SOCIAL SUPPORT LEVELS AND COPING STYLES WITH STRESS OF CANCER PATIENTS PLANNED FOR STEM CELL TRANSPLANTATION

Öz

Purpose: Hematopoietic stem cell transplantation (HSCT) is an important treatment modality used in many benign and malignant diseases today. However, it can negatively affect life due to its side effects and increase the stress level of patients and their need for social support. In the literature, there is a need for studies about the coping styles and social support levels of cancer patients who are planning to have stem cell transplantation. This study was carried out to determine the social support levels and the styles of coping with stress of cancer patients with planned stem cell transplantation and to determine the relationship between them. Material and Methods: A total of 68 cancer patients participated in this study, which was planned with descriptive and correlational design. The "Patient Information Form", "Multidimensional Scale of Perceived Social Support" and "Styles of Coping with Stress" were used to collect data. Results: Cancer patients with planned stem cell transplantation perceived social support most from their significant other. Positive attitudes of the patients (self-confident, optimistic) in coping with stress were at high level, and negative attitudes (desperate, submissive, seeking social support) were at moderate level. As the age of the patients increased, their approach to seeking social support decreased (r=-0.240; p=0.049). The social lives of the patients were affected more compared to their work and family life during the disease, and those living in the nuclear family used positive approaches more in coping with stress (p<0.05). It was observed that as the social support perceived by the patients from family and significant other increased, they used more positive stress coping styles. Conclusion: Social support and coping with stress seem to be two important factors for cancer patients who are scheduled for stem cell transplantation. Patients and their families should be informed about the process and their active participation in nursing care should be ensured, and they should be helped to cope more effectively with the stress they experience due to transplantation.

Anahtar Kelimeler

• patient
• hematopoietic stem cell transplantation
• cancer
• social support
• coping with stress

Kaynakça

1. Aksoy, H., & Çevik, H. E. (2021). Social Evaluation of Cancer Patient and Contribution of Social Support to Treatment Success. Turkey Clinics, 22-25.
2. Asgarpour, H., Acar, D., & Balkaya, F. (2020). Awareness of University Students on Stem Cell Donation. Journal of SDU Health Sciences Institute, 11(3), 290-297. doi:10.22312/sdusbed.728472
3. Avcı, D., & Doğan, S. (2014). The Relationship Between Post Traumatic Stress Disorder, Social Support and Coping with Stress in Cancer Patients. Balıkesir Journal of Health Sciences, 3(1), 16-21.
4. Avcılar, H; Saraymen, B; Özturan, O Ö; Köker, M Y. (2018). Embriyonic Stem Cells and Induced Pluripotent Stem Cells. Asthma Allergy Immunology, 16, 1-10. doi:10.21911/aai.22 Çetinkaya, F. F., & Korkmaz, F. (2019). Examining the Relationship Between Perceived Social Support and Stress Levels: A Study on University Students. C.U. Journal of Economics and Administrative Sciences, 20(1), 91-103.
5. Eker, D., Arkar, H., & Yaldız, H. (2001). Factor Structure, Validity and Reliability of the Revised Form of the Multidimensional Scale of Perceived Social Support. Turkish Journal of Psychiatry, 12(1), 17-25.
6. Hisli, N., & Durak, A. (1995). Stress Coping Styles Scale: Adaptation for University Students. Turkish Journal of Psychology, 10(34), 56-73.
7. Khaddour, K., Hana, C. K., & Mewawalla, P. (2020). Hematopoietic Stem Cell Transplantation. StatPearls Publishing LLC. PMID: 30725636.
8. Koçubaba, Ş., & Tekgündüz, E. (2020). Hematopoietic Stem Cell Transplantation. In G. Can, Oncology Nursing (pp. 224-230). Istanbul: Nobel Medicine Bookstores. Kuruca, S., Çelik, D. D., Demirel, G., & Özerkan, D. (2019). Obtaining and Identifying Very Small Embryonic (VSEL) Stem Cells from Human Peripheral Blood. Journal of Istanbul Medical Faculty. doi.org/10.26650/IUITFD.2018.0001

9. Lazarus, R. S., & Folkman, S. (1984). Stress, Appraisal and Coping . İstanbul: New York Springer.
10. Okşak, N., & Kuruca, D. S. (2021). Current Methods in Hematopoietic Stem Cell Isolation. Journal of Istanbul Faculty of Medicine. doi.org/10.26650/IUITFD.2020.0058
11. Ören, H. (2019). Stem Cells. DEU Journal of Medicine, 33(3), 271-280. doi.org/10.5505/deutfd.2019.35693
12. Özbaş, A. A., & Yıldırım, N. (2020). Burnout and Coping in Oncology. In G. Can, Oncology Nursing (p. 1331-1340). Istanbul: Nobel Medicine Bookstores.
13. Özel, Y., & Karabulut, A. (2018). Daily Life and Stress Management. Turkish Journal of Health Sciences and Research, 1(1), 48-56.
14. Öztürk, C., Topçuoğlu, P., Dalva, K., İlhan, O., & Özcan, M. (2018). The Effect of Febrile Attack on Stem Cell Mobilization and Harvest During Autologous Stem Cell Mobilization. Journal of Leukemia-Lymphoma-Myeloma, 2(3), 71-76.
15. Öztürk, E. S., & Kutlutürkan, S. (2018). Non-Pharmacological Applications in the Management of Nausea and Vomiting During Autologous Stem Cell Infusion. Cukurova Medical Journal, 43(4), 1068-1070. doı: 10.17826/cumj.394297
16. Pakyüz, S., Çaydam, Ö., & Şahin, C. (2019). Is There a Relationship Between Stress Symptoms and Levels and Coping Methods in Patients Receiving Cytotoxic Chemotherapy? Journal of Nursing Academic Research (JAREN), 5(1), 1-9. doi:10.5222/jaren.2019.28190
17. Sürme, Y. (2019). Stress, Stress-Related Diseases and Stress Management. International Journal of Social Studies, 12(64), 525-529. doi:10.17719/jisr.2019.3374
18. Tokdemir, S. S. (2019). Hematopoietic Stem Cell: Past, Present and Tomorrow. Journal of Turkish Clinics, 69-78.
19. Yiğitbaş, Ç., Bulut, A., & Günseli, S. (2019). The Relationship Between Perceived Social Support and Empathic Tendency and Empathic Ability. Eurasian Journal of Family Medicine. 8(4), 155-164. doi.org/10.33880/ejfm.2019080403
20. Yıldırım, N. (2020). Psychosocial Care. In G. Can, Oncology Nursing (p. 1315-1329). Istanbul: Nobel Medicine Bookstores.
21. Yıldız, K., & Dirik , D. (2019). The Role of Perceived Self-Efficacy in the Relationship Between Perceived Social Support and Coping Styles with Stress. Spormetre Journal of Physical Education and Sport Sciences, 17(2), 132-144. doi:10.33689/spormetre.500792
22. Yurdakul, P., Karadağ, F., & Beksaç, M. (2018). Cord Blood Banking and Cord Blood Transfusions. Journal of Turkish Clinics, 11(1), 60-70.
23. Yüksel, M. (2018). Reconstruction of the Immune System After Allogeneic Hematopoietic Stem Cell Transplantation. Journal of Turkish Clinics, 11(1), 30-50.
24. Zimet, G. D., Dahlem, W. N., Zimet, F. G., & Farley, G. K. (1988). The Multidimentional Scale of Perceived Social Support. Journal of Personality Assesment, 52(1), 30-41. doi.org/10.1207/s15327752jpa5201_2