Onkoloji hastalarında E-sağlık okuryazarlığı ve kanser gereksinimlerinin değerlendirilmesi
Evaluation of E- health li̇teracy and cancer requirements in oncology pati̇ens
Yazar: BÜŞRA NUR GÜVEN
Danışman: DR. ÖĞR. ÜYESİ SEDA BAŞAK
Atatürk Üniversitesi / Sağlık Bilimleri Enstitüsü / İç Hastalıkları Hemşireliği Ana Bilim Dalı
Derece: Yüksek Lisans, 2024
Konu: Hemşirelik = Nursing ; İç Hastalıkları = Internal diseases

Özet:
Amaç: Bu araştırma onkoloji hastalarının e-sağlık okuryazarlık durumlarını ve kanser gereksinimlerini değerlendirmek amacıyla yapılmıştır. 
Materyal ve Metot: Bu araştırma Erzurum Atatürk Üniversitesi Araştırma Hastanesi Ayaktan Kemoterapi Merkezi'nde, araştırmaya dâhil edilme kriterlerine uyan 364 hasta ile yürütülmüştür. Araştırma verileri 01.09.2023-01.05.2024 tarihleri arasında toplanmıştır. 	Verilerin toplanmasında "Kişisel Bilgi Formu, E-Sağlık Okuryazarlık Ölçeği ve Kanser Gereksinimleri Ölçeği Kısa Formu" kullanılmıştır. Verilerin değerlendirilmesinde parametrik testler, t-testi, tek yönlü varyans analizi ve Pearson korelasyon analizi kullanılmıştır.
Bulgular: Katılımcıların %53.6'sı kadın, %77.5'i evli, %38.7'si lise mezunu, %38'i ev hanımı ve %72'si il merkezinde yaşamaktadır. Katılımcıların %62.4'nün herhangi bir kronik hastalığı olmadığı, %25.5'inin gastrointestinal kanser tanısı aldığı, %77.5'inin tanı süresinin 1-10 yıl arasında olduğu ve %58.5'inin hastalığıyla ilgili internetten araştırma yaptığı belirlenmiştir. Kanser Gereksinimleri Ölçeği'nden alınan ortalama puanlar; "psikolojik" alt boyutunda 39.01±13.07, "kişiler arası iletişim" alt boyutunda 42.08±14.36 "sağlık bilgisi" alt boyutunda 38.24±14.06, "hasta bakımı ve destek" alt boyutunda 34.65 ±13.23, "fiziksel ve günlük yaşam" alt boyutunda 33.79±13.47 ve ölçeğin toplamında 38.48±11.10 olarak bulunmuştur. E-Sağlık Okuryazarlığı Ölçeği ortalama puanı ise 2.95±1.11 olarak belirlenmiştir. Onkoloji hastalarının kanser gereksinimleri ile e-sağlık okuryazarlığı arasında "kişiler arası iletişim" ve "sağlık bilgisi" alt boyutlarına ilişkin puan ortalamaları arasında orta düzeyde; "psikolojik", "hasta bakımı ve destek" ve "fiziksel ve günlük yaşam" alt boyutları ortalama puanları arasında düşük düzeyde, negatif ve istatiksel olarak anlamlı bir ilişki vardır (p<0.05). 
Sonuç: Araştırma sonucunda çalışmaya dâhil edilen onkoloji hastalarının e-sağlık okuryazarlıkları durumunun düşük düzeyde ve kanser gereksinimlerinin orta düzeyde olduğu sonucuna ulaşılmıştır. Onkoloji hastalarında e-sağlık okuryazarlık düzeyi arttıkça kanser gereksinimlerinin azaldığı belirlenmiştir.
Anahtar kelimeler: e-sağlık okuryazarlığı, hemşire, kanser gereksinimleri, onkoloji, hasta

