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- MakaleAçık Erişim2025Parents’ experiences on the management of the process after sexual abuse of their children in northern region of Turkey: Qualitative study
Bayrak, Nurten G.; Uzun, Sevda
Background: Child abuse is a universal problem with medical, legal, and psychosocial dimensions that every child is at risk of encountering all over the world. Aim: The aim of this study was to evaluate the experiences of parents regarding the management of the process after sexual abuse of their children using a qualitative approach. Methods: In this qualitative study, semi-structured in-depth interviews were conducted with the parents of 15 children who were exposed to qualified sexual abuse living in a city in Northern Turkey. Criterion sampling method, one of the purposive sampling methods, was used to reach the sample group. Interviews continued until data saturation was achieved. All interviews were audio recorded and then transcribed. The data of the study were evaluated using thematic analysis. The study was conducted and reported according to the consolidated criteria for reporting qualitative research (COREQ) checklist. Results: In the analysis of the data, three themes (effects of child sexual abuse on the family, sexual abuse and process management, and attitudes and approaches to the child after sexual abuse), and nine sub-themes (mental, physical, social, reactions, difficulties experienced, coping, cognitive dimension, emotional dimension, behavioral dimension) were identified. Conclusion: As a result of the study, it was determined that parents were negatively affected psychologically by the sexual abuse of their children. This study reveals that the concept of family is very important in all aspects of the sexual abuse of children. As a result of the study, it was determined that families were not very effective in process management and some parents blamed themselves for the incident they experienced.
- MakaleAçık Erişim2024Changes in acute and late toxicity and patient-reported health-related quality of life following radiotherapy in women with breast cancer: A 1-year longitudinal study
Uslu, Gonca Hanedan; Aydin, Aydanur; Gürsoy, Ayla
Objective: The objective of this study was to investigate the frequency of acute and late toxicities, as well as changes in the quality of life (QOL) for breast cancer patients following radiotherapy (RT). Materials and Methods: A total of 108 breast cancer women were recruited for this prospective study. Data were collected at various intervals; prior to, and 1, 3, 6 months, and 1 year after radiation therapy. The primary outcomes were toxicity radiation therapy oncology group/European Organization for Research and Treatment of Cancer (EORTC) criteria. Our secondary outcome was QOL, measured using EORTC QLQ-C30 and Edmonton Symptom Assessment Scale. We employed Friedman's two-way analysis to evaluate the changes in QOL over the course of 1 year. Results: The early toxicities that are most commonly experienced include pharyngeal, skin, and mucous membrane toxicity. Late toxicities frequently involve skin and submucosal toxicity. To measure patient functionality, all functional subscale scores except for the patient's emotional state increased over time compared to pre-RT. Symptoms of the patients, which were included in the QOL symptom scale, decreased during the follow-up period, except for fatigue; however, changes in pain, insomnia, and loss of appetite did not significantly change. We identified the analogous symptom profiles in Edmonton. Although patients' overall health scores declined in the 1 st and 3 rd months after radiotherapy (RT), they rebounded at 6 and 12 months. Conclusion: For breast cancer patients, RT did not adversely affect functional capacity or exacerbate symptoms, but persistent fatigue did increase during the observation period. Health-care professionals ought to devise strategies to assist patients with skin toxicity and fatigue.
- MakaleAçık Erişim2021Relationship of Cachexia with Self-Care Agency and Quality of Life in Cancer Patients: The Case of Turkey
Demirag, Hatice; Kulakaç, Nurşen; Hintistan, Sevilay; Çilingir, Dilek
Objective: This study aims to determine the effects of cachexia, causing major problems in the world and Turkey, on self-care agency and quality of life in cancer patients. Methods: The population of this cross-sectional and relationship-seeking study consisted of cancer patients in Turkey from April 1 to April 20, 2021. Using the snowball sampling method, 174 patients were sampled. 'Patient Information Form,' 'The European Organization for Research and Treatment of Cancer C30 Cancer Quality of Life Scale,' and 'Exercise of Self-Care Agency Scale' were used as data collection tools. Results: In the study, 52 patients (29.9%) were found to have cachexia. Function, general well-being, symptom (except insomnia), and self-care agency, which are subdimensions of the quality-of-life scale, were found to be significantly lower in patients with cachexia than patients without cachexia (P < 0.001). It was determined that there was a significant negative correlation between the cachexia status of the patients and the five basic functions in the functional scale (physical, role, emotional, cognitive, and social function), general well-being, and self-care agency, and there was a significant positive correlation between the cachexia status of the patients and the symptom scale (P < 0.001). According to the results of multiple linear regression analysis, it was found that the factor that significantly affected the cachexia status of the patients was their self-care agency (P < 0.001). Conclusions: It was determined that cachexia caused significantly lower self-care agency and quality of life in cancer patients. Furthermore, quality of life was related to self-care agency.
- DergiAsia-Pacific Journal of Oncology Nursing
- DergiJournal of Integrative Nursing