COVID-19 pandemisinin kemoterapi alan jinekolojik onkoloji hastalarına psikolojik etkileri

Yıl 2026, Cilt: 26 Sayı: 1 , 16 - 24 , 22.04.2026

Dilek Yüksel , Fulya Kayıkçıoğlu , Sevgi Koç

https://izlik.org/JA82RX84NE

Öz

Amaç: COVID-19'un olumsuz sonuçları kanser hastalarında psikolojik sorunlara neden olabilir. Bu çalışma, COVID-19 pandemisi sırasında jinekolojik onkoloji kliniğimizde kemoterapi alan jinekolojik onkoloji hastalarının düşünce, anksiyete ve depresyon düzeylerini incelemeyi amaçlamaktadır.
Materyal ve Metod: 15 Mayıs 2020 - 1 Ağustos 2020 tarihleri arasında jinekolojik onkoloji kemoterapi ünitesine kemoterapi için başvuran 30 jinekolojik onkoloji hastası çalışmaya dahil edildi. Hastaların COVID-19 hakkındaki görüşleri hasta bilgi formu kullanılarak toplandı ve anksiyete ve depresyon düzeylerini değerlendirmek için Beck depresyon envanteri (BDE) ve Beck anksiyete envanteri (BAI) ölçekleri kullanıldı.
Bulgular: Ortalama BDÖ ve BAÖ puanları sırasıyla 16.80 ± 11.43 ve 14.50 ± 13.17 idi. Nüks ve birincil vakalar arasında anksiyete ve depresyon puanlarında fark bulunmadı. Ayrıca BDE ve BAI puanları arasında pozitif yönde anlamlı bir ilişki bulundu (r = 0,6969 p < 0,001). Yaş ile anksiyete ve depresyon puanları arasında anlamlı bir ilişki gözlenmedi.
Sonuçlar: Pandemiler toplumda sosyal ve psikolojik sorunlara neden olabilir. Bu dönemlerde kanser hastaları hem birincil hastalıklarıyla hem de pandemilerin olumsuz sonuçlarıyla karşı karşıya kalmaktadır. Bu nedenle kanser hastaları pandemi sırasında tıbbi ve psikolojik olarak izlenmelidir.

Anahtar Kelimeler

COVID-19 , jinekolojik kanser , psikolojik bakım , yaşam kalitesi

Psychological effects of COVID-19 pandemic on gynaecologic oncology patients receiving chemotherapy

https://izlik.org/JA82RX84NE

Öz

Abstract
Objective: Negative consequences of COVID-19 can cause psychological problems in cancer patients. This study aims to examine the thoughts, anxiety and depression levels of gynaecologic oncology patients who received chemotherapy in our gynaecologic oncology clinic during the COVID-19 pandemic.
Material Method: 30 gynaecologic oncology patients who applied to the gynaecologic oncology chemotherapy unit between 15 May 2020 and 1 August 2020 for chemotherapy were included. The opinions of the patients about COVID-19 were collected using the patient information form and Beck depression inventory (BDI) and Beck anxiety inventory (BAI) scales were used to evaluate anxiety and depression levels.
Results: The mean BDI and BAI scores were 16.80 ± 11.43 and 14.50 ± 13.17, respectively. No difference was found in the anxiety and depression scores between relapse and primary cases. Furthermore, a positive significant correlation was found between the BDI and BAI scores (r = 0.6969 p < 0.001). No significant correlation was observed between age and anxiety and depression scores.
Conclusion: Pandemics can cause social and psychological problems in society. During such periods, cancer patients face both their primary diseases and the negative consequences of pandemics. Thus, cancer patients should be medically and psychologically monitored during pandemics.

Anahtar Kelimeler

COVID-19 , gynecologic cancer , psychological care , quality of life

Etik Beyan

Approval was obtained from both the Institutional Review Board of our hospital (Decision number: 2020/53) and the Local Ethics Committee (No: 2020/53) for conducting the study.

