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The relationship between coping strategies and quality of life of patients with lung cancer

Year 2022, Volume: 13 Issue: 47, 323 - 331, 15.12.2022
https://doi.org/10.17944/mkutfd.1041135

Abstract

Objective: In this study, it is aimed to examine the coping strategies and quality of life of patients with lung cancer. In this context, the relationship between strategies for coping with lung cancer and the quality of life of patients is discussed. The effect of treatment duration on coping strategies and quality of life is also being examined.

Method: The cross-sectional survey study and the convenience sampling method were used in the study. The World Health Organization Quality of Life- BREF (WHOQOL-Bref; 27 items) and Coping Orientation to Problems Experienced Inventory (Brief-COPE; 28 items) were used as scales. The data of this research were obtained from 201 patients diagnosed with lung cancer and undergoing treatment.

Results: Research results show that 53.0% of the participants were women and 86.1% were married. In addition, the mean age of the participants was 57.19±7.01 (mean ± s. Deviation). A positive correlation emerged between each domain of the WHOQOL-BREF scale. As for the coping scale, it was determined that there were positive and weak relationships between problem-focused coping strategies and quality of life in active coping, planning and positive refraining strategies. It was determined that there was a positive and weak relationship between positive emotion-focused coping strategies and quality of life in all coping strategies. Finally, it was determined that negative emotion-focused coping strategies such as ventilation, behavioral disengagement, denial, and self-blame were affecting the patient’s quality of life negatively.

Conclusion: In conclusion, lung cancer patients who used both problem-focused and positive emotion-oriented coping strategies achieved a higher quality of life. On the other hand, it is an important conclusion to consider that negative emotion focused coping strategies negatively affect patients’ quality of life. Finally, it can be expressed as another conclusion of this study that age, income and duration of treatment affect both the quality of life and coping strategies of lung cancer patients.

