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Kanser Hastalarının COVID-19 Bilgi ve Davranışları ile Korku Düzeyleri Arasındaki İlişki

Yıl 2023, Cilt: 32 Sayı: 6, 422 - 432, 29.04.2024
https://doi.org/10.17942/sted.1122366

Öz

Amaç: Bu çalışmada, kanser hastalarının COVID-19 bilgi ve davranışları ile korku düzeyleri arasındaki ilişki incelenmiştir.
Yöntem: Tanımlayıcı nitelikte olan çalışma Haziran 2021-Mart 2022 tarihleri arasında Dokuz Eylül Üniversitesi Hastanesi’nde tedavi gören 150 kanser hastası ile yürütülmüştür. Hastaların bilgi ve davranış düzeylerini ölçmek için araştırmacılar tarafından hazırlanmış olan “COVID-19 Bilgi Düzeyi Anketi (CBDA)” ve “COVID-19 Davranış Düzeyi Anketi (CDDA)” kullanılmıştır. Korku düzeylerini ölçmek için “Koronavirüs Korkusu Ölçeği (KKÖ)” kullanılmıştır.
Bulgular: Çalışmanın sonucunda, eğitim durumu lisans ve üstü olan ve çalışmakta olan hastaların CBDA toplam puan ortalamaları istatistiksel olarak anlamlı düzeyde yüksek bulunmuştur (p=0,005). CBDA ve CDDA toplam puan ortalamaları arasındaki korelasyona bakıldığında bilgi düzeyi arttıkça davranış düzeylerinin arttığı görülmüştür (r=0,41, p<0,001). KKÖ toplam puan ortalamaları eğitim durumu ilköğretim ve altı olan hastalarda (p=0,003) ve COVID-19 geçirenlerde (p=0,037) istatistiksel olarak anlamlı düzeyde yüksek bulunmuştur.
Sonuç: Kanser hastalarına pandemi süreçlerinde; sürece ilişkin bilgi düzeylerinin belirlenmesi ve onkoloji hemşireleri ve sağlık profesyonelleri tarafından yeterli bilginin sağlanması çok önemlidir. Aynı zamanda hastaların korku düzeylerinin değerlendirilmesinde yapılabilecek girişimlerin planlanması bakımından önem taşımaktadır.

