مجله زنان، مامایی و نازایی ایران

مجله زنان، مامایی و نازایی ایران

ارتباط نگرانی از عود سرطان با توانایی سازگاری در زنان مبتلا به سرطان پستان شهر اردبیل سال 1403

نوع مقاله : اصیل پژوهشی

نویسندگان
رعنا بهشتی 1
دکتر محمدعلی محمدی 2
دکتر ایرج فیضی 3
فریده مصطفی‌زاده 4
دکتر سمیرا شهباززادگان 5
1 دانشجوی کارشناسی ارشد مامایی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی اردبیل، اردبیل، ایران.
2 استادیار گروه پرستاری، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی اردبیل، اردبیل، ایران.
3 دانشیار جراحی قفسه صدری، گروه جراحی، دانشکده پزشکی، دانشگاه علوم پزشکی اردبیل، اردبیل، ایران.
4 مربی گروه مامایی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی اردبیل، اردبیل، ایران.
5 دانشیار بهداشت باروری، گروه مامایی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی اردبیل، اردبیل، ایران.
10.22038/ijogi.2025.84552.6291
چکیده
مقدمه: سرطان پستان، دومین علت شایع مرگ ناشی از سرطان در زنان است. تشخیص و عوارض ناشی از درمان آن، تجربه استرس‌زایی برای بیماران مبتلا می­باشد. یکی از چالش ­های مهم زنان مبتلا به سرطان پستان، ترس از عود آن و توانایی سازگاری با سرطان است. مطالعه حاضر با هدف تعیین ارتباط نگرانی از عود سرطان با توانایی سازگاری در زنان مبتلا به سرطان پستان انجام شد.
روش‌کار: این مطالعه توصیفی- همبستگی در سال 1403 بر روی 180 نفر از زنان مبتلا به سرطان پستان شهر اردبیل انجام شد. داده­ های مربوط به عود سرطان و توانایی سازگاری با سرطان با استفاده از پرسشنامه اطلاعات دموگرافیک، ترس از عود سرطان و توانایی سازگاری با سرطان گرد‌آوری شد. تجزیه و تحلیل داده­ ها با استفاده از نرم‌افزار آماری SPSS (نسخه 26) و آزمون‌های‌ آنوا، تی مستقل، کای اسکوئر، ضریب همبستگی پیرسون و اسپیرمن انجام شد. میزان p کمتر از 05/0 معنی‌دار در نظر گرفته شد.
یافته­ها: میانگین امتیاز نگرانی از عود بیماری در زنان مبتلا به سرطان پستان از مقدار ملاک کمتر و این تفاوت از نظر آماری معنی‌دار نبود. میانگین امتیاز توانایی سازگاری با سرطان در این زنان از مقدار ملاک بیشتر و از نظر آماری معنی‌دار بود (001/0˂p). بین نگرانی از عود سرطان و زیرمؤلفه ­های آن با توانایی سازگاری در زنان مبتلا به سرطان پستان و سن زنان، همبستگی معکوس و معنی‌داری وجود داشت (001/0˂p). 70% واریانس سازگاری با سرطان به‌وسیله ترس از عود بیماری تبیین شد و بین مؤلفه­ های آن، نگرانی از مرگ (01/3=ß) و نگرانی زنانگی (4/2 -=ß)، قوی‌ترین پیشگویی کننده ­های توانایی سازگاری با سرطان در زنان مبتلا به سرطان پستان بود.
نتیجه ­گیری: بین نگرانی از عود سرطان و سازگاری با آن، همبستگی معکوسی وجود داشت؛ یعنی با افزایش نگرانی از عود سرطان، میزان سازگاری کاهش می‌یافت. توصیه می­ شود کارکنان بهداشتی با مشاوره و کاهش نگرانی از عود سرطان، سازگاری با بیماری را بهبود ببخشند.
کلیدواژه‌ها
پستان
سازگاری
عود نئوپلاسم
نئوپلاسم
نگرانی
موضوعات

عنوان مقاله English

The relationship between fear of cancer recurrence with ability to adapt in women with breast cancer in Ardabil city, 2024

نویسندگان English

Rana Beheshti 1
Mohammadali Mohammadi 2
Iraj Feizi 3
Faredeh Mostafazadeh 4
Samira Shahbazzadegan 5
1 M.Sc. Student of Midwifery, School of Nursing and Midwifery, Ardabil University of Medical Sciences, Ardabil, Iran.
2 Assistant Professor, Department of Nursing, School of Nursing and Midwifery, Ardabil University of Medical Sciences, Ardabil, Iran.
3 Associate Professor, Department of Thoracic Surgery, Faculty of Medicine, Ardabil University of Medical Sciences, Ardabil, Iran.
4 Instructor, Department of Midwifery, School of Nursing and Midwifery, Ardabil University of Medical Sciences, Ardabil, Iran.
5 Associate Professor, Department of Midwifery, School of Nursing and Midwifery, Ardabil University of Medical Sciences, Ardabil, Iran.
چکیده English

Introduction: Breast cancer is the second most common cause of cancer-related death in women. Diagnosis and complications of its treatment are stressful experiences for patients. One of the major challenges for women with breast cancer is the fear of recurrence and the ability to adapt to cancer. The present study was conducted with aim to determine the relationship between fear of cancer recurrence and the ability to adapt in women with breast cancer.
Methods: This descriptive-correlational study was conducted in 2024 on 180 women with breast cancer in Ardabil city. Data related to cancer recurrence and ability to adapt with cancer were collected using a questionnaire on demographic information, fear of cancer recurrence, and ability to adapt to cancer. Data analysis was performed using SPSS software (version 26) and ANOVA, independent t-test Chi-square, Pearson correlation coefficient, Spearman tests. P<0.05 was considered statistically significant.
Results: The mean score of fear of disease recurrence in women with breast cancer was lower than the criterion value, and this difference was not statistically significant. The mean score of ability to adapt to cancer in these women was higher than the criterion value, and was also statistically significant (p˂0.001). There was an inverse and significant correlation between fear of cancer recurrence and its subcomponents with ability to adapt in women with breast cancer and women's age (p˂0.001). Moreover, 70% of the variance in adaptation to cancer was explained by fear of disease recurrence, and among its components, fear of death (ß=3.01) and concern about femininity (ß=2.4) were the strongest predictors of ability to adapt to cancer in women with breast cancer.
Conclusion: There was an inverse correlation between fear of cancer recurrence and adapt to it. As the fear of cancer recurrence increased, the level of adaptation decreased. It is recommended that health workers improve adaptation to the disease by reducing the fear of cancer recurrence.

کلیدواژه‌ها English

Adaptation
Breast
Fear
Neoplasms
Neoplasm recurrence  
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مجله زنان، مامایی و نازایی ایران
دوره 28، شماره 3
خرداد 1404
صفحه 51-62