References

  • World Health Organization. Global status report on noncommunicable diseases 2014. Switzerland: WHO. Available from: https://www.who.int/nmh/publications/ncd status-report-2014/en/
  • World Health Organization. World Health Organization Cancer Fact Sheet 2018. Available from: http://gco.iarc.fr/today/data/factsheets/cancers/39-All-cancers-fact-sheet.pdf
  • Cancer Research UK. Worldwide cancer incidence statistics. 2018. Available from: https://www.cancerresearchuk.org/health-professional/cancer-statistics/worldwide-cancer
  • American Cancer Soc. Cancer facts and figures 2016. Atlanta. Available from: https://www.cancer.org/research/cancer-facts statistics/all-cancer-facts-figures/cancer-facts-figures-2016.html
  • Fox S, Lyon D. Symptom clusters and quality of life in survivors of lung cancer. Onc Nurs Forum 2006; (33): 931-36. https://doi.org/10.1188/06.ONF.931-936
  • Fan G, Filipczak L, Chow E. Symptom clusters in cancer patients: A review of the literature. Current Onc (Toronto Ont) 2007; (14): 173-79. https://doi.org/10.3747/co.2007.145
  • Schofield, P., Ugalde, A., Carey, M., Mileshkin, L., Duffy, M., Ball, D., et al. Lung cancer challenges and solutions for supportive care intervention research. Pal and Supp Care 2008; (6): 281-87. https://doi.org/10.1017/S1478951508000424
  • Kashani, F. L., Vaziri, S., Akbari, M. E., Jamshidifar, Z., Sanaei, H., & Givi, F. Stress coping skills training and distress in women with breast cancer. Procedia - Social and Beh Sci. 2014 (159)5: 192-196. https://doi.org/10.1016/j.sbspro.2015.09.001
  • Visser M.R.M, Smets E.M.A. Fatigue, depression and quality of life in cancer patients: how are they related? Supp. Care Cancer 1998; (6): 101-108. https://doi.org/10.1007/s005200050142
  • Isikhan, V., Güner, P., Kömürcü, S., Özet, A., Arpaci, F., & Öztürk, B. The relationship between disease features and quality of life in patients with cancer-I. Cancer Nurs 2001; (24)6: 490-95. https://doi.org/10.1097/00002820-200112000-00012
  • Davis C, Rust C, Darby K. Coping skills among African-American breast cancer survivors. Social Work in Health Care 2013; (52)5: 434-48. https://doi.org/10.1080/00981389.2012.742482
  • Lazarus S, Folkman S. Stress, appraisal and coping. New York: Springer Pub. Co., 1984.
  • Day, A. L., & Livingstone, H. A. Chronic and acute stressors among military personnel: do coping styles buffer their negative impact on health?. J Occup Health Psychol 2001; 6(4): 348. https://doi.org/10.1037/1076-8998.6.4.348
  • Saxena S, Carlson D, Billington R. The WHO quality of life assessment instrument (WHOQOL-BREF) the importance of its items for cross-culturan research. Quality of Life Res 2001; (10): 711-21. https://doi.org/10.1023/A:1013867826835
  • World Health Organization. Programme on mental health: WHOQOL measuring quality of life. 1997.
  • Eser, E., Fidaner, H., Eser, S. Y., Fidaner, C., & Elbi, H. Psychometric properties of the WHOQOL-100 and WHOQOL BREF. Journal of Psychiatry Psychol Psych 1999; (7)2: 23-40. https://doi.org/10.1027/1016-9040.5.4.278
  • Carver CS, Scheier MF, Weintraub JK. Assessing coping strategies: A theoretically based approach. Journal of Personality and Social Psych 1989; (66)1: 267-83. https://doi.org/10.1037/0022-3514.56.2.267
  • Carver CS. You want to measure coping but your protocol’s too long: Consider the Brief COPE. International Journal of Beh Med 1997; (4)1:92-100. https://doi.org/10.1207/s15327558ijbm0401_6
  • Tuna ME. Cross-cultural differences in coping strategies as predictors of university adjustment of Turkish and U.S. students. Ankara: Middle East Technical University, 2003.
  • Jahanlou AS, Karami NA. WHO quality of life-BREF 26 questionare: Reliability and validity of the Persian version and compare it with Iranian diabetics quality of life questionnaire in diabetic patients. Primary Care Diabetes 2011;(5): 103-107. https://doi.org/10.1016/j.pcd.2011.02.001
  • Lucas-Carrasco R, Laidlaw K, Power MJ. Suitability of the WHOQOL_BREF and WHOQOL_OLD for Spanish older adults. Aging and Mental Health 2011; (15)5: 595-604. https://doi.org/10.1080/13607863.2010.548054
  • Kennedy P, Nolan M, Smithson E. Psychological adjustment to snipal cord injury in Ireland: quality of life, appraisals and coping. The Irish Journal of Psych 2011; (32)3: 116-29. https://doi.org/10.1080/03033910.2011.613187
  • Gardner, TM, Krageloh CU, Henning MA. Religious coping, stress, and quality of life of Muslim university students in New Zealand. Mental Health, Religion and Culture 2014; (17)4: 327-28. https://doi.org/10.1080/13674676.2013.804044
  • John LD. Self-care strategies used by patients with lung cancer to promote quality of life. Onc Nurs Forum 2010; (37)3: 339-47.
  • Ellis, J., Lloyd Williams, M., Wagland, R., Bailey, C., & Molassiotis, A. Coping with and factors impacting upon the experience of lung cancer in patients and primary carers. European Journal of Cancer Care 2013; (22): 97-106. https://doi.org/10.1111/ecc.12003
  • Yıldırım B. Onkolojik sosyal hizmet uygulaması. In: S.A. Özen ve E. Özcan (Eds.). Tıbbi Sosyal Hizmet. Ankara: Nobel Yayınevi, 2017; 215-224.
  • Unalan, D., Gocer, S., Basturk, M., Baydur, H., & Ozturk, A. Coincidence of low social support and high depressive score on quality of life in elderly. European Geriatric Med 2015;(6): 319-324. https://doi.org/10.1016/j.eurger.2015.02.009
  • Office for National Statistics. Cancer registration statistics. England, 2015. Available from: https://www.ons.gov.uk/peoplepopulationandcommunity/healthandsocialcare/conditionsanddiseases/bulletins/cancerregistrationstatisticsengland/2015
  • Mor V. QOL measurement scales for cancer patients: Differentiating effects of age from effects of illness. Onc. 1992; (192): 146-52.
  • Maly, R. C., Liu, Y., Liang, L. J., & Ganz, P. A. Quality of life over 5 years after breast cancer diagnosis among low income women: Effects of race/etnicity and patient-physician communication. Cancer 2015; (121)6: 916-26. https://doi.org/10.1002/cncr.29150
  • Tuncay T, Yıldırım B. Factors affecting the psychological distress among unemployed and re-employed individuals. Career Develop. Int. 2015; (20)5: 482-502. https://doi.org/10.1108/ CDI-02-2015-0018

