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Previous issue date: 2017-11-23 / O c?ncer de mama pode ocasionar sintomas como dor, fadiga, diminui??o da capacidade funcional, ansiedade, estresse que podem comprometer a qualidade de vida (QV) das pacientes. Durante o processo de doen?a a espiritualidade pode ser uma ferramenta de enfretamento que possibilite uma melhor QV. Nesse contexto, o objetivo geral do estudo foi avaliar a influ?ncia da dor e da espiritualidade na QV de mulheres com c?ncer de mama. Trata-se de um estudo observacional, transversal e quantitativo, realizado no per?odo de julho de 2014 a abril de 2015, em um hospital de refer?ncia no tratamento do c?ncer em Natal/RN. Avaliou-se uma amostra de 400 mulheres com c?ncer de mama resultando em tr?s grupos: 118 sem met?stase (MTX), 160 com MTX locorregional e 122 com MTX ? dist?ncia. Foram aplicados os instrumentos um question?rio complementar abordando vari?veis sociodemogr?ficas e cl?nicas, European Organization for Research and Treatment for Cancer Quality of Life Questionnaire-Core 30 (EORTC QLQ-C30) e o m?dulo espec?fico Breast Cancer BR23 para avaliar QV, Spiritual Perspective Scale para avaliar espiritualidade e Short-Form McGill Pain Questionnaire para as pacientes com queixa ?lgica. Os dados foram analisados pela estat?stica descritiva e inferencial. O Teste de Fisher e Qui-quadrado utilizados para verificar a exist?ncia de rela??o de depend?ncia entre espiritualidade e vari?veis sociodemogr?ficas e cl?nicas; ANOVA verificou a associa??o entre a QV e as vari?veis cl?nicas, sendo o Teste de Tukey aplicado para ver a magnitude dessa associa??o. Como resultados, tivemos a alta preval?ncia de dor (71.7%) das pacientes e identificamos uma associa??o da presen?a de dor com QV. Na avalia??o da Sa?de Global (ESG) pelo EORTC QLQC30 o grupo sem MTX, m?dia 55.3 (SD=24.8) para as que tinham dor, 69.7 (SD=19,2) para sem dor (p=0.001); MTX locorregional, com dor tiveram score 59.1 (SD=21.3), e as sem dor 72.4 (SD=18.6) (p<0.001). No grupo MTX ? dist?ncia, as pacientes com dor m?dia 48.6 (SD=23.1) quanto 67.6 (SD=20.4) sem dor, (p=0.002). Quanto a espiritualidade, independentemente do estado da doen?a, as mulheres evang?licas demonstraram maior espiritualidade: no grupo sem MTX (p=0,013), com MTX loco-regional (p=0,011) e no grupo com MTX ? dist?ncia (p=0,009). Quando o n?vel de espiritualidade foi analisado associado as escalas EORTC, 39,8% das pacientes sem MTX tiveram maior n?vel de espiritualidade, tanto na Escala de Sintomas (p=0,04) quanto na ESG (p=0,02). Em conclus?o, temos que o c?ncer de mama foi associado com a diminui??o da capacidade funcional, comprometendo a QV das mulheres com c?ncer de mama; as pacientes com maiores n?veis de espiritualidade apresentaram maiores valores de QV, independentemente da presen?a ou n?o de MTX; e que a dor foi bastante prevalente na amostra, diminuindo a QV das mulheres com c?ncer de mama. / Breast cancer can lead to symptoms such as pain, fatigue, decreased functional capacity, anxiety, and stress which can compromise patients' quality of life (QoL). Through the illness process spirituality can be a coping resource that could be associated with better QoL. In this context, the overall study objective is to evaluate the influence of pain and spirituality on QoL in women living with breast cancer. This is an observational, cross-sectional and quantitative study, carried out from July 2014 to April 2015, in a hospital cancer center reference at Natal / RN. A sample of 400 women with breast cancer was evaluated in three groups: 118 without metastasis (MTX), 160 with locoregional MTX and 122 with MTX at a distance. A complementary questionnaire addressing sociodemographic and clinical variables and Instruments were applied: the European Organization for Research and Treatment for Cancer Quality of Life Questionnaire-Core 30 (EORTC QLQ-C30) and a disease-specific module for Breast Cancer BR23 to evaluate QoL, Spiritual Perspective Scale to assess spirituality and Short-Form McGill Pain Questionnaire was used to to describe pain. Data were analyzed by descriptive and inferential statistics. The Fisher and Chi-square tests were used to verify the existence of dependence relationship between spirituality and sociodemographic and clinical variables; ANOVA assessed the association between QoL and clinical variables, and the Tukey test was applied to indicate the magnitude of this association. The results showed a high prevalence of pain (71.7%) in patients and identified an association between the presence of pain and QoL. In the Global Health Scale (GHS) by the EORTC QLQC30 the group without MTX, mean 55.3 (SD=24.8) for those who had pain, 69.7 (SD=19.2) for no pain (p = 0.001); MTX locoregional, with pain had score 59.1 (SD=21.3), and those without pain 72.4 (SD=18.6) (p<0.001). In the MTX distance group, patients with mean pain 48.6 (SD=23.1) and 67.6 (SD=20.4) without pain (p=0.002). Considering spirituality, regardless of disease status, evangelical women showed greater spirituality: in the group without MTX (p=0.013), with locoregional MTX (p=0.011) and in the MTX group at a distance (p = 0.009). When the level of spirituality was analyzed associated with the EORTC scales, 39.8% of patients without MTX had a higher level of spirituality, both in the Symptom Scale (p=0.04) and GHS (p=0.02). In conclusion, we found that breast cancer was associated with decreased functional capacity, compromising the QoL of women with breast cancer; patients with higher levels of spirituality had higher values of QoL, regardless of the presence or absence of MTX, and that pain was very prevalent in the sample, decreasing the QoL of women with breast cancer.
| Identifer | oai:union.ndltd.org:IBICT/oai:repositorio.ufrn.br:123456789/24930 |
| Date | 23 November 2017 |
| Creators | Costa, Weruska Alcoforado |
| Contributors | 42252725400, Ara?jo, Ivonete Batista de, 05614082468, Soares, Gustavo Mafaldo, 02778512462, Soares J?nior, Jos? Maria, 00695437801, Rangel, Maria Amelia de Rolin, 46800000400, Oliveira, Ana Katherine da Silveira Gon?alves de |
| Publisher | PROGRAMA DE P?S-GRADUA??O EM CI?NCIAS DA SA?DE, UFRN, Brasil |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/doctoralThesis |
| Source | reponame:Repositório Institucional da UFRN, instname:Universidade Federal do Rio Grande do Norte, instacron:UFRN |
| Rights | info:eu-repo/semantics/openAccess |
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