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128 Determining the symptoms of the patients with head and neck cancers receiving radiotherapy
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Poster Sessions / European Journal of Oncology Nursing 18S1 (2014) S23–S59
127 Illness perception and factors affecting the illness perception in patients with breast cancer
128 Determining the symptoms of the patients with head and neck cancers receiving radiotherapy
3 4 ¨ , N. Kosgeroglu ¨ , E. Yilmaz Karabulutlu1 , O. Karayurt2 , A. Gursoy 5 6 7 8 1 1 I. Aydin Avci , A. Tuna , F. Ersin , F. Arikan , S. Karaman . Atat¨ urk University, Faculty of Health Sciences, Erzurum, Turkey; 2 Dokuz Eyl¨ ul University, Faculty of Nursing, Izmir, Turkey; 3 Karadeniz Teknik University, Trabzon School of Health, Trabzon, Turkey; 4 Eskisehir Osmangazi University, Eskisehir School of Health, Eskisehir, Turkey; 5 Ondokuz Mayis University, School of Health, Samsun, Turkey; 6 Canakkale ¸ Onsekiz Mart University, School of Health, Canakkale, ¸ Turkey; 7 Harran University, School of Health, Sanliurfa, Turkey; 8 Akdeniz University, Faculty of Nursing, Antalya, Turkey
K. Bostanoglu1 , S. Kutluturkan2 . 1 Gazi University Institute of Health Sciences, Nursing, Ankara, Turkey; 2 Assistant Professor Department of Nursing Faculty of Health Sciences, Nursing, Ankara, Turkey
Introduction: Illness perception of patients with breast cancer plays a major role in patients’ adherence to treatment and illness. One of the strategic objectives of the breast cancer working-group in oncology nursing for 2014 is to perform multi-center studies that will contribute to nursing care for breast cancer in Turkey. In line with this objective, the study conducted with members of the working group aims to investigate illness perception and the factors affecting the illness perception in patients with breast cancer. Material and Method: The study was a descriptive and crosssectional study. Data were collected between February and April 2014 in centres at provinces of Izmir, Antalya, Samsun, Eskisehir, Erzurum, Sanliurfa and Canakkale ¸ located in different regions of Turkey, where treatment and controls of patients with breast cancer were carried out. The study population was consisted of 263 women, who was diagnosed with breast cancer. Data were collected through socio-demographic and clinical characteristics form and Illness Perception Questionnaire (IPQ). IPQ has three dimensions, illness identity, opinions and causes. Approval of the ethics committee and informed oral consent of patients were obtained. Results and Discussion: Of the patients, 80.2% was married, mean age was 50.31±11.90, and the average time after diagnosis was 13.81±18.43 months. It was determined that 57.4% of patients had mastectomy and 54.8% had received chemotherapy. Most common symptom experienced by patients were fatigue (81%), and it was associated with the illness by a ratio of 66.5%. In the opinions of patients about the disease sub-scale; the highest score (20.46±4.74) was in perception of personal control sub-scale, and the lowest score (12.22±3.41) was in timeline cyclical perception. And, of the causes of illness, it was observed that the highest score (16.88±5.85) of the patients was in risk factors sub-scale. The higher scores of personal control indicate that individuals have positive beliefs about controlling the disease, and lower cyclical score suggests that belief on cyclical nature of the illness is low. Statistically significant difference was found between age, place of residence, educational status, employment status, diagnosis period, presence of mastectomy, illness perception of the type of treatment and sub-dimensions of IPQ. Conclusion: It was found that patients with breast cancer mostly experience fatigue, have positive belief about controlling the illness, and think that the most important cause of their illness was the risk factors. The opinions of patients about their illnesses are rarely questioned by health care professionals, and patients are often unable to express their beliefs about their own illness correctly. Therefore, nurses should determine what are the perceptions of patients about their illness, should understand the problems faced and should plan appropriate interventions. No conflict of interest.