Akciğer kanseri olan hastaların baş etme stratejileri ile yaşam kalitesi arasındaki ilişki

Year 2022, Volume: 13 Issue: 47, 323 - 331, 15.12.2022
https://doi.org/10.17944/mkutfd.1041135

Abstract

Amaç: Bu çalışmada, akciğer kanseri olan hastaların baş etme stratejilerinin ve yaşam kalitesinin incelenmesi amaçlanmıştır. Bu bağlamda, akciğer kanseri hastalarının baş etme stratejileri ile yaşam kalitesi arasındaki ilişki incelenmiş, ayrıca tedavi süresinin baş etme stratejileri ve yaşam kalitesi üzerine etkisi ele alınmıştır.

Yöntem: Bu araştırma, kolayda örneklemeye dayalı, kesitsel tipte bir anket araştırmasıdır. Araştırmada Yaşam Kalitesi Ölçeği- Kısa Formu (WHOQOL-Bref) (27 madde) ve Başa Çıkma Tutumlarını Değerlendirme Ölçeği (Brief COPE) (28 madde) ölçek olarak kullanılmıştır. Bu araştırmanın verileri, akciğer kanseri tanısı konmuş ve tedavi süreci devam eden 201 hastalardan elde edilmiştir.

Bulgular: Araştırma sonuçları, katılımcıların %53’ünün kadın ve %86,1’inin evli olduğunu göstermektedir. Ayrıca katılımcıların yaş ortalaması 57.19±7.01 (ortalama ± s. Sapma) olarak tespit edilmiştir. WHOQOL-BREF ölçeğinin bütün alt boyutları arasında pozitif bir korelasyon ortaya çıkmıştır. Başa çıkma ölçeğine yönelik ise problem odaklı başa çıkma stratejileri ile yaşam kalitesi arasında aktif başa çıkma, planlama ve olumlu yeniden yorumlama stratejilerinde olumlu yönde ve zayıf ilişkiler olduğu tespit edilmiştir. Pozitif duygu odaklı başa çıkma stratejileri ile yaşam kalitesi arasındaki bütün başa çıkma stratejisinde olumlu yönde ve zayıf bir ilişki olduğu tespit edilmiştir. Son olarak ise negatif duygu odaklı başa çıkma stratejileri ile yaşam kalitesi arasında ventilasyon, davranışsal olarak geri çekilme, inkâr ve kendini suçlama gibi olumsuz duygu odaklı başa çıkma stratejilerinin hastanın yaşam kalitesini olumsuz yönde etkilediği tespit edilmiştir.

Sonuç: Sonuç olarak hem problem odaklı hem de pozitif duygu odaklı başa çıkma stratejileri kullanan akciğer kanseri hastalarının yaşam kalitelerinin daha yüksek olduğu sonucuna ulaşılmıştır. Öte yandan negatif duygu odaklı başa çıkma stratejilerinin hastaların yaşam kalitelerini olumsuz yönde etkilediğinin dikkate alınması önemli bir sonuç olarak göze çarpmaktadır. Son olarak, yaş, gelir ve tedavi süresi, akciğer kanseri hastalarının hem yaşam kalitesini hem de başa çıkma stratejilerini etkilediği bu çalışmanın bir diğer sonucu olarak ifade edilebilir.

