ÖZET Amaç: Bu araştırma kanser hastalarının hastalıklarını nasıl algıladıklarını ve bu algıyı etkileyen faktörleri belirlemek amacıyla yapılmıştır. Yöntem: Tanımlayıcı olarak yapılan bu araştırma Atatürk Üniversitesi Sağlık Araştırma ve Uygulama Hastanesi Medikal Onkoloji Kliniği'nde yürütülmüştür. Araştırma verileri Ocak-Eylül 2010 tarihleri arasında toplanmıştır. Araştırmaya belirtilen tarihler arasında klinikte yatarak tedavi gören 18 yaş ve üzerinde, Türkçe okuyabilen ve anlayabilen, araştırmaya gönüllü olarak katılan, araştırmaya katılmayı engelleyebilecek fiziksel ve zihinsel bir engeli bulunmayan 192 hasta dahil edilmiştir. Araştırmanın verileri soru formu ve Hastalık Algısı Ölçeği ile toplanmıştır. Bulgular: Hastaların hastalığın başlangıcından beri en fazla yorgunluk yaşadığı ve en çok bu belirtiyi hastalıkları ile ilişkilendirdikleri tespit edilmiştir. Hastaların hastalık hakkındaki görüşleri ile ilgili alt boyutlar incelendiğinde; kişisel kontrol algısı ve sonuçlar algısı puan ortalamalarının diğer alt boyutlara göre yüksek olduğu ve süre (döngüsel) algısı ve hastalığı anlayabilme puan ortalamalarının ise en düşük olduğu bulunmuştur. Hastaların en fazla hastalık nedeni olarak risk faktörlerini algıladıkları belirlenmiştir. Sonuç; hastaların hastalığın süresi, seyri ve tedavisi üzerindeki iç kontrol algılarının yüksek ve hastalığı anlama ve kavramalarının düşük olduğu belirlemiştir. Anahtar Kelimeler: Hastalık algısı, hemşire, kanser ABSTRACT Objectives: The purpose of this study is to determine how cancer patients perceive their illness and factors affecting the perception illness. Methods: The study was a descriptive and cross-sectional study. Data were collected Erzurum Atatürk University Research Hospital Medical Oncology Clinic between February and September, 2010. The study population was consisted of 192 cancer patients, who was over 18 years of age, who understand and can speak Turkish, without any psychiatric illness diagnosis and awareness of th eillness. Data collection tools were Patient Quastionnaire and İlness Percepitions Questionnaire. Results: Since the beginning of the disease patients experienced fatigue symptoms and associated this symptom with their illness. When examined subscales related to their views on the disease patients; the score mean for perception of personal control and perception of consequences all sub-scales regarding the patients' view on their illness, was higher in comparison to all other sub-scales of the scale. The score mean for perception of time (cyclical) and perception of illness coherence was the lowest. Risk factors attributions were determined as the most common reasons behind the patient illness. Conclusion; It is determined high internal control on duration of illness and course illness, treatment. It is determined low understanding of illness. Keywords: Illness perceptions, nurse, cancer Giriş İnsanların sağlık ve hastalıklarıyla ilgili algıları ve bunların birbiriyle ilişkisinin belirlenmesinin sağlığı sürdürme, hastalıkların önlenmesi, tedavi ve reh...

The purpose of this study was to determine distress levels and religious coping styles of cancer patients and the relationship between religious coping styles and distress. This study was conducted as descriptive design. It was determined that 60.7% of the patients experienced distress related to the disease. The field of problem from which the patients mostly experienced distress was physical problems. It was observed that positive coping scores of the patients were higher. There was a negative correlation between their mean scores for positive religious styles and distress total scores.

Like all other types of cancer, breast cancer (BC) is perceived as a life-threatening disease; it remains as a most frightening disease for women despite the important developments in its treatment. Moreover, BC is perceived as a disease that threatens both life and womanhood, includes physical, psychological, sexual and working-life problems, has recovery and exacerbation periods, and causes short-and long-period adjustment disorders (1, 2). According to the 2018 report of the International Agency for Research on Cancer, BC is ranked as the second most frequent cancer (11.6%) in the world. (3) According to the 2015 data of Ministry of Health in Turkey, BC is ranked first among the first 10 types of cancer seen in women and its incidence is 52.5 in one hundred thousand (4). While the incidence of breast cancer is increasing in both our country and the world, knowing what breast cancer means for patients may be beneficial for reducing the mortality and morbidity of the disease. Illness is subjective; each person experiences it differently. Therefore, individual responses to illness are also different (5). The responses attributed to illness, beliefs about its course and duration, its perceived consequences, and special beliefs about it all affect the treatment and controllability of disease (6). How the experience of cancer is defined and perceived plays a crucial role in adjusting both to the disease and its treatment (7). Therefore, attention has been increasingly directed on the meaning attributed by patients to their cancer. Studies show that how the patients with BC perceive their illness is an important factor that determines adjustment to disease, the general distress level, psychosocial distress experienced by patients, and coping with stress (1, 8-10).

Background The quality of life of patients receiving chemotherapy decreases, and fatigue is one of the most common symptoms. Reiki is used for cancer patients as an energy-based complementary and alternative method. Objective The aim of this study was to determine the effect of Reiki therapy on the quality of life and fatigue levels in breast cancer patients receiving chemotherapy. Methods This was a pretest-posttest, quasi-experimental study with a control group: 70 patients enrolled with 35 participants in the experimental group and 35 in the control group. The experimental group received 6 sessions of Reiki therapy. The data were collected using a Patient Information Form, the Piper Fatigue Scale, and the European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire. Results The mean scores on the general well-being subscale in the European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire increased in the experimental group and decreased in the control group, whereas the mean scores on the general function and general symptom subscales decreased in the experimental group and increased in the control group. The differences between the groups were statistically significant (P < .001). The mean Piper Fatigue Scale scores of the experimental group decreased, whereas that of the control group increased; the group differences were statistically significant (P < .001). Conclusion Reiki can reduce fatigue and increase the quality of life of breast cancer patients receiving chemotherapy. Implications for Practice Reiki therapy can be used as a nursing intervention to increase the quality of life and reduce fatigue in breast cancer patients receiving chemotherapy.

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