Introduction: This research was performed to determine the symptoms of the patients with head and neck cancers receiving radiotherapy. Material and Method: This research was performed with 47 patients applying to the departments of Radiation Oncology in both Samsun Education and Research Hospital and Ondokuz Mayis University Hospital. The data in the research were collected via Memorial Symptom Assessment Scale (MSAS) and personal data form based on literature during the middle of the radiation therapy, when the therapy ended and in the period after 1 month passed over the end of the therapy. In the evaluation of the data, percentile calculation, mean, Mann Whitney U Test and Bonferroni Adjusted Kruskal Wallis H Test were utilized. Results: According to the results of the research; at the end of the therapy with head and neck cancer, the average of MSASGDI (Global Distress Index), MSAS-physical, MSAS-psychological and Total Memorial Symptom Assessment Scale (TMSAS) were found to higher and after 1 month passed over the end of the therapy, the average of MSAS subscale reduced. There seems a meaningful statistical difference between the subscale groups, in the middle, at the end and 1 month after the end of the therapy (p < 0.05). The scores of MSAS subscale were checked against sex, education level, the phase of the sickness and the area that the cancer cells located. There found a meaningful statistical difference between the averages of sex and MSAS-psychological score at the end of the radiotherapy (p < 0.05). It was determined that the average of MSAS-psychological scores at the end of the radiotherapy were meaningfully higher on the women than the men. Conclusion: There also found a meaningful statistical difference between the averages of TMSAS of the area that the cancer cells were located, during the middle of radiotherapy and at the end of the therapy (p < 0.05). Determining symptoms during radiotherapy will contribute to increase the well-being of the patients. No conflict of interest. 129 Determination of the effects of job satisfaction and empathy levels of oncology nurses on patient satisfaction S. Ates1 , A. Baran1 , F. Celikbilek1 , Z.M. Dincer1 , N. Olgun2 . 1 Uskudar University, Nursing, Istanbul, Turkey; 2 Acibadem University, Nursing, Istanbul, Turkey Introduction: Patient satisfaction is one of the most important indicators of quality patient care and is a complex concept affected by several factors. Nurses’ ability to provide reliable and accurate service, nurses’ knowledge, characteristics of respect and empathy and job satisfaction are presented as the factors that increase care satisfaction of patients. This study aims to determine the effects of job satisfaction of nurses working oncology and their empathy levels on patient satisfaction. Material and Methods: The universe of this descriptive study consisted of the oncology clinic of a university hospital, chemotherapy unit, radiation oncology nurses and chemotherapyreceiving patients. In the study, no sampling method was employed; and 137 Turkish-speaking patients who did not have any communication problems and readily accepted participate in the study; and 21 nurses who worked in the relevant department and readily accepted to participate in the study, took part in it. As data collection tools, ‘Demographic Data Form’, ‘Minnesota Job Satisfaction Scale’ and ‘Empathy Scale’ were used for nurses. For patients, ‘Patient Identification Form’ and ‘Nursing Care Satisfaction in Chemotherapy Patients Scale’ were employed. For the study,
Poster Sessions / European Journal of Oncology Nursing 18S1 (2014) S23–S59
127 Illness perception and factors affecting the illness perception in patients with breast cancer
128 Determining the symptoms of the patients with head and neck cancers receiving radiotherapy
3 4 ¨ , N. Kosgeroglu ¨ , E. Yilmaz Karabulutlu1 , O. Karayurt2 , A. Gursoy 5 6 7 8 1 1 I. Aydin Avci , A. Tuna , F. Ersin , F. Arikan , S. Karaman . Atat¨ urk University, Faculty of Health Sciences, Erzurum, Turkey; 2 Dokuz Eyl¨ ul University, Faculty of Nursing, Izmir, Turkey; 3 Karadeniz Teknik University, Trabzon School of Health, Trabzon, Turkey; 4 Eskisehir Osmangazi University, Eskisehir School of Health, Eskisehir, Turkey; 5 Ondokuz Mayis University, School of Health, Samsun, Turkey; 6 Canakkale ¸ Onsekiz Mart University, School of Health, Canakkale, ¸ Turkey; 7 Harran University, School of Health, Sanliurfa, Turkey; 8 Akdeniz University, Faculty of Nursing, Antalya, Turkey
K. Bostanoglu1 , S. Kutluturkan2 . 1 Gazi University Institute of Health Sciences, Nursing, Ankara, Turkey; 2 Assistant Professor Department of Nursing Faculty of Health Sciences, Nursing, Ankara, Turkey
Introduction: Illness perception of patients with breast cancer plays a major role in patients’ adherence to treatment and illness. One of the strategic objectives of the breast cancer working-group in oncology nursing for 2014 is to perform multi-center studies that will contribute to nursing care for breast cancer in Turkey. In line with this objective, the study conducted with members of the working group aims to investigate illness perception and the factors affecting the illness perception in patients with breast cancer. Material and Method: The study was a descriptive and crosssectional study. Data were collected between February and April 2014 in centres at provinces of Izmir, Antalya, Samsun, Eskisehir, Erzurum, Sanliurfa and Canakkale ¸ located in different regions of Turkey, where treatment and controls of patients with breast cancer were carried out. The study population was consisted