The Effect of Chemotherapy-Related Alopecia on Social Isolation and Quality of Life
Project no. 28525 · Status: Kapanmış (Yayın bekleniyor) · 2023
Summary
<p><strong>Objective: </strong>This study was planned to determine the relationship between social isolation and quality of life by examining the impact of chemotherapy-related alopecia on individuals using</p><p>Structural Equation Modeling.</p><p><strong>Method: </strong>This cross-sectional and descriptive study was conducted with individuals receivingchemotherapy treatment at Izmir Katip Çelebi University Atatürk Training and Research Hospital Daily Chemotherapy Unit between December 2022 and May 2023. The sample consisted of 353 individuals with chemotherapy-related alopecia who met the inclusion criteria and volunteered to participate in the study. Research data; It was collected using the individual Introduction Form, Chemotherapy-Related Alopecia Distress Scale,Chemoretherapy-Related Alopecia Quality of Life Scale, Social Isolation Scale, forms</p><p>prepared by scanning the literature and face-to-face interview technique. SPSS 22.0 statistical program, structural equation model-path analysis, Pearson correlation analysis, t-test, one-way analysis of variance (ANOVA) and post hoc (Tukey, LSD) analyzes were used to analyze the data.</p><p><strong>Results: </strong>It was determined that 31.2% of the patients were between the ages of 51-60, 61.8% were women, 37.7% had high school education, 77.1% were married, and 86.1% were not working. It was observed that 32.9% of the patients had breast cancer, and the chemotherapeutic agent used in 24.1% was paclitaxel. It was observed that 55.9% of the patients used a headscarf before the disease, and 88.1% used auxiliary devices after hair loss.It was determined that 47.8% of female patients using assistive devices used headscarves,93.1% of male patients using assistive devices used hats, and 83.6% of the patients did not use assistive devices before their hair loss. The patients; chemotherapy-related alopecia distress total score average was 17.81±8.64, physical distress ; average was 2.35±1.42,emotional distress, average was 5.64±3.47, distress regarding daily activities,average was 8.77±4.21,and relationship distress, average was 1.05±1.65. It was determined as . The mean socialisolation score was found to be 21.32±5.35, and the mean quality of life score in chemotherapy-induced alopecia was 58.00±12.00. The effects of chemotherapy-related alopecia subdimensions on social isolation and quality of life were tested with path analysis.Emotional distress (β=0.42), distress in daily activities (β=0.30), distress in relationships (β=0.17) increase social isolation. 62.9% of the total variation in social isolation is explained by chemotherapy-related alopecia subdimensions. Physical distress (β=-0.07), emotional distress (β=-0.31), and difficulty with daily activities (β=-0.03) reduce the quality of life.62.9% of the total change in quality of life is explained by chemotherapy-related alopecia subdimensions.</p><p>Conclusion: In individuals experiencing alopecia, the average of alopecia distress and social isolation is high and the average of quality of life is low. It has been determined that chemotherapy-related alopecia is associated with quality of life and social isolation. It is important for nurses to monitor patients experiencing alopecia, provide counseling on coping methods, and create a care protocol.</p><p><strong>Keywords: </strong>Alopecia, Chemotherapy, Social Isolation, Quality of Life, Nursing</p>