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Previous issue date: 2016-04-20 / O c?ncer de mama apresenta altas taxas de incid?ncia e atualmente observa-se aumento consider?vel na taxa de sobrevida, de modo que a qualidade desta sobreviv?ncia passa a ser considerada uma importante quest?o de sa?de p?blica. O objetivo do estudo foi verificar a preval?ncia de incapacidade funcional e seus fatores associados em mulheres sobreviventes ao tratamento do c?ncer de mama. Trata-se de um estudo transversal, realizado com 101 mulheres residentes no munic?pio de Natal-RN com diagn?stico de neoplasia maligna da mama, que foram submetidas ao tratamento oncol?gico h? no m?nimo um ano e que ainda permanecem em acompanhamento cl?nico na Liga Norte Riograndense contra o C?ncer. O estudo foi composto por duas fases de coleta de dados, realizadas com o acesso aos prontu?rios das pacientes e com entrevistas individuais. A capacidade funcional foi aferida por meio do instrumento Disabilities of the Arm and Shoulder (DASH). Coletaram-se tamb?m vari?veis relacionadas ?s caracter?sticas socioecon?micas, h?bitos de vida, condi??es de sa?de, hist?rico ginecol?gico e obst?trico, caracter?sticas cl?nicas do tumor e abordagem terap?utica. A an?lise bivariada foi realizada por meio do teste teste Qui-quadrado de Pearson (Exato de Fisher). A an?lise multivariada foi feita por meio da Regress?o de Poisson com vari?ncia robusta. Considerou-se o n?vel de confian?a de 95%. A idade m?dia das mulheres inclu?das no estudo foi de 56,19 anos (?10,6), com renda m?dia mensal de 3,88 (?4,5) sal?rios m?nimos e com acesso ao servi?o de sa?de p?blico predominante (50,5%). Em sua maioria, as pacientes foram submetidas ? abordagem cir?rgica conservadora (53,5%). A preval?ncia de incapacidade funcional foi de 22,8% (IC95%: 13,9-31,6). A capacidade funcional mostrou-se associada de maneira estatisticamente significativa ? idade e ao tipo de acesso ao servi?o de sa?de. Pode-se concluir que as pacientes mais jovens sofreram maior impacto do tratamento do c?ncer de mama na funcionalidade quando comparadas ?s mulheres mais idosas. Quanto ao acesso ao servi?o de sa?de, as mulheres que receberam acompanhamento cl?nico p?blico apresentaram maior ocorr?ncia de incapacidade funcional, o que aponta para a necessidade de servi?os de sa?de mais organizados na sua rede assistencial, menos burocr?ticos e efetivamente resolutivos, minimizando os impactos do tratamento oncol?gico nas condi??es de vida e sa?de das sobreviventes do c?ncer de mama. / Breast cancer shows high incidence and mortality rates. However, a considerable increase in
the survival rate is observed, so that the quality of life is now considered an important public
health issue. The goal of this study is to determine the prevalence of disability and associated
factors in women undergoing treatment for breast cancer. It is a cross-sectional study made
with 101 women living in a city named Natal, in the state of Rio Grande do Norte, diagnosed
with malignant neoplasm of the breast, who underwent cancer treatment for at least one year
and still remain in clinical attendance in the Northern League against cancer. The study
consisted of two phases of data collection, performed with access to the medical records of
patients and individual interviews. The functional capacity was measured by a questionnaire
called DASH. Variables related to socioeconomic characteristics, lifestyle, health,
gynecological and obstetrical history, clinical characteristics of the tumor and therapeutic
approach were also collected. The bivariate analysis was performed using Pearson's chisquare
test (Fisher's Exact), calculating the prevalence ratio with an interval of confidence of
95%. The multivariate analysis was performed by Poisson regression with strong variance. It
was considered the statistical significance level of 0.05. The average age of the women
included in the study was 56,19 years (? 10,6), which in majority were white, married or in
stable relationship, with high levels of education, with an average monthly income of 3 , 88 (?
4.5) times the minimum wage and access to the overriding public health service (50.5%). The
prevalence of disability was 22,8% (95% CI 13,9 to 31,6). The ductal carcinoma was the most
common diagnosis among women, affecting 78,2% of the sample. Most of the patients
underwent conservative surgical approach (53,5%) with axillary approach (92,1%). Late
postoperative complications were reported by 71,3% of the interviewed women. Functional
capacity was associated with a statistically significant manner to the age and type of access to
health services. It can be concluded that younger patients had a greater impact of the
treatment of breast cancer in functionality when compared to older women. About the access
to health services, women who received public clinical monitoring reported higher rates of
disability, which points to the need for health services more organized in your care network,
less bureaucratic and effectively resolving capacity, minimizing the impact of treatment
cancer in living conditions and health of survivors of breast cancer.
| Identifer | oai:union.ndltd.org:IBICT/oai:repositorio.ufrn.br:123456789/21522 |
| Date | 20 April 2016 |
| Creators | Oliveira, Nayara Priscila Dantas de |
| Contributors | 00902557475, Pessoa, Daniela Mendes da Veiga, 87781484487, Rosendo, Tatyana Maria Silva de Souza, 03508844471, Souza, Dyego Leandro Bezerra de |
| Publisher | PROGRAMA DE P?S-GRADUA??O EM SA?DE COLETIVA, UFRN, Brasil |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis |
| 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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