of 263 women, who was diagnosed with breast cancer. Data were collected through socio-demographic and clinical characteristics form and Illness Perception Questionnaire (IPQ). IPQ has three dimensions, illness identity, opinions and causes. Approval of the ethics committee and informed oral consent of patients were obtained. Results and Discussion: Of the patients, 80.2% was married, mean age was 50.31±11.90, and the average time after diagnosis was 13.81±18.43 months. It was determined that 57.4% of patients had mastectomy and 54.8% had received chemotherapy. Most common symptom experienced by patients were fatigue (81%), and it was associated with the illness by a ratio of 66.5%. In the opinions of patients about the disease sub-scale; the highest score (20.46±4.74) was in perception of personal control sub-scale, and the lowest score (12.22±3.41) was in timeline cyclical perception. And, of the causes of illness, it was observed that the highest score (16.88±5.85) of the patients was in risk factors sub-scale. The higher scores of personal control indicate that individuals have positive beliefs about controlling the disease, and lower cyclical score suggests that belief on cyclical nature of the illness is low. Statistically significant difference was found between age, place of residence, educational status, employment status, diagnosis period, presence of mastectomy, illness perception of the type of treatment and sub-dimensions of IPQ. Conclusion: It was found that patients with breast cancer mostly experience fatigue, have positive belief about controlling the illness, and think that the most important cause of their illness was the risk factors. The opinions of patients about their illnesses are rarely questioned by health care professionals, and patients are often unable to express their beliefs about their own illness correctly. Therefore, nurses should determine what are the perceptions of patients about their illness, should understand the problems faced and should plan appropriate interventions. No conflict of interest.
Introduction: This research was performed to determine the symptoms of the patients with head and neck cancers receiving radiotherapy. Material and Method: This research was performed with 47 patients applying to the departments of Radiation Oncology in both Samsun Education and Research Hospital and Ondokuz Mayis University Hospital. The data in the research were collected via Memorial Symptom Assessment Scale (MSAS) and personal data form based on literature during the middle of the radiation therapy, when the therapy ended and in the period after 1 month passed over the end of the therapy. In the evaluation of the data, percentile calculation, mean, Mann Whitney U Test and Bonferroni Adjusted Kruskal Wallis H Test were utilized. Results: According to the results of the research; at the end of the therapy with head and neck cancer, the average of MSASGDI (Global Distress Index), MSAS-physical, MSAS-psychological and Total Memorial Symptom Assessment Scale (TMSAS) were found to higher and after 1 month passed over the end of the therapy, the average of MSAS subscale reduced. There seems a meaningful statistical difference between the subscale groups, in the middle, at the end and 1 month after the end of the therapy (p < 0.05). The scores of MSAS subscale were checked against sex, education level, the phase of the sickness and the area that the cancer cells located. There found a meaningful statistical difference between the averages of sex and MSAS-psychological score at the end of the radiotherapy (p < 0.05). It was determined that the average of MSAS-psychological scores at the end of the radiotherapy were meaningfully higher on the women than the men. Conclusion: There also found a meaningful statistical difference between the averages of TMSAS of the area that the cancer cells were located, during the middle of radiotherapy and at the end of the therapy (p < 0.05). Determining symptoms during radiotherapy will contribute to increase the well-being of the patients. No conflict of interest. 129 Determination of the effects of job satisfaction and empathy levels of oncology nurses on patient satisfaction S. Ates1 , A. Baran1 , F. Celikbilek1 , Z.M. Dincer1 , N. Olgun2 . 1 Uskudar University, Nursing, Istanbul, Turkey; 2 Acibadem University, Nursing, Istanbul, Turkey Introduction: Patient satisfaction is one of the most important indicators of quality patient care and is a complex concept affected by several factors. Nurses’ ability to provide reliable and accurate service, nurses’ knowledge, characteristics of respect and empathy and job satisfaction are presented as the factors that increase care satisfaction of patients. This study aims to determine the effects of job satisfaction of nurses working oncology and their empathy levels on patient satisfaction. Material and Methods: The universe of this descriptive study consisted of the oncology clinic of a university hospital, chemotherapy unit, radiation oncology nurses and chemotherapyreceiving patients. In the study, no sampling method was employed; and 137 Turkish-speaking patients who did not have any communication problems and readily accepted participate in the study; and 21 nurses who worked in the relevant department and readily accepted to participate in the study, took part in it. As data collection tools, ‘Demographic Data Form’, ‘Minnesota Job Satisfaction Scale’ and ‘Empathy Scale’ were used for nurses. For patients, ‘Patient Identification Form’ and ‘Nursing Care Satisfaction in Chemotherapy Patients Scale’ were employed. For the study,