References

  • World Health Organization. Global status report on noncommunicable diseases 2014. Switzerland: WHO. Available from: https://www.who.int/nmh/publications/ncd status-report-2014/en/
  • World Health Organization. World Health Organization Cancer Fact Sheet 2018. Available from: http://gco.iarc.fr/today/data/factsheets/cancers/39-All-cancers-fact-sheet.pdf
  • Cancer Research UK. Worldwide cancer incidence statistics. 2018. Available from: https://www.cancerresearchuk.org/health-professional/cancer-statistics/worldwide-cancer
  • American Cancer Soc. Cancer facts and figures 2016. Atlanta. Available from: https://www.cancer.org/research/cancer-facts statistics/all-cancer-facts-figures/cancer-facts-figures-2016.html
  • Fox S, Lyon D. Symptom clusters and quality of life in survivors of lung cancer. Onc Nurs Forum 2006; (33): 931-36. https://doi.org/10.1188/06.ONF.931-936
  • Fan G, Filipczak L, Chow E. Symptom clusters in cancer patients: A review of the literature. Current Onc (Toronto Ont) 2007; (14): 173-79. https://doi.org/10.3747/co.2007.145
  • Schofield, P., Ugalde, A., Carey, M., Mileshkin, L., Duffy, M., Ball, D., et al. Lung cancer challenges and solutions for supportive care intervention research. Pal and Supp Care 2008; (6): 281-87. https://doi.org/10.1017/S1478951508000424
  • Kashani, F. L., Vaziri, S., Akbari, M. E., Jamshidifar, Z., Sanaei, H., & Givi, F. Stress coping skills training and distress in women with breast cancer. Procedia - Social and Beh Sci. 2014 (159)5: 192-196. https://doi.org/10.1016/j.sbspro.2015.09.001
  • Visser M.R.M, Smets E.M.A. Fatigue, depression and quality of life in cancer patients: how are they related? Supp. Care Cancer 1998; (6): 101-108. https://doi.org/10.1007/s005200050142
  • Isikhan, V., Güner, P., Kömürcü, S., Özet, A., Arpaci, F., & Öztürk, B. The relationship between disease features and quality of life in patients with cancer-I. Cancer Nurs 2001; (24)6: 490-95. https://doi.org/10.1097/00002820-200112000-00012
  • Davis C, Rust C, Darby K. Coping skills among African-American breast cancer survivors. Social Work in Health Care 2013; (52)5: 434-48. https://doi.org/10.1080/00981389.2012.742482
  • Lazarus S, Folkman S. Stress, appraisal and coping. New York: Springer Pub. Co., 1984.
  • Day, A. L., & Livingstone, H. A. Chronic and acute stressors among military personnel: do coping styles buffer their negative impact on health?. J Occup Health Psychol 2001; 6(4): 348. https://doi.org/10.1037/1076-8998.6.4.348
  • Saxena S, Carlson D, Billington R. The WHO quality of life assessment instrument (WHOQOL-BREF) the importance of its items for cross-culturan research. Quality of Life Res 2001; (10): 711-21. https://doi.org/10.1023/A:1013867826835
  • World Health Organization. Programme on mental health: WHOQOL measuring quality of life. 1997.
  • Eser, E., Fidaner, H., Eser, S. Y., Fidaner, C., & Elbi, H. Psychometric properties of the WHOQOL-100 and WHOQOL BREF. Journal of Psychiatry Psychol Psych 1999; (7)2: 23-40. https://doi.org/10.1027/1016-9040.5.4.278
  • Carver CS, Scheier MF, Weintraub JK. Assessing coping strategies: A theoretically based approach. Journal of Personality and Social Psych 1989; (66)1: 267-83. https://doi.org/10.1037/0022-3514.56.2.267
