The effect of depression, anxiety and stress levels on the quality of life and self-care agency of patients with gynecological cancer: cross-sectional study

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dc.contributor.authorYalçın, Esra
dc.contributor.authorKüçükkaya, Burcu
dc.date.accessioned2026-06-18T05:39:30Z
dc.date.available2026-06-18T05:39:30Z
dc.date.issued2026
dc.departmentEnstitüler, Lisansüstü Eğitim Enstitüsü, Doğum ve Kadın Hastalıkları Hemşireliği Ana Bilim Dalı
dc.description.abstractObjective This study aimed to examine the effects of depression, anxiety and stress levels on quality of life and self-care agency of patients with gynecological cancer. Methods The cross-sectional study was conducted with 182 gynecological cancer patients who applied to the Gynecology and Pediatrics Clinic and the Gynecology and Pediatrics Service of Marmara University Pendik Training and Research. Research data were obtained using Personal Information Form, Depression, Anxiety, Stress Scale (DASS-21), Quality of Life Index Cancer Adaptation-III (QOL-CV) and Self-Care Agency Scale (SCAS). Results A statistically significant and negative correlation was found between the patients' self-care agency and the levels of stress (r=-.446), anxiety (r=-.491) and depression (r=-.549) (p<.001). A statistically significant and negative correlation was found between the level of quality of life and the levels of stress (r=-.529), anxiety (r=-.451) and depression (r=-.597) (p<.001). A multiple linear regression model was applied with the stepwise method to determine the independent variables affecting the patients' depression, anxiety, stress, self-care agency and quality of life levels, and it was found that the independent variables in the model explained 62.2%, 22.7%, 20.4%, 53.6% and 73.7% of the total change in the dependent variable, respectively. Conclusion The depression, anxiety and stress levels of gynecological cancer patients increase, their quality of life and self-care ability decrease. It is recommended that women's health and diseases nurses assess depression, anxiety and stress, quality of life and self-care ability during the diagnosis, treatment and follow-up processes of gynecological cancer patients and plan, implement, and evaluate nursing care processes accordingly.
dc.identifier.doi10.1186/s12905-026-04378-2
dc.identifier.issn1472-6874
dc.identifier.issue1
dc.identifier.pmid41947138
dc.identifier.scopus2-s2.0-105041184630
dc.identifier.scopusqualityQ1
dc.identifier.urihttps://doi.org/10.1186/s12905-026-04378-2
dc.identifier.urihttps://hdl.handle.net/11501/2746
dc.identifier.volume26
dc.identifier.wosWOS:001787897600001
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakPubMed
dc.indekslendigikaynakScopus
dc.institutionauthorYalçın, Esra
dc.institutionauthorid0009-0008-2762-8275
dc.language.isoen
dc.publisherBioMed Central Ltd
dc.relation.ispartofBMC Women's Health
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectAnxiety
dc.subjectDepression
dc.subjectGynecologic Neoplasms
dc.subjectQuality of Life
dc.subjectSelf-Care
dc.subjectStress
dc.titleThe effect of depression, anxiety and stress levels on the quality of life and self-care agency of patients with gynecological cancer: cross-sectional study
dc.typeArticle

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