قلق الموت وأليات التكيف بين النساء المصابات بسرطان الثدي ويتلقين العلاج في مستشفى بيت جالا الحكومي في بيت لحم
Date
2017-05-02
Authors
فداء محمود محمد شحادة
fidaa mahmoud mohammed shehada
Journal Title
Journal ISSN
Volume Title
Publisher
AL-Quds University
جامعة القدس
جامعة القدس
Abstract
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.
Description
Keywords
الصحة النفسية المجتمعية , Community Mental Health