A Structured Pscyhoeducational Intervention for Gynecologic Cancer Patients

Esra Savaş

Abstract


The purpose of this experimental research was to determine the effect of psychoeducation on gynecological cancer patients’ (Stages 1-III) cancer response, coping with stress, mood profile, illness perception, anxiety, and depression symptoms. The sample were patients of the Istanbul medical faculty gynecology clinics and met the research criteria. The planned psychoeducation program was developed by Fawzy I. Fawzy for breast cancer patients. Before administration, it was specifically tailored to the gynecologic cancer patients. The intervention was conducted once a week, 90 minutes on six weeks, about health education, coping skills, stress management and psychological support. The data was collected using a questionnaire, Mental Adjustment to Cancer, Profile of Mood States, Coping Styles with Stress, Illness Perception, Beck Depression, Hospital Anxiety and Depression. The data was collected before and after the program. In the data analysis, the Wilcoxon Signed Ranks Test was used to compare within the experimental group and Mann-Whitney U and Chi-Square tests were used to compare the experimental group to the control group. The findings were, compared to the control group, the experimental group had an increase in fighting spirit, a decrease in helplessness/hopelessness, anxious waiting, avoidance and fatalism in cancer response styles; a decrease in levels of anxiety and depression; a decrease in avoidance and increase in problem solving and social support searching levels of coping styles within stress, a decrease in anxiety, aggression, depression, fatigue, confusion, an increase in friendship and no change in robustness/activity of mental adjustment to cancer; a decrease in acute/chronic timeline, cyclical timeline, consequences and emotional representations, an increase in personal control, treatment control and illness coherence of illness perception. As a result, psychoeducation was determined to lead to a positive change in gynecologic cancer patients’ cancer response style, mood profile, illness perception, coping style with stress, depression and anxiety.

Key words: Gynecologic cancer, cancer response style, mood of profile, coping with stress


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