Abstract:
Aim: This research was conducted to evaluate the e-health literacy status and the cancer needs of the oncology patients. 
Materials and Methods: This research was conducted in Erzurum Atatürk University Research Hospital Out-patient Chemotherapy Center with 364  patients who met the inclusion criteria. The data of the research was collected between the dates of 01.09.2023 and 01.05.2024. "Personal Information Form, E-Health Literacy Scale and Cancer Needs Scale Short Form" were used while collecting the data. Parametric tests, t-test, one-way analysis of variance and Pearson correlation analysis were used to evaluate the data.
Results: 53.6% of the participants are women, 77.5% of the participants are married, 38.7% of the participants are high school graduates, 38% of the participants are housewives and 72% of the participants live in the city center. It was determined that 62.4% of the participants did not have any chronic diseases, 25.5% were diagnosed with gastrointestinal cancer, 77.5% had a diagnosis period between 1 and10 years, and 58.5% of the participants did research on their disease on the internet. Mean scores from the Cancer Needs Scale; 39.01±13.07 in the "psychological" sub-dimension, 42.08±14.36 in the "interpersonal communication" sub-dimension, 38.24±14.06 in the "health information" sub-dimension, 34.65±13.23 in the "patient care and support" sub-dimension, and 33.79±13.47 in the "physical and daily life" sub-dimension, and the total of the scale was 38.48±11.10. 
The mean score of the E-Health Literacy Scale was determined as 2.95±1.11. Between the cancer needs of oncology patients and e-health literacy, the mean scores for the "interpersonal communication" and "health information" sub-dimensions are at a moderate level; There is a low, negative and statistically significant relationship between the mean scores of the "psychological", "patient care and support" and "physical and daily life" sub-dimension (p<0.05).
Conclusions: As a result of the research, it was concluded that the e-health literacy level of the oncology patients included in the study was at a medium level and cancer needs were at a moderate level. It has been determined that as the level of e-health literacy increases in oncology patients, their cancer needs decrease.
Keywords: e-health literacy, nurse, cancer needs, oncologyABSTRACT
Evaluation of E-Health Literacy and Cancer Needs in Oncology Patients

Aim: This research was conducted to evaluate the e-health literacy status and the cancer needs of the oncology patients. 
Materials and Methods: This research was conducted in Erzurum Atatürk University Research Hospital Out-patient Chemotherapy Center with 364  patients who met the inclusion criteria. The data of the research was collected between the dates of 01.09.2023 and 01.05.2024. "Personal Information Form, E-Health Literacy Scale and Cancer Needs Scale Short Form" were used while collecting the data. Parametric tests, t-test, one-way analysis of variance and Pearson correlation analysis were used to evaluate the data.
Results: 53.6% of the participants are women, 77.5% of the participants are married, 38.7% of the participants are high school graduates, 38% of the participants are housewives and 72% of the participants live in the city center. It was determined that 62.4% of the participants did not have any chronic diseases, 25.5% were diagnosed with gastrointestinal cancer, 77.5% had a diagnosis period between 1 and10 years, and 58.5% of the participants did research on their disease on the internet. Mean scores from the Cancer Needs Scale; 39.01±13.07 in the "psychological" sub-dimension, 42.08±14.36 in the "interpersonal communication" sub-dimension, 38.24±14.06 in the "health information" sub-dimension, 34.65±13.23 in the "patient care and support" sub-dimension, and 33.79±13.47 in the "physical and daily life" sub-dimension, and the total of the scale was 38.48±11.10. 
The mean score of the E-Health Literacy Scale was determined as 2.95±1.11. Between the cancer needs of oncology patients and e-health literacy, the mean scores for the "interpersonal communication" and "health information" sub-dimensions are at a moderate level; There is a low, negative and statistically significant relationship between the mean scores of the "psychological", "patient care and support" and "physical and daily life" sub-dimension (p<0.05).
Conclusions: As a result of the research, it was concluded that the e-health literacy level of the oncology patients included in the study was at a medium level and cancer needs were at a moderate level. It has been determined that as the level of e-health literacy increases in oncology patients, their cancer needs decrease.
Keywords: e-health literacy, nurse, cancer needs, oncology, patient