S ALTIPARMAK, Ç FADILOĞLU, S T GÜRSOY, O ALTIPARMAK

Kemoterapi tedavisi alan akciğer kanserli hastalarda öz bakım gücü ve yasam kalitesi iliskisi

Amaç: Akciğer kanserli hastalarda yasam kalitesi ve öz bakım gücü düzeylerini, etkileyen faktörleri belirlemek ve öz bakım gücünün yasam kalitesi üzerine etkisini saptamaktır. Yöntem ve Gereç: Kesitsel tipteki çalısmanın verileri Đzmir Dr. Suat Seren Göğüs Hastalıkları ve Cerrahisi Eğitim ve Arastırma Hastanesi’nde 01-01-2006/01-01-2007 tarihleri arasında toplandı ve arastırmaya kemoterapi tedavisi alan 84 akciğer kanserli hasta alındı. Arastırmada veriler üç form kullanılarak toplandı. Bunlar; arastırmacılar tarafından hazırlanan sosyo-demografik anket formu, kanserli hastalarda yasam kalitesi ölçeği olan EORTC QLQ-30 ölçeği ve öz bakım gücü ölçeği. Veriler Student T-Test, Mann-whitney-U test ve Pearson correllation ile değerlendirildi. Bulgular: Hastaların %72.6’sı erkek, %66.7’si ilkokul mezunu, %28.6’sı isçi ve %100’ü evlidir. Hastaların %66.7’si küçük hücreli dısı akciğer kanseridir ve %46.4’ünde metastaz vardır. Yasam kalitesi erkeklerde, eğitimi ilköğretimden üzeri olanlarda, küçük hücreli akciğer kanserli hastalarda, hastalık süresi ve alınan tedavi üç aydan az olanlarda diğerlerine göre daha kötüdür (p

The relationship between quality of life and self-care agency in chemotherapy treated lung cancer patients

Aim: The aim of our study was to evaluate the quality of life of cancer patients and the levels of self-care agency. In addition, to determine the factors and to evaluate the relation between self-care agency and quality of life in chemotherapy treated lung cancer patients Material and Methods: This cross-sectional study conducted in the Dr Suat Seren Chest Diseases and Chest Surgery and Research Hospital, Izmir between the 1st of January 2006 and 2007. The population of the study was 84 chemotherapy treated lung cancer patients. The data was collected using 3 forms, the sociodemographic form, the EORTC QLQ-30 Scale and the Self-Care Agency scale. The Student T-Test, Mann-whitney-U test and Pearson correllation analysis were used for analysis. Results: The sample included 72.6% male, 66.7% primary level educated, 28.6% were workers, and all married. 56 patients (66.7%) have nonsmall cell carcinoma. 46.4% have metastatic carcinoma. We found that the quality of life is better in males, who are higher educated, have small carcinoma, and whose duration of disease was shorter/longer and received treatment than in those less have a worse quality of life than the others (p<0.05). The comparison of the self-care agency and items of quality of life suggested that there is a positive relation between the self-care agency and role functioning, physical functioning, and social functioning. Conclusion: To improve the quality of life of cancer patients, developing a self-care agency is necessary for patients and maintains their health and development planning activities and increases motivation which is important.