Kaynakça

  • Jafari A, Rezaei-Tavirani M, Karami S, Yazdani M, Zali H, Jafari Z. cancer care management during the COVID-19 pandemic. Risk Manag Health Policy. 2020;13:1711-21.
  • Ciceri F, Castagna A, Rovere-Querini P, De Cobelli F, Ruggeri A et al. Early predictors of clinical outcomes of COVID-19 outbreak in Milan, Italy. Clinical Immunology, 2020;217:108-509.
  • WHO Coronovirus (COVID-19) Dashboard. Word Health Organization. Available at: https://covid19.who.int. Accessed July 24,2023
  • Word Health Organization. Weekly epidemiological update on COVID-19.. Available at: https://www.who.int/publications/m/item/weekly-epidemiological-update-on-covid-19---20-july-2023. Accessed Julyy 20,2023
  • Tunçdemir M, Karataş M. Covid-19 ve kanser. Tıp Fakültesi Klinikleri Dergisi, 2021;4(1):1-14
  • Yang, F, Shi, S, Zhu, J, Shi, J, Dai, K, & Chen, X. Analysis of 92 deceased patients with COVID‐19. Journal Of Medical Virology, 2020;92(11):2511-5.
  • Lee, KA, Ma W, Sikav DR, Drew DA, Nguyen LH, Bowyer RC et al. Cancer and Risk of COVID‐19 Through a general community Survey. The Oncologist, 2021;26(1):182-5.
  • Grivas P, Khaki AR, Wise-Draper TM, French B, Hennessy C, Hsu CY et al. Association of clinical factors and recent anticancer therapy with COVID-19 severity among patients with cancer: a report from the COVID-19 and Cancer Consortium. Annals of Oncology, 2021;32(6),:787-800.
  • Wise J. Covid-19: Cancer mortality could rise at least 20% because of pandemic, studyfinds. BMJ,2020:1735. 
  • Shinghal A, Paul S, Chopra S, Gurram L, Scaria L, Kohle S et al. Effect of COVID-19 pandemic on gynecological cancer radiation during complete nationwide lockdown: Observations and reflections from tertiary care institute in India. Advances in Radiation Oncology, 2021;6(6):100725.
  • Pakpour AH, Grıffıths MD. The fear of COVID-19 and its role in preventive behaviors. Journal of Concurrent Disorders 2020;2(1):58-63.
  • Noreen K, Rubab ZE, Umar M, Rehman R, Baig M, Baig, F. Knowledge, attitudes, and practices against the growing threat of COVID-19 among medical students of Pakistan. PLoS One, 2020;15(12):0243696.
  • Schimmenti A, Billieux J, Starcevic V. The four horsemen of fear: An integrated model of understanding fear experiences during the COVID-19 pandemic. Clinical Neuropsychiatry, 2020;17(2):41-5.
  • Ahorsu DK, Lin CY, Imani V. et al. The Fear of COVID-19 Scale: Development and initial validation. Int J Ment Health, 2022;20:1537-45
  • Noreen K, Rubab ZE, Umar M, Rehman R, Baig M, Baig F. Knowledge, attitudes, and practices against the growing threat of COVID-19 among medical students of Pakistan. PloS one, 2020;15(12):0243696.
  • Bakioğlu F, Korkmaz O, Ercan H, Fear of COVID-19 and positivity: Mediating role of intolerance of uncertainty, depression, anxiety and stress. International Journal of Mental Healty and Addiction. 2021;19:2369-82
  • Lee KA, Ma W, Sikavi DR, Drew DA, Nguyen LH, Bowyer RC. Cancer and risk of COVID-19 through a general community survey. The Oncologist, 2021;26(1):182-5.
  • Kuderer NM, Choueiri TK, Shah DP, Shyr Y, Rubinstein SM, Rivera DR, Loaiza-Bonilla A. Clinical impact of COVID-19 on patients with cancer (CCC19): A cohort study. The Lancet, 2020;395(10241):1907-18.
  • Güven DC, Şahin TK, Aktepe OH, Yıldırım HC, Aksoy S, Kılıçap S. Perspectives, knowledge, and fears of cancer patients about COVID-19. Front Oncol. 2020;10:1553.
  • Erşen O, Gojayev A, Mercan Ü, Ünal AE. Pandemi sürecinde kanser hastalarının covid-19’a ilişkin bilgi, farkındalık, korku düzeyi ve sağlık hizmetlerine erişiminin değerlendirilmesi. Türkiye Klinikleri. Tip Bilimleri Dergisi, 2020;40(4):399-405.
  • Gurvich C, Thomas N, Thomas EH, Hudaib AR, Sood L, Fabiatos K., Kulkarni, J. Coping styles and mental health in response to societal changes during the COVID-19 pandemic. International Journal of Social Psychiatry, 2021;67(5):540-9.
  • Liu N, Zhang F, Wei C, Jia Y, Shang Z, Sun L, Liu W. Prevalence and predictors of PTSS during COVID-19 outbreak in China hardest-hit areas: Gender differences matter. Psychiatry Research, 2020;287:112921.
  • Kahraman-Erkuş Ö, Arslan Çolak S. Koronavirüs kaygısının beklenmeyen yönleri: kanser hastalarının Covid-19 kaygılarını etkileyen faktörlerin incelenmesi. Psikiyatride Güncel Yaklaşımlar. 2021;13:200-215.
  • Erdoğan AP, Ekinci F, Acar Ö, Göksel G. Level of COVID-19 fear in cancer patients. Middle East Current Psychiatry, 2022;29(1):1-8.
  • Sigorski D, Sobczuk P, Osmola M, Kuć K, Walerzak A, Wilk M, Bodnar L. Impact of COVID-19 on anxiety levels among patients with cancer actively treated with systemic therapy. ESMO open, 2020;5(5):000970.
  • Lewinsohn PM, Gotlib IH, Lewinsohn M, Seeley JR, Allen NP, Gender differences in anxiety disorders and anxiety symptoms in adolescents. J Abnorm Psychol. 1998;107(1):109-17

