Assessment of adaptation to the disease in patients with advanced gynaecological cancer

Roxana-Andreea Rahnea-Niță1,3, Gabriela Rahnea-Niță2,3

1 “ Dr. Constantin Gorgos” Titan Psychiatric Hospital, Bucharest, Romania, 2University of Medicine and Pharmacy „Dr. Carol Davila”, Bucharest, Romania, 3Oncology

Received: 19.06.2019 • Accepted for publication: 27.06.2019

Abstract

Background: Coping with cancer in diagnosed patients is a complex and dynamic process. Patients diagnosed with gynaecological cancer have to be able to cope with a constantly changing situation.

Material and method: We conducted a prospective study in 98 patients with advanced gynaecological cancer. Patients included in the study were divided into two categories, by age (under 55 years and over 56 years). The patients were evaluated at first admission (Basic visit) and after 3 months (Follow up visit), by means of the Illness Cognition Questionnaire (ICQ). The ICQ consists of three subscales. Each subscale measures a dimension: helplessness, disease acceptance and benefits resulting from the disease.

Results and discussion: The percentage of women who do report a high level of acceptance at Basic visit is 31,4% for patients below 56 years of age and 23,4% for those 56 years or older. At Follow up visit, the percentages are 33,3% respectively 21,3%. Regarding a low level of acceptance of the disease, the percentages of patients at Basic visit, are: 23,5% of patients below 56 years and 21,3% for patients of 56 years or older. At Follow up visit, the percentages are 17,6% respectively 23,4%.

Conclusions: Adaptation to the disease should be a focus for health professionals caring for patients with gynaecological cancer. These patients need help in developing more adaptive coping skills.

Keywords: gynaecological cancer, adaptation to the disease, acceptance

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