  • Carver CS. You want to measure coping but your protocol’s too long: Consider the Brief COPE. International Journal of Beh Med 1997; (4)1:92-100. https://doi.org/10.1207/s15327558ijbm0401_6
  • Tuna ME. Cross-cultural differences in coping strategies as predictors of university adjustment of Turkish and U.S. students. Ankara: Middle East Technical University, 2003.
  • Jahanlou AS, Karami NA. WHO quality of life-BREF 26 questionare: Reliability and validity of the Persian version and compare it with Iranian diabetics quality of life questionnaire in diabetic patients. Primary Care Diabetes 2011;(5): 103-107. https://doi.org/10.1016/j.pcd.2011.02.001
  • Lucas-Carrasco R, Laidlaw K, Power MJ. Suitability of the WHOQOL_BREF and WHOQOL_OLD for Spanish older adults. Aging and Mental Health 2011; (15)5: 595-604. https://doi.org/10.1080/13607863.2010.548054
  • Kennedy P, Nolan M, Smithson E. Psychological adjustment to snipal cord injury in Ireland: quality of life, appraisals and coping. The Irish Journal of Psych 2011; (32)3: 116-29. https://doi.org/10.1080/03033910.2011.613187
  • Gardner, TM, Krageloh CU, Henning MA. Religious coping, stress, and quality of life of Muslim university students in New Zealand. Mental Health, Religion and Culture 2014; (17)4: 327-28. https://doi.org/10.1080/13674676.2013.804044
  • John LD. Self-care strategies used by patients with lung cancer to promote quality of life. Onc Nurs Forum 2010; (37)3: 339-47.
  • Ellis, J., Lloyd Williams, M., Wagland, R., Bailey, C., & Molassiotis, A. Coping with and factors impacting upon the experience of lung cancer in patients and primary carers. European Journal of Cancer Care 2013; (22): 97-106. https://doi.org/10.1111/ecc.12003
  • Yıldırım B. Onkolojik sosyal hizmet uygulaması. In: S.A. Özen ve E. Özcan (Eds.). Tıbbi Sosyal Hizmet. Ankara: Nobel Yayınevi, 2017; 215-224.
  • Unalan, D., Gocer, S., Basturk, M., Baydur, H., & Ozturk, A. Coincidence of low social support and high depressive score on quality of life in elderly. European Geriatric Med 2015;(6): 319-324. https://doi.org/10.1016/j.eurger.2015.02.009
  • Office for National Statistics. Cancer registration statistics. England, 2015. Available from: https://www.ons.gov.uk/peoplepopulationandcommunity/healthandsocialcare/conditionsanddiseases/bulletins/cancerregistrationstatisticsengland/2015
  • Mor V. QOL measurement scales for cancer patients: Differentiating effects of age from effects of illness. Onc. 1992; (192): 146-52.
  • Maly, R. C., Liu, Y., Liang, L. J., & Ganz, P. A. Quality of life over 5 years after breast cancer diagnosis among low income women: Effects of race/etnicity and patient-physician communication. Cancer 2015; (121)6: 916-26. https://doi.org/10.1002/cncr.29150
  • Tuncay T, Yıldırım B. Factors affecting the psychological distress among unemployed and re-employed individuals. Career Develop. Int. 2015; (20)5: 482-502. https://doi.org/10.1108/ CDI-02-2015-0018
There are 31 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Original Articles
Authors

Ercüment Erbay 0000-0002-3760-0224

Harun Aslan 0000-0001-9830-1765

Cemre Bolgun 0000-0002-0228-3994

Publication Date December 15, 2022
Submission Date December 24, 2021
Acceptance Date June 18, 2022
Published in Issue Year 2022 Volume: 13 Issue: 47

Cite

Vancouver Erbay E, Aslan H, Bolgun C. The relationship between coping strategies and quality of life of patients with lung cancer. mkutfd. 2022;13(47):323-31.