The Relationship Between The COVID-19 Knowledge and Behavior and The Levels of Fear of Cancer Patients

Yıl 2023, Cilt: 32 Sayı: 6, 422 - 432, 29.04.2024
https://doi.org/10.17942/sted.1122366

Öz

Objective: In this study, the relationship between the knowledge and behaviors of cancer patients about COVID-19 and their fear levels was investigated.
Method: The descriptive study was conducted with 150 cancer patients treated at Dokuz Eylul University Hospital between June 2021 and March 2022. “COVID-19 Knowledge Level Questionnaire (CBDA)” and “COVID-19 Behavior Level Questionnaire (CDDA)” prepared by the researchers were used to measure the knowledge and behavior levels of the patients. The “Coronavirus Fear Scale (FCV-19S)” was used to measure fear levels.
Results: At the end of the study, the mean CBDA total score of the patients with undergraduate or higher education level and working status was found to be statistically significant high (p=0.005). When the correlation between CBDA and CDDA total score averages was examined, it was seen that the level of behavior increased as the level of knowledge increased (r=0.41, p<0.001). The total mean score of FCV-19S of the patients whose education level is primary school or below was found to be statistically significant high (p=0.003). The mean total score of FCV-19S was found to be significantly higher in those who had COVID-19 (p=0.037).
Conclusion: Cancer patients during the pandemic process; it is very important to determine the level of knowledge about the process and to provide sufficient information by oncology nurses and health professionals. At the same time, it is important in terms of planning the interventions that can be done in the evaluation of the fear levels of the patients.

