قلق الموت وأليات التكيف بين النساء المصابات بسرطان الثدي ويتلقين العلاج في مستشفى بيت جالا الحكومي في بيت لحم
Death anxiety and coping mechanisms among women with breast cancer attending Beit-Jala Governmental Hospital in Bethlehem
فداء محمود محمد شحادة
fidaa mahmoud mohammed shehada
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Background: Breast cancer (BC) is the most common cancer among women. It is the leading cause of female deaths and it is a major health problem in almost every country in the world in terms of morbidity and mortality rates. Aim: to assess death anxiety and coping mechanisms among women with breast cancer attending Beit-Jala Governmental hospitals in Bethlehem Method: A cross-sectional design was utilized to achieve this purpose. The sample included 214 women with breast cancer who attending Beit-Jala Governmental Hospital. Data was collected by using self-reported questionnaire including sociodemographic, medical and psychological history data sheet, Templar’s death anxiety scale included 15 items, and Brief coping scale included 29 items. Statistical analysis was performed using the statistical package for social sciences (SPSS), version 18.0 and were analyzed by the using parametric test such as frequency, T-test, ANOVAs test and Pearson's test.Findings: Analysis of the patients’ characteristics showed that the participants’ age ranged from 18 to more than 50 years old of which 36% were 30 years to less than 40 years old. The majority of the participants 46% lived in a city, 70% were married, 29% had university degree and 50% had family income from 3,000 NIS to 4,000 NIS monthly. For the medical history, 36.3% who were having breast cancer for less than one year, 57.6% of the participants suffered from bone problem and 69.2% of the participant’s didn’t have psychological problems.Further, the findings showed high prevalence of death anxiety (59.4%) which is (average level + high concern of death anxiety) among women with breast cancer in Beit-Jala governmental hospital. The findings revealed no significant relationship between death anxiety and dependent variables such as age; marital status and place of residence, economic status and health related variables (breast cancer onset, treatment type, breast cancer treatment complications, and the family history of cancer). Furthermore, the relationship between the socio-demographic and coping mechanisms revealed a significant association between the marital status, place of residence and education level. In addition, Pearson correlation test was used to test correlations between coping strategies and death anxiety. Person’s test showed a strong inversed statistically relationship between coping mechanism and death anxiety. The strongest relationship was for humor and religion Conclusion: The study found that the prevalence of death anxiety was (59.4.0%) among thewomen with breast cancer in Beit-Jala governmental hospital in Bethlehem which indicates the need to provide mental health services for these women including counseling and psychotherapy in the hospitals and centers that provide treatment for them.