KANSER HASTALARINDA TRAVMA SONRASI STRES BOZUKLUĞU, SOSYAL DESTEK VE STRESLE BAŞA ÇIKMA ARASINDAKİ İLİŞKİ

AMAÇ: Bu çalışma, kanser tanısı alan hastalarda travma sonrası stres bozukluğu (TSSB) sıklığını, stresle başa çıkma biçimlerini, algılanan sosyal destek düzeylerini ve aralarındaki ilişkiyi belirlemek amacıyla yapılmıştır. YÖNTEMLER: Araştırma iki üniversite hastanesinin onkoloji bölümlerinde yapılmıştır. Çalışmada örneklem, altı aylık süre içinde kanser tanısı konulan 300 hastadan oluşmuştur. Veriler Kişisel Bilgi Formu, DSM- IV Eksen I Bozuklukları İçin Yapılandırılmış TSSB Klinik Görüşme Formu, Çok Boyutlu Algılanan Sosyal Destek Ölçeği ve Stresle Başa Çıkma Tarzları Ölçeği aracılığıyla toplanmıştır. BULGULAR: Hastalarda TSSB görülme oranı %52 olarak bulunmuştur. Kadın, genç- orta yaş grubunda olan, ailesiyle yaşayan, stresle başa çıkma ve sosyal destek düzeyleri düşük olan hastaların TSSB oranlarının anlamlı derecede yüksek olduğu belirlenmiştir. SONUÇ: Çalışma sonuçları, kanser tanısı alan hastaların TSSB yönünden risk taşıdıklarını, sosyal destek ve stresle başa çıkma tarzlarının kanser hastalarının hastalıklarına uyum ve baş etmelerinde etkili olduğunu göstermektedir. Bu riskin azaltılmasında hastaların psikososyal açıdan desteklenmeleri önemli görünmektedir.

Anahtar Kelimeler:

Travma sonrası stres bozukluğu, kanser, sosyal destek, stresle başa çıkma

POSTTRAUMATIC STRESS DISORDER IN CANCER PATIENTS, THE RELATIONSHIP BETWEEN SOCIAL SUPPORT AND COPING WITH STRESS

OBJECTIVE: The research has been carried out among patients diagnosed with cancer in order to determine the prevalance Posttraumatic Stress Disorder and to define the styles of coping with stres, levels of perceived social support and the relationship between. METHODS: The research has been performed at two University Hospital Oncology departments in Ankara. The sample of the study 300 cancer patients diagnosed in the period of 6 months and taking care at each hospital. The data were gathered by using four different forms. 1. Personal Information Form, 2. Structured Clinical Interview for DSM-IV, Clinical Version for PTSD, 3. Multidimensional Scale of Perceived Social Support, 4. Ways of Coping Inventory. RESULTS: The Posttraumatic Stress Disorder rate of the patients are found %52. The Posttraumatic Stress Disorder rates among women, young and middle-aged patients, patients living with their families, low levels of coping with stress and social support are determined to be significantly high. CONCLUSION: The results of this study show that patients diagnosed with cancer carry Posttraumatic Stress Disorder risk. Cancer patients’ accommodation and harmony with their illness play an effective role due to the social support and their style with coping stress. In order to decrease the risk, patients must be supported emotionally and socially.

Keywords:

Posttraumatic stress disorder, cancer, social support, coping with stress,

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