Kaynakça

  • Jafari A, Rezaei-Tavirani M, Karami S, Yazdani M, Zali H, Jafari Z. cancer care management during the COVID-19 pandemic. Risk Manag Health Policy. 2020;13:1711-21.
  • Ciceri F, Castagna A, Rovere-Querini P, De Cobelli F, Ruggeri A et al. Early predictors of clinical outcomes of COVID-19 outbreak in Milan, Italy. Clinical Immunology, 2020;217:108-509.
  • WHO Coronovirus (COVID-19) Dashboard. Word Health Organization. Available at: https://covid19.who.int. Accessed July 24,2023
  • Word Health Organization. Weekly epidemiological update on COVID-19.. Available at: https://www.who.int/publications/m/item/weekly-epidemiological-update-on-covid-19---20-july-2023. Accessed Julyy 20,2023
  • Tunçdemir M, Karataş M. Covid-19 ve kanser. Tıp Fakültesi Klinikleri Dergisi, 2021;4(1):1-14
  • Yang, F, Shi, S, Zhu, J, Shi, J, Dai, K, & Chen, X. Analysis of 92 deceased patients with COVID‐19. Journal Of Medical Virology, 2020;92(11):2511-5.
  • Lee, KA, Ma W, Sikav DR, Drew DA, Nguyen LH, Bowyer RC et al. Cancer and Risk of COVID‐19 Through a general community Survey. The Oncologist, 2021;26(1):182-5.
  • Grivas P, Khaki AR, Wise-Draper TM, French B, Hennessy C, Hsu CY et al. Association of clinical factors and recent anticancer therapy with COVID-19 severity among patients with cancer: a report from the COVID-19 and Cancer Consortium. Annals of Oncology, 2021;32(6),:787-800.
  • Wise J. Covid-19: Cancer mortality could rise at least 20% because of pandemic, studyfinds. BMJ,2020:1735. 
  • Shinghal A, Paul S, Chopra S, Gurram L, Scaria L, Kohle S et al. Effect of COVID-19 pandemic on gynecological cancer radiation during complete nationwide lockdown: Observations and reflections from tertiary care institute in India. Advances in Radiation Oncology, 2021;6(6):100725.
  • Pakpour AH, Grıffıths MD. The fear of COVID-19 and its role in preventive behaviors. Journal of Concurrent Disorders 2020;2(1):58-63.
  • Noreen K, Rubab ZE, Umar M, Rehman R, Baig M, Baig, F. Knowledge, attitudes, and practices against the growing threat of COVID-19 among medical students of Pakistan. PLoS One, 2020;15(12):0243696.
  • Schimmenti A, Billieux J, Starcevic V. The four horsemen of fear: An integrated model of understanding fear experiences during the COVID-19 pandemic. Clinical Neuropsychiatry, 2020;17(2):41-5.
  • Ahorsu DK, Lin CY, Imani V. et al. The Fear of COVID-19 Scale: Development and initial validation. Int J Ment Health, 2022;20:1537-45
  • Noreen K, Rubab ZE, Umar M, Rehman R, Baig M, Baig F. Knowledge, attitudes, and practices against the growing threat of COVID-19 among medical students of Pakistan. PloS one, 2020;15(12):0243696.
  • Bakioğlu F, Korkmaz O, Ercan H, Fear of COVID-19 and positivity: Mediating role of intolerance of uncertainty, depression, anxiety and stress. International Journal of Mental Healty and Addiction. 2021;19:2369-82
  • Lee KA, Ma W, Sikavi DR, Drew DA, Nguyen LH, Bowyer RC. Cancer and risk of COVID-19 through a general community survey. The Oncologist, 2021;26(1):182-5.
  • Kuderer NM, Choueiri TK, Shah DP, Shyr Y, Rubinstein SM, Rivera DR, Loaiza-Bonilla A. Clinical impact of COVID-19 on patients with cancer (CCC19): A cohort study. The Lancet, 2020;395(10241):1907-18.
  • Güven DC, Şahin TK, Aktepe OH, Yıldırım HC, Aksoy S, Kılıçap S. Perspectives, knowledge, and fears of cancer patients about COVID-19. Front Oncol. 2020;10:1553.
  • Erşen O, Gojayev A, Mercan Ü, Ünal AE. Pandemi sürecinde kanser hastalarının covid-19’a ilişkin bilgi, farkındalık, korku düzeyi ve sağlık hizmetlerine erişiminin değerlendirilmesi. Türkiye Klinikleri. Tip Bilimleri Dergisi, 2020;40(4):399-405.
  • Gurvich C, Thomas N, Thomas EH, Hudaib AR, Sood L, Fabiatos K., Kulkarni, J. Coping styles and mental health in response to societal changes during the COVID-19 pandemic. International Journal of Social Psychiatry, 2021;67(5):540-9.
  • Liu N, Zhang F, Wei C, Jia Y, Shang Z, Sun L, Liu W. Prevalence and predictors of PTSS during COVID-19 outbreak in China hardest-hit areas: Gender differences matter. Psychiatry Research, 2020;287:112921.
  • Kahraman-Erkuş Ö, Arslan Çolak S. Koronavirüs kaygısının beklenmeyen yönleri: kanser hastalarının Covid-19 kaygılarını etkileyen faktörlerin incelenmesi. Psikiyatride Güncel Yaklaşımlar. 2021;13:200-215.
  • Erdoğan AP, Ekinci F, Acar Ö, Göksel G. Level of COVID-19 fear in cancer patients. Middle East Current Psychiatry, 2022;29(1):1-8.
  • Sigorski D, Sobczuk P, Osmola M, Kuć K, Walerzak A, Wilk M, Bodnar L. Impact of COVID-19 on anxiety levels among patients with cancer actively treated with systemic therapy. ESMO open, 2020;5(5):000970.
  • Lewinsohn PM, Gotlib IH, Lewinsohn M, Seeley JR, Allen NP, Gender differences in anxiety disorders and anxiety symptoms in adolescents. J Abnorm Psychol. 1998;107(1):109-17
Toplam 26 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Sağlık Okuryazarlığı
Bölüm Araştırma Makalesi
Yazarlar

Yağmur Yaşa 0000-0003-3518-3321

Ezgi Karadağ 0000-0001-8001-387X

Merve Nur Memiş 0000-0003-3296-0674

Aydan Gözde Küçükkarakurt 0000-0003-1857-7169

Yayımlanma Tarihi 29 Nisan 2024
Yayımlandığı Sayı Yıl 2023 Cilt: 32 Sayı: 6

Kaynak Göster

Vancouver Yaşa Y, Karadağ E, Memiş MN, Küçükkarakurt AG. Kanser Hastalarının COVID-19 Bilgi ve Davranışları ile Korku Düzeyleri Arasındaki İlişki. STED. 2024;32(6):422-3.