Popis: |
Cancer disease, being one of the most important chronic diseases, thesepatients get diagnosed by using various methods. This diagnosis is one of thetraumatic events that stresses patients because it is one of the events thatthreatens/disrupts a person's vital integrity. The patients who are diagnosed mightbe traumatized since they are faced with a life-threatening disease. Some part ofthe stress reactions given to this disease are aimed to adapt and cope. Such that, ifpeople cannot adapt to this new period, then his/her physical and mental balanceand adaptation to changes in his/her life can be disrupted. The reactions after thediagnosis may include the elements of intense fear, helplessness or dread. Themeaning patient attributes to this stress, re-shapes according to what are theresources of coping and their functionality, social support resources that areappropriate for the person and their accessibility; experienced event ensures theuse of positive or negative coping strategies in the new stressful situation. Sincethe effects of personal differences and patient's strengths and weaknesses on thecoping sattitudes are known, the aim of this cross-sectional study is to evaluate thetraumatic stress levels of the patients diagnosed with cancer in regards to variousvariables (age, gender, marital status, medical history), detect how they cope withtraumatic stress and which coping strategies they use. The sample of this study isconsisted of cancer patients who are under treatment and follow-up care inİstanbul Beylikdüzü Medicana International Hospital. At the start of the study, theaim was to reach 80 participants however, the study was completed with 71participants. The eligibility criteria to include participants were being diagnosedwith any kind of cancer in the last five years, receiving/have receivedradiotherapy/chemotherapy and/or surgical therapy treatments as the result of adiagnosis with any kind of cancer in the last five years, being at least 18 years old,volunteering to participate in the study. When the socio-demographic data of theparticipants were evaluated, it was seen that 34 of them (47,9%) were men, 37 ofthem (52,1%) were women. The average age of the men was 56,9, the average ageof women was 53,7. It was found that the social insurance of 51 of individuals xi(71,8%) was SGK, 48 individuals (67,6%) resided in the city center during thetreatment process, 68 individuals (95,8%) accommodated with their first degreerelatives, 50 individuals (70,4%) were not employed, 61 individuals (85,9%) werediagnosed with cancer for the first time, 49 individuals (69%) received diagnosisbetween 2018-2019, 45 individuals (63,4%) had cancers which have notmetastasized, 57 individuals (80,3%) had a surgery in the past, the most commondiseases were cardiovascular/respiratory diseases (N=20, 28,2%). It was foundthat they most frequently experienced natural disasters (N=46, 64,8%), sudden,unexpected death of a close person (N=38, 53,5%), accidents related totransportation (N=17, 23,9%). Human-made intense pain (N=1, 1,4%) andcaptivity (N=1, 1,4%) were the events that they experienced the least. It wasfound that the participants who received a diagnosis of cancer before January2018 (N=22, M=43,77) and the ones who received the diagnoses for the secondtime or more (N=10, M=48,20) got a significantly higher score from theTraumatic Stress Symptom Checklist (TSSC) (p |