Research Article
Year 2020,
Volume: 42 Issue: 4, 449 - 457, 31.12.2020
Abstract
References
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- 2. Seven M, Akyuz A, Sever N, Dincer S. Studying the physical and psychological symptoms of patients with cancer. TAF Preventive Medicine Bulletin. 2013;12,219–224.
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- 7. Akechi T, Hirai K, Motooka H, Shiozaki M, Chen J, Momino K, Okuyama T, Furukawa TA. Problem-solving therapy for psychological distress in Japanese cancer patients: preliminary clinical experience from psychiatric consultations. Japanese Journal of Clinical Oncology. 2008;38, 867–870.
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- 9. Soylu C. Cognitive behavioral therapy in cancer patients. Current Approaches in Psychiatry. 2014;6,257–270.
- 10. Tuncay T. Support groups in coping with cancer. Society & Social Services. 2010;2,59–71.
- 11. Pandey M, Sarita GP, Devi N, Thomas BC, Hussain BM, Krishnan R. Distress, anxiety, and depression in cancer patients undergoing chemotherapy. World Journal of Surgical Oncology. 2006;4,1–5.
- 12. Lee YH, Chiou PY, Chang PH, Hayter M. A systematic review of the effectiveness of problem-solving approaches to wards symptom management in cancer care. Journal of Clinical Nursing. 2011;20,73–85.
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- 14. Partlak Günüsen N, Ustun B. The relationship between problem solving skills levels and locus of control in nursing students. Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi (Electronic Journal of Dokuz Eylul University of Faculty of Nursing). 2011;4,72-77.
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- 16. Elwyn G, Edwards A, Mowle S, Wensing M, Wilkinson C, Kinnersley P, Grol R. Measuring the involvement of patients in shared decision-making: a systematic review of instruments. Patient Education and Counseling. 2001;43, 5–22.
- 17. Aydın E. The principle of respect for autonomy of the patient in medical ethics. Erciyes Medical Journal. 2003;25,92–97.
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- 21. Bieling PJ, Beck AT, Brown GK. The sociotropy–autonomy scale: structure and implications. Cognitive Therapy and Research. 2000;24,763–780.
- 22. Gülec G, Buyukkınacı A. Cancer and psychiatric disorders. Current Approaches in Psychiatry. 2011;3, 343–367.
- 23. Epstein RM. Whole mind and shared mind in clinical decision-making. Patient Education and Counseling. 2013;90, 200–206. 24. Gaston CM, Mitchell G. Information giving and decision-making in patients with advanced cancer: a systematic review. Social Science & Medicine. 2005;61,2252–2264.
- 25. Say R, Murtagh M, Thomson R. Patients’ preference for involvement in medical decision making: a narrative review. Social Science & Medicine. 2006;60,102–114.
- 26. Beck AT, Epstein N, Harrison RP, Emery G. Development of the sociotropy-autonomy scale: a measure of personality factors in psychopathology. Unpublished manuscript, 1983, University of Pennsylvania, Philadelphia. 27. Sahin N, Ulusoy M, Sahin N. Exploring the sociotropy-autonomy dimensions in a sample of Turkish psychiatric inpatients. Journal of Clinical Psychology. 1993;49,751-763.
- 28. Heppner PP, Petersen CH. The development and implications of a personal problem solving inventory. Journal of Counseling Psychology. 1982;29,66-75.
- 29. Sahin N, Sahin NH, Heppner PP. Psychometric properties of the problem solving inventory in a group of Turkish university students. Cognitive Therapy and Research. 1993;17,379-396.
- 30. Turan Kavradım S, Canlı Ozer Z. Hope in patients with cancer. Current Approaches in Psychiatry. 2014;6,154–164.
- 31. Pinquart M, Duberstein PR. Information needs and decision-making processes in older cancer patients. Critical Reviews in Oncology/Hematology. 2004;51,69–80.
- 32. Erer S, Atıcı E, Erdemir AD. The views of cancer patients on patient rights in the context of information and autonomy. Journal Of Medical Ethics. 2008;34,384–388.
- 33. Gilbar R, Gilbar O. The medical decision-making process and the family: the case of breast cancer patients and their husbands. Bioethics. 2009;23,183–192.
- 34. Kai J, Beavan J, Faull C. Challenges of mediated communication, disclosure and patient autonomy in cross-cultural cancer care. British Journal of Cancer. 2011;105,918–924.
- 35. Deimling GT, Wagner LJ, Bowman KF, Sterns S, Kercher K, Kahana B. Coping among older-adult, long-term cancer survivors. Psycho-Oncology. 2006;15,143–159.
- 36. Akechi T, Momino K, Yamashita T, Fujita T, Hayashi H, Tsunoda N, Iwata H.. Contribution of problem-solving skills to fear of recurrence in breast cancer survivors. Breast Cancer Research and Treatment. 2014;145,205–210.
