Volume 28, Issue 3 (5-2021)
RJMS 2021, 28(3): 1-8 |
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Kazemian S, Karbasi Kashi N, Kakavandi Chaghasfid M. Determination of factors affecting the recovery attitude in cancer patients. RJMS 2021; 28 (3) :1-8
URL: http://rjms.iums.ac.ir/article-1-5846-en.html
URL: http://rjms.iums.ac.ir/article-1-5846-en.html
Allameh Tabatabaei University, Tehran, Iran , somaye.kazemian@yahoo.com
Abstract: (2107 Views)
Background & Aims: Since cancer as a chronic disease starts slowly and gradually and continues for a long time, it has very amazing psychological effects. This disease can be a traumatic event that causes many negative emotions such as Anger, Depression, Depression, Anxiety, Sleep Problems, Post-Traumatic Stress Disorder. In fact, cancer affects a person's life in four dimensions: psychological, social, physical, and spiritual. Psychological factors play a key role in both the development of cancer and the persistence and consequences of the disease. Not only is it important to characterize the attitude of people with cancer towards death, but it is also necessary to identify and characterize the factors that affect death and attitudes toward it, such as attachment styles, emotional repression, and anxiety sensitivity. Comprehensive cancer services, which include providing support and support in all areas of physical, emotional, family, practical and spiritual care that affect the disease, seem to be essential in today's society. Because the experience of each stage of cancer profoundly affects the lives of patients. Although rehabilitation plays an important role in the course of treatment. Generally, there are no structures for regular assessment of psychological needs or sound and evaluated guidelines for individual rehabilitation interventions, as well as organizations for referring patients to benefit from advanced rehabilitation services. The effect of many non-pharmacological factors in the recovery of cancer can be measured, one of which can be the efforts of patients in the recovery process due to commitment to their families. In fact, by becoming aware of having this life-threatening disease, people's perceptions of life change and they try to adapt to this situation. The psychological effects of cancer diagnosis and the physical effects of treatment and its side effects can be affected in some way by a person's commitment to his family.The aim of this study was to investigate the relationship between patients' views on family obligations and attitudes toward recovery in cancer patients in Shahid Beheshti Hospital in Kashan.
Methods: This is a qualitative study. The statistical population of this study consists of a number of people with various types of cancer who referred to Beheshti Hospital in Kashan in 2015. A sample of this population of 16 people in the form of Available samples were selected.
Criteria for inclusion in this study were that about 20 years after the diagnosis of cancer, patients were aware of their disease and had experience of at least one of the various treatments such as surgery, chemotherapy and radiotherapy. They had the ability to communicate verbally and the ability to hear. They were selected by available sampling for a period of 3 months from June 1994 to August 1994. The age range of patients was 28 to 70 years with a mean age of 49 years. 62.5% of patients were female and different patients with different types of cancer were studied. Exclusion criteria also included all those with psychiatric disorders who had been treated or had any acute or chronic illness.
Results: According to the interviews with these patients, it is clear that with the progress made in improving cancer and despite the support of family members in the recovery process, many patients for various reasons that can be said to be due to commitment They are trying to speed up their recovery process. Among the effective factors arising from the sense of commitment of these patients are: the person's emotional relationship with family members and the person's view of his abilities.
