2012

Lösemili Adölesanlarda Psikolojik Sağlamlığın İncelenmesi: Karşılaştırmalı Bir Çalışma

Amaç: Araştırma, lösemi tanısıyla izlenen 15-18 yaş dönemindeki adölesanların psikolojik sağlamlıkdüzeylerini belirlemek amacıyla karşılaştırmalı tanımlayıcı tasarımda gerçekleştirilmiştir.Yöntem: Araştırma grubunun örneklemini iki üniversite hastanesi ve Sağlık Bakanlığı’na bağlı bir eğitimaraştırma hastanesinin çocuk hematoloji polikliniklerinde lösemi tanısı ile izlenen 15-18 yaş arası80 adölesan oluşturmuştur. Karşılaştırma grubunun örneklemini ise seçilen bir lisenin 9, 10, 11 ve 12.sınıflarında okuyan 15-18 yas arası 80 sağlıklı öğrenci oluşturmuştur. Veriler, anket formu ve CaliforniaPsikolojik Sağlamlık ve Ergen Gelişim Ölçeği / Yılmazlık Değerlendirme Ölçeği uygulanarak toplanmıştır.Verilerin değerlendirilmesinde, varyansların homojenlik testi (Levene), Mann-Whitney U testi, KruskalWallis varyans analizi ve Ki-Kare testi kullanılmıştır.Bulgular: Araştırma sonuçlarına göre, lösemili adölesanlar ile sağlıklı adölesanların psikolojik sağlamlıkdüzeylerinde anlamlı bir fark belirlenmemiştir (p>0.05). Araştırma grubunda cinsiyeti kız olanlarda erkekleregöre daha yüksek psikolojik sağlamlık düzeyi belirlenirken, psikolojik destek almayan adölesanlardapsikolojik destek alan adölesanlara göre daha düşük psikolojik sağlamlık düzeyi belirlenmiştir (p

Examining the Psychological Resilience of Adolescents with Leukemia: A Comparative Study

Aim: This descriptive and comparative research was conducted to determine the level of psychological resilience of adolescents diagnosed with leukemia. Method: The sample research group comprised of eighty adolescents in the 15-18 age group who have leukemia in pediatric hematology outpatient clinics. The sample comparison group comprised of eighty healthy adolescents in the 15-18 age group who were students from years 9, 10, 11, and 12th in a high school. Data was collected using a socio-demographic questionnaire and the California Healthy Kids Survey Resilience and Youth Development Module High School Questionnaire form. The Mann-Whitney U Test, Kruskal Wallis variance analysis, homogeneity test (Levene), and Ki kare Test were used to evaluate the data. Results: It was seen that there were no significant differences between the psychological resilience of adolescents with leukemia and healthy adolescents (p>0.05) Females were observed to have higher levels of psychological resilience than males in the research group. A lower level of psychological resilience was identified in adolescents from the research group who did not receive psychological support during the illness compared with those who received psychological support (p