- 37. Kocaman Yildirim N, Kacmaz N, Ozkan M. Unmet care needs in advanced stage cancer patients. Journal of Psychiatric Nursing. 2013;4,153–158.
- 38. Kwon YC, Shin DW, Lee JH, Heo DS, Hong YS, Kim SY, Yun YH. Impact of perception of socioeconomic burden on advocacy for patient autonomy in end-of-life decision making: a study of societal attitudes. Palliative Medicine. 2009;23,87–94.
Investigation of the relationship between autonomy and problem-solving skills in patients undergoing chemotherapya: A cross-sectional survey
Abstract
Objective: Cancer is a difficult disease to cure that it affects the individual physically, emotionally, and socially, and reduces the quality of life and threatens life. Successful chemotherapy and general care depends on patient participation.This study was conducted to investigate the relationship between autonomy levels and problem-solving skills of chemotherapy patients.
Method: One hundred and four patients who received chemotherapy within the past year comprised the sample of this descriptive, cross-sectional study. Data were collected using a personal information form, the Autonomy subscale of the Sociotropy-Autonomy Scale and the Problem-solving Inventory.
Results: Means and standard deviations for total scores on the Autonomy subscale and Problem Solving Inventory were 66.54±20.97 and 83.46±20.00 respectively. Autonomy was positively correlated with problem-solving skills. Autonomy and problem-solving skill levels of the patients who had a university degree, were married, were residing in the city center, perceived their economic status as good, received education about chemotherapy or suffered the effects of chemotherapy were statistically significantly higher (all ps < 0.05).
Conclusions: Our sample displayed moderate autonomy and poor problem-solving skills. We recommend that nurses take into account patients’ autonomy and problem-solving skill levels during chemotherapy and efforts should be made at both individual and institutional level to promote patient autonomy and improve patients’ problem-solving skills.
Keywords
References
- 1. Delbar V, Benor DE. Impact of a nursing intervention on cancer patients’ ability to cope. Journal of Psychosocial Oncology. 2001;19,57–75.
- 2. Seven M, Akyuz A, Sever N, Dincer S. Studying the physical and psychological symptoms of patients with cancer. TAF Preventive Medicine Bulletin. 2013;12,219–224.
- 3. Karabulutlu EY, Bilici M, Cayır K, Basol Tekin S, Kantarcı R. Coping, anxiety and depression in Turkish patients with cancer. European Journal of General Medicine. 2010;7,296–302.
- 4. Oksuz E, Barıs N, Arslan F, Ates MA. Psychiatric symptom levels and burden care of caregivers of patients receiving chemotherapy. The Anatolian Journal of Clinical Investigation. 2013;7,24–30.
- 5. Meyers FJ, Carducci M, Loscalzo MJ, Linder J, Greasby T, Beckett LA. Effects of a Problem-Solving Intervention (COPE) on quality of life for patients with advanced cancer on clinical trials and their caregivers: Simultaneous care educational intervention (SCEI): linking palliation and clinical trials. Journal of Palliative Medicine. 2011;14,465–473.
- 6. Mo HN, Shin DW, Woo JH, Choi JY, Kang J, Baik YJ, Huh YR, Won JH, Park MH, Cho SH. Is patient autonomy a critical determinant of quality of life in Korea? End-of-life decision making from the perspective of the patient. Palliative Medicine. 2012;26,222–231.
- 7. Akechi T, Hirai K, Motooka H, Shiozaki M, Chen J, Momino K, Okuyama T, Furukawa TA. Problem-solving therapy for psychological distress in Japanese cancer patients: preliminary clinical experience from psychiatric consultations. Japanese Journal of Clinical Oncology. 2008;38, 867–870.
- 8. Nezu AM, Nezu CM, Salber KE. Problem-solving therapy for cancer patients. Psicooncología. 2013;10,217-231.
- 9. Soylu C. Cognitive behavioral therapy in cancer patients. Current Approaches in Psychiatry. 2014;6,257–270.
- 10. Tuncay T. Support groups in coping with cancer. Society & Social Services. 2010;2,59–71.
- 11. Pandey M, Sarita GP, Devi N, Thomas BC, Hussain BM, Krishnan R. Distress, anxiety, and depression in cancer patients undergoing chemotherapy. World Journal of Surgical Oncology. 2006;4,1–5.
- 12. Lee YH, Chiou PY, Chang PH, Hayter M. A systematic review of the effectiveness of problem-solving approaches to wards symptom management in cancer care. Journal of Clinical Nursing. 2011;20,73–85.
- 13. Vernooij-Dassen MJ, Osse BH, Schadé E, Grol RP. Patient autonomy problems in palliative care: Systematic development and evaluation of a questionnaire. Journal of Pain and Symptom Management. 2005;30,264–270.
