Kanser Tanısıyla Hastanede Yatan Ergenlerin Semptomları ile Annelerinin Stres Düzeyinin Ergenlerin Yaşam Kalitesi Üzerine Yordayıcı Etkisi

Burcu ÖZKUL, Neslihan PARTLAK GÜNÜŞEN

Özet


Giriş: Kanser; ergen ve ailesinin yaşamını etkileyen ve hayatı tehdit eden kronik bir hastalıktır. Amaç: Bu çalışmanın amacı kanser tanısıyla hastanede yatan ergenlerin semptomları ile annelerinin stres düzeyinin ergenlerin yaşam kalitesine etkisini belirlemektir. Yöntem: Bu araştırma tanımlayıcı bir çalışmadır. Araştırmanın örneklemine pediatrik hematoloji ve onkoloji kliniklerinde yatan, 10-18 yaşları arasında kanser olan 83 ergen ve anneleri alınmıştır. Veriler, Memorial Semptom Değerlendirme Ölçeği, Algılanan Stres Ölçeği ve Çocuklar için Yaşam Kalitesi Ölçeği kullanılarak toplanmıştır. Bulgular: Annelerin algılanan stres ölçeği toplam ölçek puanı ortalaması 32.77 ± 8.57 puan olarak bulunmuştur. Bu puan annelerin orta düzeyde stres yaşadığını göstermektedir. Kanser olan ergenlerin yaşam kalitesi ölçeği toplam ölçek puan ortalaması 60.76 ± 16.17 olarak belirlenmiştir. Bu puan ergenlerin yaşam kalitesinin orta düzeyde olduğunu göstermektedir. Değişkenler arasındaki ilişki incelediğinde ise yaşam kalitesi ile Memorial Semptom Değerlendirme Ölçeği Genel Sağlık İndeksi arasında negatif yönde orta derecede anlamlı bir ilişki olduğu saptanmıştır (r = -,57, p = .001). Ergenin yaşam kalitesi ile annenin stres düzeyi arasında negatif yönde zayıf derecede anlamlı ilişki bulunmuştur (r = -,36, p = .001). Ergenlerin semptom puanları ile annelerin stres düzeyi arasında ilişki bulunmamıştır (r = -.05). Sonuç: Ergenlerin semptomları ve annelerinin stres düzeyinin ergenlerin yaşam kalitesini etkilediği görülmektedir. Bu nedenle ergenlerin semptomlarını ve annelerin stres düzeyini azaltmaya yönelik kanıta dayalı hemşirelik girişimlerinin uygulanması kanser olan ergenlerin yaşam kalitesini geliştirebilir. 

Anahtar Kelimeler: Kanser, Ergen, Aile, Stres, Yaşam Kalitesi.

 

Predictive Effect of the Symptoms of the Adolescents with Cancer and Their Mothers’ Stress Levels on the Adolescents’ Quality of Life

Background: Cancer; is a life-threatening, chronic disease that affects the life of the adolescent and his/her family. Objectives: The aim of this study was to carry out the effect of symptoms of the adolescents with cancer and their mothers’ stress levels on the adolescents’ quality of life. Methods: 83 adolescents who are staying in the pediatric hematology and oncology unit and their mothers were included in the research sample. Data were collected using Memorial Symptom Assessment Scale, Perceived Stress Scale and Pediatric Quality of Life Questionnaire. Results: Mothers’ perceived stress scale total mean score was found as 32.77 ± 8.57. Scale total mean score for quality of life of the adolescents with cancer was determined as 60.76 ± 16.17. It was detected that adolescents’ quality of life was moderately correlated to Memorial Symptom Assessment Scale (r = -,57, p = .001). It was found that there was a negative weak correlation between the adolescents’ quality of life and the stress level of the mothers (r = -,36, p = .001). No correlation was found between the symptom of the adolescent and the stress level of the mothers (r = -.05). It was determined that the symptoms of the adolescents and their mothers’ stress level significantly explaining 43.7% of the variance in the adolescents’ quality of life. Conclusions: It is seen that the symptoms of the adolescents and the stress level of the mothers affect the adolescents’ quality of life. Therefore, in order to reduce the symptoms of the adolescents and the stress level of the mothers, the implementation of evidence-based nursing interventions may improve the adolescents’ quality of life.

Keywords: Cancer, Adolescent, Family, Stress, Quality of Life.


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