Investigation of the Effects of Spousal Adjustment and Social Support Level on Mental Health, Self-Esteem and Sexual Function in Patients Diagnosed with Breast Cancer

Öz

In this examination, we aimed to investigate the effects of marital adjustment and perceived social support on depression, anxiety, self-esteem, and sexuality in patients with breast cancer. Fifty breast cancer patients who applied to Uludag University Medical Faculty Mental Health Department and Department of Radiation Oncology were included in the study. The Beck Depression Scale (BDS), the Beck Anxiety Scale (BAS), the Golombok-Rust Sexual Satisfaction Scale-Woman Form (GRSSS), the Rosenberg Self-Esteem Scale (RSES), the Multidimensional Perceived Social Support Scale (MPSSS) was assessed with the Couple Adjustment Scale (CAS). As the level of couple adjustment and social support of patients increased, it was observed that there was a statistically significant decrease in BDS, BAS, and G-RSSS scores. No significant relationship was found between socio-demographic characteristics and disease-related variables and scale scores. Conclusion: Social support from partners and family members is important in patients with breast cancer diagnoses and psychosocial disorders. It is thought that psycho-education and psychosocial support programs which spouses and their families participate in reducing psychiatric problems experienced by patients can be beneficial.

Anahtar Kelimeler

• breast cancer
• depression
• sexuality
• socıal support
• partner support

Meme Kanseri Hastalarında Eşler Arası Uyum ve Sosyal Destek Düzeyinin Depresyon, Anksiyete, Benlik Saygısı ve Cinsellik Üzerine Etkilerinin İncelenmesi

Öz

Bu çalışmada meme kanseri hastalarında eşler arasındaki uyum ve algılanan sosyal desteğin depresyon, anksiyete, benlik saygısı ve cinsellik üzerine etkilerinin incelenmesi amaçlandı. Uludağ Üniversitesi Tıp Fakültesi Ruh Sağlığı Anabilim Dalı ve Radyasyon Onkolojisi Anabilim Dalı polikliniklerine başvuran ve meme kanseri tanısı olan 50 hasta çalışmaya alınmıştır. Çalışmaya alınan tüm hastalar, Beck Depresyon Ölçeği (BDÖ), Beck Anksiyete Ölçeği (BAÖ), Golombok-Rust Cinsel Doyum Ölçeği-Kadın Formu (G-RCDÖ), Rosenberg Benlik Saygısı Ölçeği (RBSÖ), Çok Boyutlu Algılanan Sosyal Destek Ölçeği (ÇBASDÖ) ve Çiftler Uyum Ölçeği (ÇUÖ) ile değerlendirilmiştir. Hastaların eşler arası uyum ve sosyal destek düzeyleri arttıkça BDÖ, BAÖ ve G-RCDÖ puanlarında istatistiksel olarak anlamlı bir azalma olduğu izlendi (p<0,05). Eşler arası uyum düzeyi ve sosyal destek düzeyi ile benlik saygısı arasında istatistiksel olarak anlamlı bir ilişki bulunmadı (p>0,05). Sosyodemografik özellikler ve hastalıkla ilgili değişkenler ile bakılan ölçek puanları arasında anlamlı ilişki bulunmadı (p>0,05). Meme kanseri tanısı bulunan hastaların hastalıkla mücadele etmelerinde ve psikososyal yönden uyum sağlamalarında eşlerinden ve aileden gelen sosyal destek önemli bir etmendir. Hastaların yaşadığı ruhsal sorunların azaltılmasında eşlerin ve ailelerin de katıldığı psikoeğitim ve psikososyal destek programlarının faydalı olabileceği düşünülmektedir.

Anahtar Kelimeler

• meme kanseri
• depresyon
• cinsellik
• sosyal destek
• eş desteği

Kaynakça

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