EN
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
Kaynakça
- 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.
Ayrıntılar
Birincil Dil
İngilizce
Konular
Sağlık Kurumları Yönetimi
Bölüm
Araştırma Makalesi
Yayımlanma Tarihi
31 Aralık 2020
Gönderilme Tarihi
2 Haziran 2020
Kabul Tarihi
21 Aralık 2020
Yayımlandığı Sayı
Yıl 2020 Cilt: 42 Sayı: 4