosocial implications in cancer care: The agenda of psycho-oncology. Epidemiol Psychiatr Sci. 2020;29:1-3. https://doi.org/10.1017/S2045796019000829
• 5. Legg MJ. What is psychosocial care and how can nurses better provide it to adult oncology patients. Aust J Adv Nurs. 2011;28(3):61-67. https://www.ajan.com.au/archive/Vol28/28-3_Legg.pdf
• 6. Boeck PR. Presence: A concept analysis. SAGE Open. 2014;4(1):1-6. https://doi.org/10.1177/2158244014527990
• 7. Engqvist I, Ferszt G, Nilsson K. Swedish registered psychiatric nurses' descriptions of presence when caring for women with post‐partum psychosis: An interview study. Int J Ment Health Nurs. 2010;19(5):313-321. https://doi.org/10.1111/j.1447-0349.2010.00691.x
• 8. du Plessis E. Presence: a step closer to spiritual care in nursing. Holist Nurs Pract. 2016;30(1):47-53. https://doi.org/10.1097/HNP.0000000000000124
• 9. Mohammadipour F, Atashzadeh‐Shoorideh F, Parvizy S, Hosseini M. An explanatory study on the concept of nursing presence from the perspective of patients admitted to hospitals. J Clin Nurs. 2017;26(23-24):4313-4324. https://doi.org/10.1111/jocn.13758
• 10. Bozdogan Yesilot S, Oz F. Cancer patients’ perceptions of nursing presence. J Psychiatr Nurs. 2017;8(3):150-156. https://doi.org/10.14744/phd.2017.92005
• 11. Uzar Ozcetin YS, Hicdurmaz D. Posttraumatic growth and resilience in cancer experience. Current Approaches in Psychiatry. 2017;9(4),388-397. https://doi.org/10.18863/pgy.290285
• 12. Tamura S, Suzuki K, Ito Y, Fukawa A. Factors related to the resilience and mental health of adult cancer patients: a systematic review. Support Care Cancer. 2021;29:3471-3486. https://doi.org/10.1007/s00520-020-05943-7
• 13. Ristevska-Dimitrovska G, Stefanovski P, Smichkoska S, Raleva M, Dejanova B. Depression and resilience in breast cancer patients. Open Access Maced J Med Sci. 2015;3(4):661-665. https://doi.org/10.3889%2Foamjms.2015.119
• 14. Liesto S, Sipilä R, Aho T, Harno H, Hietanen M, Kalso E. Psychological resilience associates with pain experience in women treated for breast cancer. Scand J Pain. 2020;20(3):545-553. https://doi.org/10.1515/sjpain-2019-0137
• 15. Ha BY, Jung EJ, Choi SY. Effects of resilience, post-traumatic stress disorder on the quality of life in patients with breast cancer. Korean J Women Health Nurs. 2014;20(1):83-91. https://doi.org/10.4069/kjwhn.2014.20.1.83
• 16. Somasundaram RO, Devamani KA. A comparative study on resilience, perceived social support and hopelessness among cancer patients treated with curative and palliative care. Indian J Palliat Care. 2016;22(2):135-140. https://doi.org/10.4103%2F0973-1075.179606
• 17. Kostovich CT. Development and psychometric assessment of the presence of nursing scale. Nurs Sci Q. 2012;25(2):167-175. https://doi.org/10.1177/0894318412437945
• 18. Yesilot SB, Oz F. Validity and reliability of the presence of nursing scale in patients with cancer in the Turkish language. Int J Caring Sci. 2016;9(2):443-451. https://www.internationaljournalofcaringsciences.org/docs/8_Bozdogan_originial_9_2.pdf
• 19. Friborg O, Hjemdal O, Rosenvinge J, Martinussen M. A new rating scale for adult resilience: what are the central protective resources behind healthy adjustment? Int J Methods Psychiatr Res. 2003;12(2):65-77. https://doi.org/10.1002/mpr.143
• 20. Basim HN, Cetin F. A reliability and validity study of the Resilience Scale for Adults. Turk Psikiyatri Derg. 2011;22(2):104-114. https://www.turkpsikiyatri.com/PDF/C22S2/en/104-114en.pdf
• 21. Coskun O. Perception of Nurse Presence and Nursing Care Satisfaction in Cancer Patients Receiving Chemotherapy. Master’s Thesis. University of İnönü; 2021.
• 22. Mahdavi M, Ghafourifard M, Rahmani A. Nursing presence from the perspective of cancer patients: A cross-sectional study. Nurs Pract Today. 2021;8(2):139-145. https://doi.org/10.18502/npt.v8i2.5125
• 23. Hansbrough WB, Georges JM. Validation of the presence of nursing scale using data triangulation. Nurs Res. 2019;68(6):439-444. https://doi.org/10.1097/NNR.0000000000000381
• 24. Atashzadeh‐Shoorideh F, Monjazabi F, Fathollahzadeh E, Parastoo O. The obstacles to nurses being present with patients. Nurs Open. 2021;8(3):1115-1124. https://doi.org/10.1002%2Fnop2.723
• 25. Guner P, Hicdurmaz D, Yıldırım NK, İnci F. Psychosocial care from the perspective of nurses working in oncology: A qualitative study. Eur J Oncol Nurs. 2018;34:68-75. https://doi.org/10.1016/j.ejon.2018.03.005
• 26. Fallahnezhad T, Aghaie B, Norouzadeh R, Ebadi A, Abbasinia M. The Challenges of Nursing Presence at the Patient’s Bedside from the Perspective of Nurses: A Qualitative Study. Ethiop J Health Sci. 2023;33(2):281-290. https://doi.org/10.4314%2Fejhs.v33i2.13
• 27. Olmez N, Karadag E. Relationship between spiritual well-being and psychological endurance level in cancer patients receiving outpatient chemotherapy. Sakarya Tıp Dergisi. 2022;12(3):390-402. https://doi.org/10.31832/smj.1075527
• 28. Boyacioğlu NE, Temel M, Caynak S. Post-traumatic growth in cancer patients: A correlational study in Turkey. J Relig Health. 2022;61(6):4366-4381. https://doi.org/10.1007/s10943-022-01574-w
• 29. Huz HH. Presence of Nurse, Patient-Nurse Trust Relationship and Perception of Institution Image in Cancer Patients. Master’s Thesis. University of Hacettepe; 2019.
• 30. Eren B. Psychological Resilience in Hematology Patients and Affecting Factors. Master’s Thesis. University of Istanbul Cerrahpasa Graduate Education Institute; 2019.