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Abstract(s)
Introdução: No sexo feminino, um em cada quatro casos de cancro
corresponde a cancro da mama. Tem-se vindo a registar uma
diminuição na taxa de mortalidade nas mulheres com idades
compreendidas entre os 35 e 75 anos, fruto do diagnóstico mais
precoce e da melhoria das terapêuticas. Devido ao crescente número de
mulheres sobreviventes de cancro da mama, a comunidade científica
tem-se preocupado particularmente com a Qualidade de Vida (QdV) das
mulheres com cancro da mama. O bem-estar dessas mulheres afigurase
uma prioridade.
Objectivo: Compreender as necessidades físicas e psico-sociais das
mulheres após o tratamento do Cancro da Mama, de forma a encontrar
factores que nos possam levar a propor melhorias para a sua QdV.
Material: Foram seleccionados para estudo 2 grupos de mulheres: um
grupo composto por 54 mulheres tratadas ao Cancro da mama há mais
de um ano na Unidade de Ginecologia Oncológica do Centro Hospitalar
Cova da Beira – EPE e sem evidência clínica de recidiva ou de
metastização; e outro grupo de 38 mulheres sem patologia oncológica
conhecida, funcionárias da mesma instituição
Métodos: O estudo consistiu na aplicação dos seguintes instrumentos
de avaliação: 1) ficha de dados clínicos e sócio-demográficos; 2)
Medical Outcomes Study 36 – Item Short Form (SF – 36); 3) Rotterdam
Symptom Check List (RSCL). Tratou-se de um estudo prospectivo,
destinado à avaliação da QdV, no qual se procedeu a uma análise
comparativa das pontuações médias obtidas nas diferentes subescalas
dos questionários aplicados, recorrendo-se ao Teste t–student. A análise
estatística foi realizada através do Microsoft Excel e do software SPSS®
(Statistical Package for the Social Sciences®) versão 17.0.
Resultados: A média de idades era de 41 (desvio padrão 7,447595) e
54 (desvio padrão 4,516636) anos no grupo de mulheres saudáveis e
de sobreviventes, respectivamente. 70 % das mulheres realizaram
cirurgia associada a linfadectomia. 17% foram tratadas apenas com
cirurgia. 39% foram submetidas a cirurgia seguida de quimioterapia (QT)
e radioterapia (RT). Ao analisar os resultados obtidos no questionário SF-36, obtiveram-se
diferenças estatisticamente significativas, relativamente à QdV percebida
por mulheres saudáveis e sobreviventes, nas dimensões: Funcionamento
Físico (p<0,001), Desempenho Físico (p<0,001) e Desempenho Emocional
(p=0,023). Na avaliação das respostas obtidas pelo RSCL, constatou-se
que as mulheres saudáveis possuem uma percepção mais positiva da
sua QdV, relativamente ao seu nível de actividade (p<0,001). Não se
identificaram diferenças estatisticamente significativas para as restantes
dimensões.
Conclusão: A nossa investigação evidência que as mulheres tratadas ao
cancro da mama, e livres de doença activa, avaliam de forma positiva a
sua QdV global, apesar das dificuldades sentidas no domínio físico.
Introduction: one out of four women with cancer hav Introduction: e breast cancer. There has been a decrease in the mortality rate among women with ages between 35 and 75 years old, due to early detection and improved therapeutics. As there are more women that survive breast cancer, the scientific community is more concerned with the Quality of Life (QOL) of these women. Their well-being is a priority. Objectives: Objectives: understand the physical and psycho-social needs of women after breast cancer treatment, in order to propose improvements of their Quality of Life (QOL). Material: there was a selection of two groups: one Material: with 54 women that were treated more than a year ago in the Unidade de Ginecologia Oncológica do Centro Hospitalar Cova da Beira – EPE – with no signs of recurrence or metastases and the other with 38 women having no oncological patology, workers from the same institution. Methods: the study was done with the application of Methods: the following evaluation instruments: 1) list of clinical and socio-demographic data; 2) Medical Outcomes Study 36 - Item Short Form (SF – 36); 3) Rotterdam Symptom Check List (RSCL). It was a prospective study designed to evaluate the QOL, in which there was a comparative analisys of the average scores obtained in the different questionnaires’ subscales, using the t–student test. The statistical analisys was done using Microsoft Excel and SPSS® (Statistical Package for the Social Sciences® ) 17.0. version. Results: the age average was 41(7,447595) in the he Results: althy group women and 54(4,516636) in the survivors group. 70% of women underwent surgery associated with Lymph node dissection. 17% underwent surgery. 39% underwent surgery + chemotherapy (CT) + radiation therapy (RT). In the SF-36 questionnaire there were statistically significative differences perceived by both groups of women when it comes to: physical functioning (p <0,001), physical performance (p<0,001) and emotional performance (p=0,023). In the RSCL evaluation the results showed that healthy women have a more positive perception of their QOL when it comes to their activity level (p<0,001). There were no statistically significative differences in the other dimensions. Conclusion: although it was a limited study, the in Conclusion: vestigation suggests that women who were treated to breast cancer, free of the active disease, have a positive perception of their QOL, despite the dificulties felt in the physical area.
Introduction: one out of four women with cancer hav Introduction: e breast cancer. There has been a decrease in the mortality rate among women with ages between 35 and 75 years old, due to early detection and improved therapeutics. As there are more women that survive breast cancer, the scientific community is more concerned with the Quality of Life (QOL) of these women. Their well-being is a priority. Objectives: Objectives: understand the physical and psycho-social needs of women after breast cancer treatment, in order to propose improvements of their Quality of Life (QOL). Material: there was a selection of two groups: one Material: with 54 women that were treated more than a year ago in the Unidade de Ginecologia Oncológica do Centro Hospitalar Cova da Beira – EPE – with no signs of recurrence or metastases and the other with 38 women having no oncological patology, workers from the same institution. Methods: the study was done with the application of Methods: the following evaluation instruments: 1) list of clinical and socio-demographic data; 2) Medical Outcomes Study 36 - Item Short Form (SF – 36); 3) Rotterdam Symptom Check List (RSCL). It was a prospective study designed to evaluate the QOL, in which there was a comparative analisys of the average scores obtained in the different questionnaires’ subscales, using the t–student test. The statistical analisys was done using Microsoft Excel and SPSS® (Statistical Package for the Social Sciences® ) 17.0. version. Results: the age average was 41(7,447595) in the he Results: althy group women and 54(4,516636) in the survivors group. 70% of women underwent surgery associated with Lymph node dissection. 17% underwent surgery. 39% underwent surgery + chemotherapy (CT) + radiation therapy (RT). In the SF-36 questionnaire there were statistically significative differences perceived by both groups of women when it comes to: physical functioning (p <0,001), physical performance (p<0,001) and emotional performance (p=0,023). In the RSCL evaluation the results showed that healthy women have a more positive perception of their QOL when it comes to their activity level (p<0,001). There were no statistically significative differences in the other dimensions. Conclusion: although it was a limited study, the in Conclusion: vestigation suggests that women who were treated to breast cancer, free of the active disease, have a positive perception of their QOL, despite the dificulties felt in the physical area.
Description
Keywords
Cancro da mama Cancro da mama - Qualidade de vida Cancro da mama - Tratamento
Citation
Publisher
Universidade da Beira Interior