- 14. Partlak Günüsen N, Ustun B. The relationship between problem solving skills levels and locus of control in nursing students. Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi (Electronic Journal of Dokuz Eylul University of Faculty of Nursing). 2011;4,72-77.
- 15. Kocacal Guler E, Eser I. Nurse’s role in patient participation in care. Fırat Journal of Health Services. 2008;3,103–117.
- 16. Elwyn G, Edwards A, Mowle S, Wensing M, Wilkinson C, Kinnersley P, Grol R. Measuring the involvement of patients in shared decision-making: a systematic review of instruments. Patient Education and Counseling. 2001;43, 5–22.
- 17. Aydın E. The principle of respect for autonomy of the patient in medical ethics. Erciyes Medical Journal. 2003;25,92–97.
- 18. van Kleffens T, van Baarsen B, van Leeuwen E. The medical practice of patient autonomy and cancer treatment refusals: a patients’ and physicians’ perspective. Social Science & Medicine. 2004; 58,2325–2336.
- 19. Ersoy N. An ethical cancer care system. Hacettepe Medical Journal. 2009;40,102-107.
- 20. Sainio C, Lauri S, Eriksson E. Cancer patients’ views and experiences of participation in care and decision making. Nursing Ethics. 2001;8,97–113.
- 21. Bieling PJ, Beck AT, Brown GK. The sociotropy–autonomy scale: structure and implications. Cognitive Therapy and Research. 2000;24,763–780.
- 22. Gülec G, Buyukkınacı A. Cancer and psychiatric disorders. Current Approaches in Psychiatry. 2011;3, 343–367.
- 23. Epstein RM. Whole mind and shared mind in clinical decision-making. Patient Education and Counseling. 2013;90, 200–206. 24. Gaston CM, Mitchell G. Information giving and decision-making in patients with advanced cancer: a systematic review. Social Science & Medicine. 2005;61,2252–2264.
- 25. Say R, Murtagh M, Thomson R. Patients’ preference for involvement in medical decision making: a narrative review. Social Science & Medicine. 2006;60,102–114.
- 26. Beck AT, Epstein N, Harrison RP, Emery G. Development of the sociotropy-autonomy scale: a measure of personality factors in psychopathology. Unpublished manuscript, 1983, University of Pennsylvania, Philadelphia. 27. Sahin N, Ulusoy M, Sahin N. Exploring the sociotropy-autonomy dimensions in a sample of Turkish psychiatric inpatients. Journal of Clinical Psychology. 1993;49,751-763.
- 28. Heppner PP, Petersen CH. The development and implications of a personal problem solving inventory. Journal of Counseling Psychology. 1982;29,66-75.
- 29. Sahin N, Sahin NH, Heppner PP. Psychometric properties of the problem solving inventory in a group of Turkish university students. Cognitive Therapy and Research. 1993;17,379-396.
- 30. Turan Kavradım S, Canlı Ozer Z. Hope in patients with cancer. Current Approaches in Psychiatry. 2014;6,154–164.
- 31. Pinquart M, Duberstein PR. Information needs and decision-making processes in older cancer patients. Critical Reviews in Oncology/Hematology. 2004;51,69–80.
- 32. Erer S, Atıcı E, Erdemir AD. The views of cancer patients on patient rights in the context of information and autonomy. Journal Of Medical Ethics. 2008;34,384–388.
- 33. Gilbar R, Gilbar O. The medical decision-making process and the family: the case of breast cancer patients and their husbands. Bioethics. 2009;23,183–192.
- 34. Kai J, Beavan J, Faull C. Challenges of mediated communication, disclosure and patient autonomy in cross-cultural cancer care. British Journal of Cancer. 2011;105,918–924.
- 35. Deimling GT, Wagner LJ, Bowman KF, Sterns S, Kercher K, Kahana B. Coping among older-adult, long-term cancer survivors. Psycho-Oncology. 2006;15,143–159.
- 36. Akechi T, Momino K, Yamashita T, Fujita T, Hayashi H, Tsunoda N, Iwata H.. Contribution of problem-solving skills to fear of recurrence in breast cancer survivors. Breast Cancer Research and Treatment. 2014;145,205–210.
- 37. Kocaman Yildirim N, Kacmaz N, Ozkan M. Unmet care needs in advanced stage cancer patients. Journal of Psychiatric Nursing. 2013;4,153–158.
- 38. Kwon YC, Shin DW, Lee JH, Heo DS, Hong YS, Kim SY, Yun YH. Impact of perception of socioeconomic burden on advocacy for patient autonomy in end-of-life decision making: a study of societal attitudes. Palliative Medicine. 2009;23,87–94.
There are 36 citations in total.
Details
| Primary Language | English |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Medical Science Research Articles |
| Authors | |
| Publication Date | December 31, 2020 |
| Acceptance Date | December 21, 2020 |
| Published in Issue | Year 2020Volume: 42 Issue: 4 |