Kaynakça

• WHO (2020). WHO Coronavirus Disease (COVID-19) Dashboard.https://covid19.who.int/
• https://covid19.saglik.gov.tr/Covid durum raporu
• www.worldometers.infoCoronavirus updates
• Nicola M, Alsafi A, Sohrabi C, Kerwan A, Al-Jabir A, Losifidis C, et al. The socio-economic implications of the coronavirus and COVID-19 pandemic: a review. International Journal of Surgery 2020;78:185–193.
• Fardin MA. Covıd-19 and anxiety: A review of psychological impacts of infectious disease outbreaks. Arch Clin Infect Dis 2020; In Press:e102779.doi: 10.5812/archcid.102779.
• Qiu J, Shen B, Zhao M, Wang Z, Xie B, Xu Y. A nation wide survey of psychological distress among Chinese people in the COVID-19 epidemic: implications and policy recommendations. General Psychiatry 2020 ;33:e100213. doi:10.1136/gpsych-2020-100213.
• Luo M, Guo L, Yu M, Jiang W, Wang H. The psychological and mental impact of coronavirus disease 2019 (COVID-19) on medical staff and general public - A systematic review and meta-analysis. Psychiatry Res 2020;291:113190. doi: 10.1016/j.psychres.2020.113190.
• Taylor S (2019). The Psychology of Pandemics: Preparing for the Next Global Outbreak of Infectious Disease, 1st edn. Newcastle upon Tyne: Cambridge Scholars Publishing.
• Kamboj M, Sepkowitz KA. Nosocomial infections in patients with cancer. Lancet Oncol 2009;10(6):589–97.
• Liang W, Guan W, Chen R, Wang W, Li J, Xu K, et al. Cancer patients in SARSCoV-2 infection: a nationwide analysis in China. Lancet Oncol 2020;21:335–37.
• Lambertini M, Toss A, Passaro A, Criscitiello C, Cremolini C, Cardone C, et al. Cancer care during the spread of coronavirus disease 2019 (COVID-19) in Italy: young oncologists’ perspective. ESMO Open 2020;5:e000759. Beck AT, Epstein N, Brown G, Steer RA. An inventory for measuring clinical anxiety: Psychometric properties. J Consult Clin Psychol 1988;56:893-97.
• Ulusoy M, Şahin N, Erkmen H. Turkish version of the Beck Anksiety Inventory. Psychometric properties. Journal of Cognitive Psychoterapy: An International Quarterly 1996;46:125-32. Beck AT.An inventory for measuring depression. Arch Gen Psychiatry 1961;4:561-71.
• Hisli N. Beck Depresyon Envanteri’nin geçerliliği üzerine bir çalışma. Psikoloji Dergisi 1988;6:118-22.
• Sands P, Mundaca-Shah C, Dzau V. The neglected dimension of global security — A framework for countering infectious-disease crises. New England Journal of Medicine 2016;374:1281–7.
• Wang C, Pan R, Wan X, Tan Y, Xu L, Ho CS, et al. Immediate psychological responses and associated factors during the initial stage of the 2019 coronavirus disease (COVID-19) epidemic among the general population in China. International Journal of Environmental Research and Public Health 2020;17:1729.
• Plunket R, Cortellos S, Mc Govern M, McDonald C, Hallahan B. Impact of the COVID-19 pandemic on patients with pre-existing anxiety disorders attending secondary care. Irish Journal of Psychological Medicine 2020;1-9.
• Liang W, Guan W, Chen R, Wang W, Li J, Xu K, et al.Cancer patients in SARSCoV-2 infection: a nationwide analysis in China. Lancet Oncol 2020;21:335–7.
• Sheard T, Maguire P.The effect of psychological interventions on anxiety and depression in cancer patients: Results of two meta analyses. Br J Cancer 1999;80:1770-80.
• Mertens G, Gerritsen L, Duijndam S, Salemink E, Engelhard İM. Fear of the coronavirus (COVID-19): Predictors in an online study conducted in March 2020. J Anxiety Disord;2020;74:102258.
• Lederberg MS. Psychooncology. In Kaplan & Sadock’s Comprehensive Textbook of Psychiatry, 8th Ed. (Eds. BJ Sadock, VA Sadock):2196-2225. Philadelphia, Lippincott Williams & Wilkins, 2005.
• Redwood, D. (Interviewer). (1995). On Death and Dying: Interview with Elisabeth Kübler-Ross [Interview transcript]. Retrieved from Health.net Web site: http://www.healthy.net/scr/interview.aspx?Id=205