Strah pred ponovitvijo bolezni pri bolnikih z rakom : diplomsko delo

Janežič, Klara (author), Žužek, Lana (author), Žager Marciuš, Valerija (mentor), Škufca Smrdel, Andreja Cirila (comentor), Starc, Tina (reviewer)

Uvod: Rak ne vpliva le na telo, ampak tudi na čustveno počutje. Diagnoza raka prinaša številne fizične in čustvene izzive, ki lahko negativno vplivajo na kakovost življenja in proces zdravljenja. Bolniki se med drugim pogosto srečujejo s strahom pred ponovitvijo bolezni. Opredeljen se kaže kot zaskrbljenost, strah ali skrb, da se bo bolezen znova pojavila ali napredovala. Strah pred ponovitvijo bolezni je pogost vir duševne stiske, ki se lahko stopnjuje in kaže v anksiozni in depresivni simptomatiki, lahko pa se stopnjuje do te mere, da zadošča kriterijem duševne motnje. Namen: Namen diplomskega dela je na podlagi analize vprašalnikov ugotoviti doživljanje oziroma spoprijemanje bolnikov s težavami, ki se lahko pripetijo v času zdravljenja maligne bolezni in morebitne ponovitve bolezni. Metode dela: Uporabili smo deskriptivno oziroma opisno metodo s pregledom tuje in domače literature. Za raziskavo smo uporabili kvantitativni pristop z metodo spraševanja oziroma anketiranja bolnic z rakom dojke, ki smo jo izvedli na Onkološkem inštitutu v Ljubljani. Rezultate bomo na koncu primerjali s člankom, ki sta ga napisala Sébastien Simard in Josée Savard leta 2009, kjer sta se tudi osredotočila na rezultate vprašalnikov strahu pred ponovitvijo bolezni pri bolnicah z rakom dojke. Rezultati: Podatki bolnikov na oddelku za psihoonkologijo so pokazali srednje ocene na termometru duševne stiske, ki kažejo na zmerno stisko, z znatnimi kliničnimi stiskami. Vprašalniki o anksioznosti in splošnem bolnikovem zdravju so pri večini bolnikov pokazali blage do zmerne simptome. Študija je ugotovila statistično značilne razlike v strahu pred ponovitvijo v primerjavi z normativnim vzorcem, z večjo stisko in več strategijami obvladovanja med udeleženci. Korelacije med stisko, depresijo anksioznostjo in strahom pred ponovitvijo bolezni potrjujejo termometer duševne stiske kot presejalno orodje. Razprava in zaključek: Pri bolnicah z rakom dojke, ki so bile ob spoprijemanju z boleznijo v psihoonkološki obravnavi, smo našli blage do zmerno izražene simptome anksioznosti in depresivnosti ter srednje ocene duševne stiske. Strah pred ponovitvijo bolezni je bil v tej klinični skupini pomembno večji kot v normativni skupini v tujini. Visoke korelacije med stisko, depresijo anksioznostjo in strahom pred ponovitvijo bolezni potrjujejo termometer duševne stiske kot presejalno orodje.

• Language: Slovenian
• Keywords: diplomska dela, radiološka tehnologija, strah, rak dojk, bolnice, vprašalnik, kliničnopsihološka obravnava
• Work type: Bachelor thesis/paper
• Typology: 2.11 - Undergraduate Thesis
• Organization: ZF - Faculty of Health Sciences
• Place of publishing: Ljubljana
• Publisher: [K. Janežič : L. Žužek]
• Year: 2024
• Number of pages: 39 str., [10] str. pril.
• PID: 20.500.12556/RUL-159645
• UDC: 616-07
• COBISS.SI-ID: 202001155
• Publication date in RUL: 17.07.2024

JANEŽIČ, Klara and ŽUŽEK, Lana, 2024, Strah pred ponovitvijo bolezni pri bolnikih z rakom : diplomsko delo [online]. Bachelor’s thesis. Ljubljana : K. Janežič : L. Žužek. [Accessed 26 April 2025]. Retrieved from: https://repozitorij.uni-lj.si/IzpisGradiva.php?lang=eng&id=159645

Secondary language

• Language: English
• Title: Fear of recurration of the disease in cancer patients : diploma work

Abstract

Introduction: Cancer affects not only the body, but also the emotional well-being. Diagnosing cancer brings with it a number of physical and emotional challenges that can negatively affect the quality of life and the treatment process. Among other things, patients often face the fear of relapsing the disease. It is defined as concern, fear, or worry that the disease will reappear or progress. Fear of relapse is a common source of mental distress, which can escalate into anxiety and depressive symptoms, but may escalate to the point where it meets the criteria for a mental disorder. Purpose: The purpose of this thesis is to determine the experiences and coping mechanisms of patients facing issues that may arise during the treatment of malignant diseases and potential disease recurrence based on questionnaire analysis. Methods: A descriptive method was used with a review of foreign and domestic literature. We employed a quantitative approach with a survey method by interviewing patients, which was conducted at the Oncology Institute in Ljubljana. In the end we will compare the results with an article written by Sébastien Simard and Josée Savard in 2009, where they also focused on the results of questionnaires on fear of recurrence in breast cancer patients. Results: Patient data in the psycho-oncology department showed an average mental distress thermometer score indicating moderate distress, with significant clinical distress. Anxiety and general patient health questionnaires showed mild to moderate symptoms in most patients. The study found significant differences in fear of repetition compared to the normative pattern, with greater distress and more coping strategies among participants. The high correlations between distress, depression, anxiety, and fear of relapse are confirmed by the mental distress thermometer as a screening tool. Discussion and conclusion: Mild to moderate symptoms of anxiety and depression and moderate ratings of mental distress were found in breast cancer patients undergoing psychooncological treatment while coping with the disease. Fear of recurrence was significantly higher in this clinical group than in the normative group abroad. The high correlations between distress, depression anxiety and fear of recurrence support the mental distress thermometer as a screening tool.

• Keywords: diploma theses, radiologic technology, fear, breast cancer, patients, questionnaire, clinicalpsychological treatment