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Abrams, A.N., Hazen, E. P., Penson, R. T. (2007). Psychosocial issues in adolescents with cancer. Cancer Treatment Reviews, 33(7), 622-630. [CrossRef]
Ahern, N. (2006). Adolescent Resilience: An Evolutionary Concept Analysis. Journal of Pediatric Nursing, 21, 175-183. [CrossRef]
Barrera, M., Shaw, A., Speechley, A., Maunsell, E., Pogany, L. (2005). Educational and social Late effects of childhood cancer and related clinical, personal and familial characteristics. American Cancer Society, 107, 1751-1760. [CrossRef]
Burns, J.J., Sadof, M., Kamat, D. (2006). Managing the adolescent with a cronic illness. Psychiatric Annals, 36, 719-725.
Chou, L., Hunter, A. (2009). Factors affecting quality of life in Taiwanese survivors of childhood Cancer. Journal of Advanced Nursing, 65, 2131-2141. [CrossRef]
Corey, L.A., Haase, E.J., Azzouz, F., Monahan, P. O. (2008). Social support and symptom distress in adolecents/ young adults with cancer. Journal of Pediatric Oncology Nursing, 25, 275- 284. [CrossRef]
Çavuşoğlu, H. (2000). Problems related to the diagnosis and treatment of adolescents with Leukemia. Issues in Comprehensive Pediatric Nursing, 23, 15-26. [CrossRef]
Çavuşoğlu, H. (2013). Çocuk Sağlığı Hemşireliği. (Child Health Nursing Book). Ankara: Ofset.
Çavuşoğlu, H. (2001). Depression in children with cancer. Journal of Pediatric Nursing. 16(5), 380-386. [CrossRef]
Çavuşoğlu, H., Sağlam, H. (2015). Examining the perceived social support and psychological symptoms among adolescents with leukemia. Journal for Specialists in Pediatric Nursing, 20(1), 76-85. [CrossRef]
Daining, C., DePanfilis, D. (2007). Resilience of youth in transition from out-of-home care to adulthood. Children and Youth Service Review, 29, 1158-1178. [CrossRef]
Decker, C. (2007). Social Support and adolescent cancer survivors a review of the literature. Psycho-Oncology, 16, 1-11. [CrossRef]
Fergus, S., Zimmerman, M. (2005). Adolescents resilience: A Framework for understanding healthy development in the face of risk. Annu Rev Public Health, 26, 399-419. [CrossRef]
Fredrickson, B. L., Tugade, M. M., Waugh, C. E., Larkin, G. R. (2003). What good are positive emotions in crises? A prospective study of resilience and emotions following the terrorist attacks on the United States on September 11, 2002. Journal of Personality and Social Psychology, 84, 365-376. [CrossRef]
Gizir, C. A., Aydın, G. (2006). Psikolojik Sağlamlık ve Ergen Gelişim Ölçeği’nin uyarlanması Türk Psikolojik Danışma ve Rehberlik Dergisi, 3, 87-96.
Goodall, S., King, M., Ewing, J., Smith, N., Kenny, P. (2012). Preferences for support services among adolescents and young adults with cancer or a blood disorder: A discrete choice experiment. Health Policy, 107, 304-311. [CrossRef]
Gürgan, U. (2006). Yılmazlık Ölçeği (YÖ): Ölçek geliştirme, güvenirlik ve geçerlik çalışması. Ankara Üniversitesi Eğitim Bilimleri Fakültesi Dergisi, 39, 45-74.
Gurney, J., Krul, K., Kadan-Lottick, N., Nicholson, H. S., Nathan, P. C., Zebrack, B., et al (2009). Social Outcomes in the Childhood Cancer Survivor Study Cohort. Journal Of Clinical Oncology, 27, 2390-2395. [CrossRef]
Greup, S. R., Kaal, S. E. J., Jansen, R., Manten-Horst, E., Thong, M. S. Y., van der Graaf, W. T. A., et al. (2018). Posttraumatic growth and resilience in adolescent and young adult cancer patients: An overview. Adolesc Young Adult Oncol, 7(1), 1-14. [CrossRef]
Haase, J. E. (2004). The Adolescent Resilience Model as a Gguide to interventions. Journal of Pediatric Oncology Nursing, 21, 289-299. [CrossRef]
Haase, J. E., Kintner, E. K., Monahan, P. O., Robb, S. L. (2014). The Resilience in Illness Model (RIM) Part 1: Exploratory evaluation in adolescents and young adults with cancer. Cancer Nurs, 37(3): E1-E12. [CrossRef]
Haluska, H. B., Jessee, P. O., Nagy, M. C. (2002). Sources of social support: Adolescents with cancer. Oncology Nursing Forum, 29(9), 1317-1324. [CrossRef]
Hong, S. S Park, H. R. (2015). Predictors of resilience in adolescents with Leukemia. J Korean Acad Nurs. 45, 595- 603. [CrossRef]
Kim, D. H., Yoo, I. Y. (2010). Factors associated with resilience of school age children with cancer. Journal of Paediatric Child Health, 46, 431-436. [CrossRef]
