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Inicio Enfermería Clínica (English Edition) Levels of depression and self-esteem in women with cancer of the endometrium and...
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Vol. 34. Issue 2.
Pages 96-107 (March - April 2024)
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Vol. 34. Issue 2.
Pages 96-107 (March - April 2024)
Original Article
Levels of depression and self-esteem in women with cancer of the endometrium and cervix receiving chemotherapy treatment in Türkiye
Niveles de depresión y de autoestima en mujeres con cáncer de endometrio y de cuello uterino que reciben tratamiento de quimioterapia en Turquía
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Selin Kiziltaşa, Ekin Dila Topaloğlu Örenb,
Corresponding author
ekindilatop@gmail.com

Corresponding author.
a Izmir Provincial Health Directorate, Izmir Health Sciences University Tepecik Training and Research Hospital, Gynaecological Oncology Unit, Izmir, Turkey
b Department of Obstetrics and Gynecology Nursing, Izmir Katip Celebi University Faculty of Health Science, Izmir, Turkey
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Tables (6)
Table 1. Sociodemographic and general health history characteristics of women.
Table 2. Disease and treatment characteristics of women.
Table 3. Difficulties experienced by women after chemotherapy treatment and the receiving support.
Table 4. Women’s total scores on the BDI and RSES, the relationship between them, and levels of depression and self-esteem.
Table 5. Comparison of the total scores of BDI and RBSS according to some characteristics of women.
Table 6. Simple linear regression analysis to determine the effect of women's self-esteem on depression.
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Abstract
Objective

Endometrium and cervical cancer is a common and important health problem that affects women in many physical, emotional and psychological aspects. This study aimed to determine the levels of depression and self-esteem in women with endometrial and cervical cancer receiving chemotherapy, determine the factors affecting them, and examine the relationship between the levels of depression and self-esteem.

Methods

This descriptive and cross-sectional study was conducted with 158 women who came to the gynecology-oncology policlinic and chemotherapy unit of a training and research hospital in Izmir, western Türkiye, between April 2022 and April 2023. Data were collected with the “Descriptive Information Form”, “Beck Depression Inventory” and “Rosenberg Self-Esteem Scale”. Descriptive and inferential statistics were performed to analyse the association between the study variables.

Results

In this study, 52.5% of women were diagnosed with endometrial cancer and 47.5% with cervical cancer. Beck Depression Inventory mean total score was 11.28 ± 6.35, and 20.3% of them were at risk of depression (BDI ≥ 17). Rosenberg Self-Esteem Scale mean total score was 21.06 ± 3.85, and 97.5% of them had high self-esteem. There was a statistically significant and strong negative correlation between the mean total scores of the Beck Depression Inventory and Rosenberg Self-Esteem Scale (r = 0.723; p < 0.05). It was determined that an increase in the Rosenberg Self-Esteem Scale mean total score by 1 unit decreased the Beck Depression Inventory mean total score by 1.2 units and was responsible for 52% of the variance (B = −1.192; R2 = 0.523).

Conclusion

It was determined that one-fifth of women experienced moderate/severe depression and the majority of them had high self-esteem. The increase in women's depression levels decreased their self-esteem. Health professionals and oncology nurses should perform screenings to determine the depression and self-esteem levels of women with endometrial and cervical cancer and provide necessary education, counseling, and care to women.

Keywords:
Cervical cancer
Chemotherapy
Depression
Endometrial cancer
Self-esteem
Resumen
Objetivo

El cáncer de endometrio y de cuello uterino es un problema de salud frecuente e importante que afecta a las mujeres en muchos aspectos físicos, emocionales y psicológicos. Este estudio se propuso determinar los niveles de depresión y autoestima en mujeres con cáncer de endometrio y cuello uterino que recibían quimioterapia, determinar los factores que les afectaban y examinar la relación entre los niveles de depresión y autoestima.

Método

Este estudio descriptivo y transversal se realizó con 158 mujeres que acudieron a la policlínica de ginecología-oncología y a la unidad de quimioterapia de un hospital docente y de investigación de Izmir, al oeste de Turquía, entre abril de 2022 y abril de 2023. Se recogieron datos con el "Formulario de información descriptiva", el "Inventario de depresión de Beck" y la "Escala de autoestima de Rosenberg". Se realizaron estadísticas descriptivas e inferenciales para analizar la asociación entre las variables del estudio.

Resultados

En este estudio, el 52,5% de las mujeres fueron diagnosticadas de cáncer de endometrio y el 47,5% de cáncer de cuello uterino. La puntuación media total del Inventario de depresión de Beck fue de 11,28 ± 6,35, y el 20,3% de ellas presentaban riesgo de depresión (BDI ≥ 17). La puntuación media total de la escala de autoestima de Rosenberg fue de 21,06 ± 3,85, y el 97,5% de ellas tenían una autoestima alta. Hubo una correlación negativa fuerte y estadísticamente significativa entre las puntuaciones totales medias del Inventario de depresión de Beck y la Escala de autoestima de Rosenberg (r = 0,723; p < 0,05). Se determinó que un aumento de la puntuación total media de la Escala de autoestima de Rosenberg en 1 unidad disminuía la puntuación total media del Inventario de depresión de Beck en 1,2 unidades y era responsable del 52% de la varianza (B=-1,192; R2 = 0,523).

Conclusiones

Se determinó que un 25% de las mujeres sufría depresión moderada/grave y que la mayoría de ellas tenía una autoestima alta. El aumento de los niveles de depresión de las mujeres disminuyó su autoestima. Los profesionales sanitarios y el personal de enfermería oncológica deberán realizar cribados para determinar los niveles de depresión y autoestima de las mujeres con cáncer de endometrio y de cuello uterino y proporcionar a las mujeres la formación, el asesoramiento y los cuidados necesarios.

Palabras clave:
Cáncer de cuello de útero
Quimioterapia
Depresión
Cáncer de endometrio
Autoestima

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