PDF

___

1. Ertem G, Kaklım A, Bulut S. Radyoterapi Alan Hastaların Evde Bakım Gereksinimleri Ve Yasam Kaliteleri. Maltepe Üniversitesi Hemsirelik Bilim ve Sanatı Dergisi. 2009;2:3-11
2. Spiro S, Porter J. Lung cancer-Where are we today? Current advances in staging and nonsurgical treatment. Am J Respir Crit Care Med 2002 ;166:1166-96.
3. Parkin G, Pisani P, Ferlay J. Global cancer statistics. CA Cancer J Clin 1999; 49. 33-64.
4. Kanser Đlzam ve Denetim Merkezi (KIDEM). http://www.ism.gov.tr/kidem/Tdoc3.htm. Erisim: 30.09.2010
5. Burish TG, Red WH. Symptom control in psychosocial oncology. Cancer Supplement, 1994;4:1438-42
6. Durna, Z. Kanserli Hastada Yasam Kalitesinin ve Bakım Gereksinimlerinin Saptanmasına Đliskin Bir Çalısma. 1994;1:1-36.
7. Akdemir N. Psikososyal Destek (Çev. Ed. N. Platin) Hemsireler Đçin Kanser El Kitabı, 1.Baskı,. Aksam Sanat Okulu Matbaası, Ankara, 1996;186-193.
8. Orem D. Nursing: Concept of Practice Self-Care Agency and Dependent-care Agency, 4 th ed. Mosby Year Book, St. Louis, 1991;145-175.
9. Jenny J. Self- care Actions theory and Nursing Diagnosis: A test of Conceptual Fit, Journal of Nursing education, 1991;:5:227- 232.
10. Bergman B. The EORTC QLQ-LC13: A Moduler Suplement to the EORTC Core Quality of Life Questionare (QLQ-C30) for use in Lung Cancer Clinical Trial EORTC Study Group on Quality of Life. Eur J Cancer. 1994; 5: 635-42.
11. Güzelant A. Göksel T. Özkok S. The European Organization for Research and Treatment of Cancer QLQ-30: an examination into the cultural validity and reliability of Turkish version of the EORTC QLQ-30, European Journal of Cancer Care, 2004; 13: 135-144
12. Nursen O. Nahcivan A. Turkish Language Equivalence of the Exercise of Self-Care Agency Scale, Western Journal of Nursing Research, 2004;7: 813-824
13. Pandey M. Sarita G. Devi N. Distress, anxiety, and depression in cancer patients undergoing chemoyherapy. World J of Surgical Oncology 2006;4: 68-74
14. Alacacıoğlu A, Yavuzsen T, Diriöz, M. ve ark. Changes in Anxiety Levels Patients with Cancer Receiving Chemotherapy. International Journal of Hematology and Oncology, 2007;2:17-19
15. Lerner D, Levine S, Malspeis S. Job Strain and Health-Related Quality of Life in a National Sample. Am J Public Health. 1994;84:1580-1585
16. Altıparmak S, Eser E. 15-49 Yas Grubu Evli Kadınlarda Yasam Kalitesi. Aile ve Toplum Dergisi 2007;3:29-33
17. Manisa Nüfus Sağlık Arastırması 1999. Celal Bayar Üniversitesi Halk Sağlığı Anabilim Dalı. Emek Mat. Manisa 2001; 99-116
18. Altıparmak S. Huzurevinde Yasayan Yaslı Bireylerin Yasam Doyumu, Sosyal Destek Düzeyleri ve Etkileyen Faktörler. F.Ü.Sağlık Bilimleri Tıp Dergisi. 2009;3: 159-164.
19. Loscocco K, Spitze G, Working Coditions, Social Support, and the Well-Being of Famela and Male Factors. Journal of Health and Social Behavior, 1990;31:313-327
20. Evans C, Trudeau E, Mertzanis P. Development and validation of the pain treatment satisfaction scale (ptss): A patient satisfaction questionnaire for use in patients with chronic or acute pain. Pain 2004; 112: 254-266.
21. Montazeri A. How Quality of Life Data Contribute to our understanding of Cancer Patient Experiences? A Study of Patients with Lung Cancer. Quality of Life Researc. 2003; 2:157-166.
22. Çağlayan B, Fidan A, Salepci, B. ve ark. Đleri Evre Küçük Hücreli Dısı Akciğer Kanserli Olgularda Tedavi Öncesi Prognostik Faktörler Ve Tedavinin Sağ Kalım Üzerine Etkisi. Tüberküloz&Toraks. 2004; 4: 323-332
23. Bircan A, Berktas B, Bayız H. ve ark. Effects of Chemotherapy on Quality of Life for Patients with Lung Cancer. Turkish respiratory Journal, August, 2003;4: 61-66
24. Beser N, Öz F. Kemoterapi Alan Lenfomalı Hastaların Anksiyetedepresyon Düzeyleri ve Yasam Kalitesi. C. Ü. Hemsirelik Yüksek Okulu Dergisi, 2003; 7:47-58
25. Jorum E. Quality of Life in Survivors of Hogkins’ Diease. Quality of Life Research, 1996; 5: 257-267 .
26. Lampic C, Peterson V, Larsson, G. et.al. Anxiety And Depression Đn Hospitalized Patient With Cancer:Agreement Đn Patient- Staff Dyads. Cancer Nursing. 1996 19: 419-427.
27. Tokgöz G, Yaluğ Đ. Özdemir, S. ve ark. Kanser hastalarında majör depresyon yaygınlığı ve iliskili etkenler. Anadolu Psikiyatri Dergisi. 2008; 9:59-66
28. Craddock B. An intervention to increase use and effectiveness of self care measures for breast cancer chemotherapy patients, Cancer Nursing, 1999;22: 312-319.
29. Hiromoto M, Dungan S. Contract Learning For Self Care Activities, Cancer Nursing. 1991;14: 148-154.
30. Elise D, Karen C, Norma R, Margaret F. An Intervention to Increase Quality of Life and Self-Care Self-Efficacy and Decrease Symptoms in Breast Cancer Patients. Research and Theory for Nursing Practice. 2001;15:277-294
31. West P, Isenberg M, Instrument Development: The Mental Health-Related Self-Care Agency Scale, Archives of Psychiatric Nursing, 1997;9:126-132
32. Jaarsma T, Halfens R, Tan F. et. al. Self-care and quality of life in patients with advanced heart failure: The effect of a supportive educational intervention. Heart Lung. 2000 ;29:319-30.
33. Akyol D, Karadakovan A. Hemodiyalize Giren Hastaların Yasam Kalitesi Ve Özbakım Gücü İle Bunlar Üzerine Etkili Değiskenlerin Đncelenmesi. Ege Tıp Dergisi. 2002; 41: 97 -102