Lee, I., Lee, E.O, Kim, H.S, Park, Y.S, Song, M., Paek, Y.H. (2004). Concept devalopment of family resilience: A study of Korean families with a cronically ill child. Journal of Clinical Nursing, 13, 636-645. [CrossRef]
Limura S, Taku K. (2018). Gender differences in relationship between resilience and big five personality traits in Japanese adolescents. Psychol Rep, 121(5), 920-931. [CrossRef]
Masten, A. S., Coastworth, J. D. (1998). The development of competence in favorable and unfavorable environments. Lessons from research on succesful children. American Psychologist, 53, 205-220. [CrossRef]
McDevitt, M. T., Ormrod, E. J. (2004). Educating and Working with Children and Adolescents. Child Development Second edition, Pearson Education, New Jersey, pp 20-25.
Newsome, J., Vaske, J. C., Gehring, K. S., Boisvert, D. L. (2015). Sex differences in sources of resilience and vulnerability to risk for delinquency. Youth Adolesc., 2, 1-16.
O’Conner-von, S. (2009). Coping with cancer: A web-based program for early and middle adolescents. J Pediatr Oncol Nurs, 26, 230-241. [CrossRef]
Oh, P., Kim, S. (2010). Effects of a brief psychosocial intervention in patients with cancer receiving adjuvant therapy. Oncology Nursing Forum, 37, 98-104. [CrossRef]
Önder, A., Gülay, H. (2008). İlköğretim 8. sınıf öğrencilerinin psikolojik sağlamlığının çeşitli değişkenler açısından incelenmesi. Dokuz Eylül Üniversitesi Buca Eğitim Fakültesi Dergisi, 23, 192-197.
Özcan, B. (2005). Anne-Babaları boşanmış ve Anne-Babaları birlikte olan lise öğrencilerinin yılmazlık özellikleri ve koruyucu faktörler açısından karşılaştırılması. (Yüksek Lisans Tezi) Ankara Üniversitesi Eğitim Bilimleri Enstitüsü. Ankara.
Parry, C., Chesler, M. (2005). Thematic evidence of psychosocial thriving in childhood cancer survivors. Qualitative Health Reearch, 15, 1055-1073. [CrossRef]
Phipps, S. (2007). Adaptive style in children with cancer: İmplications for a positive psychology Approach. Journal of Pediatric Psychology, 32, 1055-1066. [CrossRef]
Poulton, R., Caspi, A. (2005). Commentary: How does socioeconomic disadvantage during childhood damage health in adulthood? Testing psychosocial pathways. International Journal of Epidemiology, 34, 344-345. [CrossRef]
Ritchie, M. A. (2001). Psychosocial nursing care for adolescents with cancer. Issues in Comprehensive Pediatric Nursing, 24, 165-175. [CrossRef]
Ristevska-Dimitrovska, G., Filov, I., Rajchanovska, D, Stefanovski, P., Dejanova, B. (2015). Resilience and quality of life in breast cancer patients. OA Maced J Med Sci, 3, 727-731. [CrossRef]
Robison, L. L. (2005). The childhood cancer survivor study: A resource for research of long term outcomes among adult survivors of childhood cancer, Minn Med, 88, 45-49.
Rourke, M., Hobbie, W., Schwartz, L., Kazak, A. (2007). Posttraumatic Stress Disorder (PTSD) in Young adult survivors of childhood cancer. Pediatric Blood Cancer, 49, 77-182. [CrossRef]
Sameroff, A. J. (1998). Environmental risk factors in infancy. Pediatrics, 102, 1287-1292.
Sricastasa, J., Shukla, H., Kaushik, S., Tewari, M. (2017). Perceived social support, psychological resilience and gender differences among cancer survivors. European journal of cancer, 72(1), 162. [CrossRef]
Thies, K. M. (1999). Identifying the educational implications of chronic illness in school children. Journal of School Health, 69, 392-397. [CrossRef]
Wosanga, T. (2002). Gender effects on perceptions of external assets, development of resilience and academic achievement: Perpetuation theory approach. Gender Issues, 20, 43-54. [CrossRef]
Woodgate, L. R. (1999). Conceptual understanding of resilience in the adolescent with cancer: Part 1. Journal of Pediatric Oncology Nursing, 16, 35-43. [CrossRef]
Zebrack, B., Chesler, M., Kaplan, S. (2010). To foster healing among adolescents and young adults with cancer: What helps? What hurts? Supportive Care in Cancer, 18, 131-135. [CrossRef]
Zebrack, B. (2011). Psychological, social and behavioral issues for young adults with cancer. Cancer, 117(10), 2289-2294. [CrossRef]
Zeltzer, L., Recklitis, C., Buchbinder, D., Zebrack, B., Casillas, J., Tsao, J. C., et al. (2009). Psychological Status in childhood cancer survivors: A report from the childhood cancer survivor study. Journal Of Clinical Oncology, 27, 2396-2404. [CrossRef]