Assessment of Pain, Acceptance of Illness, Adjustment to Life and Strategies of Coping with the Illness in Patients with Pancreatic Cancer

Abstract

Pancreatic cancer is the fourth most common cancer causing death in the world. The prognosis of patients with pancreatic cancer is relatively low, which may be reflected in the patients’ lack of acceptance of the illness and passive attitudes towards the illness. The aim of the study was to evaluate the strategy of coping with pain and its control, acceptance of the illness and adjustment to life with cancer in patients suffering from pancreatic cancer. Forty-six patients with pancreatic cancer were included in the study. They were treated as outpatients at the Center of Oncology at Maria Skłodowska-Curie’s Institute in Warsaw between 2017 and 2018. The questionnaire included four psychometric tests: BPCQ, CSQ, AIS and MiniMAC. In the BPCQ test the highest average test result was obtained by “internal factors” (M\xa0=\xa016.85; SD\xa0=\xa05.64). The most frequently chosen strategies for coping with pain are praying/hoping (M\xa0=\xa022.33; SD\xa0=\xa07.85). The average illness acceptance score was 23.13 (SD\xa0=\xa07.84). The most common methods of psychological adjustment to cancer for the studied group are the strategies of positive re-evaluation (M\xa0=\xa020.07, SD\xa0=\xa03.67). Patients with pancreatic cancer have a low level of acceptance of their illness.