Seksualnost bolesnica oboljelih od karcinoma dojke

master's thesis

• Title (english): Sexuality of breast cancer patients
• Author: Ana-Marija Čurdija
• Mentor: Natalija Dedić Plavetić (mentor)
• Committee member: Borislav Belev (predsjednik povjerenstva)
• Committee member: Dražen Begić (član povjerenstva)
• Committee member: Natalija Dedić Plavetić (član povjerenstva)
• Granter: University of Zagreb; School of Medicine; (Department of Clinical Oncology); Zagreb
• Defense date and country: 2022-01-13, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Oncology

Abstract

Uvod i cilj istraživanja: Učinkovit oporavak bolesnica sa zloćudnim oboljenjem ne zahtijeva samo uspješno liječenje lijekovima nego i druge metode liječenja. Potrebno je determinirati zdrav i neopterećen seksualan život. Cilj ovog rada bio je istražiti utječe li dijagnoza karcinoma dojke na seksualnost kod bolesnica, a samim time i na kvalitetu njihovog života. Sama hipoteza ovog rada je „seksualnost bolesnica oboljelih od karcinoma dojke tijekom procesa liječenja je izmijenjena“.
Ispitanici i metode: Presječno istraživanje provedeno je na prigodnom uzorku ispitanika (n=90) u Dnevnoj bolnici, Klinike za onkologiju, Kliničkog bolničkog centra Zagreb. Ispitanice su popunjavale dva upitnika na dan primanja kemoterapije, biološke i/ili hormonske terapije – upitnik (EORTC SHQ-C22) koji mjeri kvalitetu psihosekusualnog života oboljelih od malignih bolesti te anketni upitnik koji sadrži vlastito osmišljena pitanja koja se odnose vrstu liječenja te komunikaciju sa pacijenticom.
Rezultati: Istraživanje je pokazalo da postoji negativna povezanost između seksualnosti bolesnica s trajanjem liječenja. Rezultati provedenog t-testa s p vrijednošću od 0,0025 % na odabranih 5 pitanja EORTC SHQ-C22 upitnika pokazali su kako pacijentice nedvojbeno osjećaju negativne utjecaje terapije na njihovo psihoseksualno zdravlje. Na pitanje utječe li vrsta liječenja na seksualnost pacijentica, nakon provedene ANOVA analize, možemo zaključiti kako sama vrsta terapije ne utječe na seksualnost pacijentica (p=0,2). Također, sama dobna skupina pacijentica podvrgnutih liječenju nije imala utjecaja na njihovu seksualnost (p=0,33).
Zaključak: Rezultati su pokazali da je u uzorku ispitanih bolesnica seksualnost narušena. Iako narušena, pokazalo se kako vrsta liječenja i dob bolesnica ne utječu na njihovu seksualnost. Što se tiče same komunikacije koje bolesnice ostvaruju sa članovima zdravstvenog tima, pokazalo se kako je komunikacija gotovo nepostojeća. Time je potvrđena hipoteza ovog istraživanja.

Abstract (english)

Introduction and aim of the research: Effective recovery of patients with malignancy requires not only successful drug treatment but also other methods of treatment. It is necessary to determine a healthy and unburdened sex life. The aim of this study was to investigate whether the diagnosis of breast cancer affects sexuality in patients, and thus their quality of life.
Subjects and methods: A cross-sectional study was conducted on an appropriate sample of subjects (n = 90) in the outpatient care, Oncology Clinic, Clinical Hospital Center Zagreb. Respondents completed two questionnaires on the day of receiving chemotherapy, immunotherapy and / or hormone therapy - a questionnaire (EORTC SHQ-C22) that measures the quality of psychosexual life of patients with malignant diseases and a questionnaire containing self-designed questions related to treatment and communication with the patient.
Results: Research has shown that there is a negative correlation between patients ’sexuality over the duration of treatment. The results of a t-test with a p value of 0.0025% on 5 selected questions of the EORTC SHQ-C22 questionnaire showed that patients undoubtedly feel the negative effects of therapy on their psychosexual health. When we analised whether the type of treatment affects the sexuality of patients, after conducting ANOVA analysis, we can conclude that the type of therapy itself does not affect the sexuality of patients (p = 0.2). Also, the age group of patients undergoing treatment had no effect on their sexuality (p = 0.33).
Conclusion: The results showed that sexuality was impaired in the sample of examined patients. Although impaired, it was shown that the type of treatment and the age of the patients did not affect their sexuality. As for the communication that patients have with members of the treatment team, it turned out that communication is almost non-existent. This confirms the hypothesis of this research.

• Keywords: dojka; karcinom; komunikacija; psihoseksualno zdravlje; seksualnost
• Keywords (english): breast; cancer; communication; psychosexual health; sexuality
• Language: croatian
• URN:NBN: urn:nbn:hr:105:937140
• Study programme: Title: Studies in Nursing; Study programme type: university; Study level: graduate; Academic / professional title: magistar/magistra sestrinstva (magistar/magistra sestrinstva)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2022-06-17 11:33:42