Conclusion: Family-based commitment to health is one of the deep concepts that can be considered today along with other quantitative indicators such as life expectancy and survival, and it can be said that it has a positive and direct and significant relationship with recovery and its importance. It is especially prevalent in transformational diseases and long-term and complex treatments, including cancers. Among women, commitment to all members of the extended family, headed by children, was considered important, but among men, commitment was considered the only focus on completing the necessary activities for the normal life of the children and completing the paternal duty. شد. It should be noted that companionship and consequently family commitment is more visible around the first year of the disease and in the second year due to family fatigue during this period this feeling of commitment decreases and if the patient recovers after two years This feeling of commitment has increased since the illness, and the patient is making more efforts to recover due to the planned accompaniment of the family, who have in fact somehow come to terms with the illness over the years. Knowing that a person has cancer is a surprising and disturbing experience for every person and their family, and in fact, knowing that they have this life-threatening disease changes people's perception of life and tries to do so. The situation is adapted. The psychological effects of cancer diagnosis and the physical effects associated with treatment and the side effects associated with it can be somewhat influenced by a person's commitment to his family. Not only is it important to characterize the attitude of people with cancer towards death, but it is also necessary to identify and characterize the factors influencing death and attitudes toward it, such as attachment styles, emotional repression, and anxiety sensitivity. Given the growing prevalence of cancer, the issue of recovery of these patients, both physically and What is considered psychologically important. According to the researcher, due to the fact that the physical part of this disease is mostly focused on specialized doctors, but in the field of mental recovery of cancer patients, the main achievement of which is the person himself, many issues can be considered. After suffering from this disease, which in the optimistic state of some patients is considered incurable and even sometimes, some patients consider it incurable, the most important reason for continuing treatment and the process of improving family commitment in patients can be. In fact, patients are more concerned about what will happen to their families during this illness and in the future.
Methods: This is a qualitative study. The statistical population of this study consists of a number of people with various types of cancer who referred to Beheshti Hospital in Kashan in 2015. A sample of this population of 16 people in the form of Available samples were selected.
Criteria for inclusion in this study were that about 20 years after the diagnosis of cancer, patients were aware of their disease and had experience of at least one of the various treatments such as surgery, chemotherapy and radiotherapy. They had the ability to communicate verbally and the ability to hear. They were selected by available sampling for a period of 3 months from June 1994 to August 1994. The age range of patients was 28 to 70 years with a mean age of 49 years. 62.5% of patients were female and different patients with different types of cancer were studied. Exclusion criteria also included all those with psychiatric disorders who had been treated or had any acute or chronic illness.
Results: According to the interviews with these patients, it is clear that with the progress made in improving cancer and despite the support of family members in the recovery process, many patients for various reasons that can be said to be due to commitment They are trying to speed up their recovery process. Among the effective factors arising from the sense of commitment of these patients are: the person's emotional relationship with family members and the person's view of his abilities.
Conclusion: Family-based commitment to health is one of the deep concepts that can be considered today along with other quantitative indicators such as life expectancy and survival, and it can be said that it has a positive and direct and significant relationship with recovery and its importance. It is especially prevalent in transformational diseases and long-term and complex treatments, including cancers. Among women, commitment to all members of the extended family, headed by children, was considered important, but among men, commitment was considered the only focus on completing the necessary activities for the normal life of the children and completing the paternal duty. شد. It should be noted that companionship and consequently family commitment is more visible around the first year of the disease and in the second year due to family fatigue during this period this feeling of commitment decreases and if the patient recovers after two years This feeling of commitment has increased since the illness, and the patient is making more efforts to recover due to the planned accompaniment of the family, who have in fact somehow come to terms with the illness over the years. Knowing that a person has cancer is a surprising and disturbing experience for every person and their family, and in fact, knowing that they have this life-threatening disease changes people's perception of life and tries to do so. The situation is adapted. The psychological effects of cancer diagnosis and the physical effects associated with treatment and the side effects associated with it can be somewhat influenced by a person's commitment to his family. Not only is it important to characterize the attitude of people with cancer towards death, but it is also necessary to identify and characterize the factors influencing death and attitudes toward it, such as attachment styles, emotional repression, and anxiety sensitivity. Given the growing prevalence of cancer, the issue of recovery of these patients, both physically and What is considered psychologically important. According to the researcher, due to the fact that the physical part of this disease is mostly focused on specialized doctors, but in the field of mental recovery of cancer patients, the main achievement of which is the person himself, many issues can be considered. After suffering from this disease, which in the optimistic state of some patients is considered incurable and even sometimes, some patients consider it incurable, the most important reason for continuing treatment and the process of improving family commitment in patients can be. In fact, patients are more concerned about what will happen to their families during this illness and in the future.
Type of Study: Research |
Subject:
Clinical Psychiatry
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