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Previous issue date: 2016-07-26 / O c?ncer de mama ? a neoplasia mais comum entre as mulheres, sendo ?s altera??es decorrentes de seu tratamento respons?veis por mudan?as na forma em que a mulher com c?ncer v? sua imagem corporal e interage com outras pessoas. O objetivo do estudo foi verificar a preval?ncia de insatisfa??o com a imagem corporal e seus fatores associados em mulheres sobreviventes ao c?ncer de mama. Trata-se de um estudo transversal, que avaliou 103 mulheres residentes no munic?pio de Natal-RN, com diagn?stico de neoplasia mam?ria h? no m?nimo um ano, submetidas a tratamento oncol?gico e que ainda permanecem em acompanhamento cl?nico. A coleta de dados foi realizada por meio do acesso aos prontu?rios das pacientes diagnosticadas com c?ncer de mama e de entrevista individual. A vari?vel dependente imagem corporal foi mensurada atrav?s do question?rio validado Body Image Scale (BIS). Tamb?m foram coletadas vari?veis socioecon?micas, hist?rico ginecol?gico, cl?nico e h?bitos de vida. A an?lise bivariada foi realizada por meio do teste Qui-quadrado de Pearson (Exato de Fisher), calculando a raz?o de preval?ncia com intervalo de confian?a de 95%. A an?lise multivariada foi feita por meio da Regress?o de Poisson com vari?ncia robusta. Considerou-se o n?vel de signific?ncia estat?stica de 0,05. A m?dia da idade das pacientes inclu?das no estudo foi igual a 55,97 anos (?10,6), da ra?a branca, casadas, com v?nculo empregat?cio antes do tratamento (81,6%). A preval?ncia de insatisfa??o com a imagem corporal foi de 74,8%, IC (0,65-0,82). A imagem corporal apresentou associa??o estatisticamente significativa com o acompanhamento multiprofissional e ocupa??o ap?s o tratamento. Conclui-se que a preval?ncia de insatisfa??o com a imagem corporal foi elevada. Mulheres que relataram ter uma ocupa??o ap?s o tratamento para o c?ncer apresentaram mais altera??es na autopercep??o quanto a apar?ncia. Em rela??o ao acompanhamento multiprofissional, aquelas pacientes que n?o receberam o seguimento do cuidado relataram um impacto negativo na imagem corporal, evidenciando a necessidade de estrat?gias que aumentem a resolutividade dos servi?os de forma a atender as principais demandas dessa popula??o. / Breast cancer is the most common neoplasia among women. Consequential changes from treating breast cancer are responsible for the way women see their body image and how these patients interact with other people. This study aims to determine the prevalence of women dissatisfaction with their own body perspective and associated factors after surviving to breast cancer treatment. This is a cross-sectional study, which evaluated 103 women living in the city of Natal, Brazil, diagnosed with breast cancer at least one year ago, that were still under treatment against cancer, and remained in clinical follow-up. Data collection was performed by accessing medical records of patients diagnosed with breast cancer and conducting individual interviews. The dependent variable Body Image was measured using the validated questionnaire Body Image Scale (BIS). Socioeconomic variables, gynecological history, clinical and life habits were also collected. The bivariate analysis was performed using Pearson's chi-square test (Fisher's Exact), calculating the prevalence ratio using 95% confidence interval. Multivariate analysis was performed by Poisson regression with robust variance. The statistical significance level of 0.05 was considered. The mean age of patients included in the study was 55.97 years (? 10.6), mostly Caucasian, married, and employed before treatment (81.6%). The prevalence of dissatisfaction with body image was 74.8%, CI (0.65 to 0.82). Body Image showed a statistically significant association with multidisciplinary professionals monitoring the patient and the presence of employment after treatment. We conclude that the prevalence of body image dissatisfaction was high. Women who reported having an occupation after treatment for cancer showed more changes in self-perception regarding their appearance. Concerning the follow up by multidisciplinary professionals, those patients who did not receive care after the treatment reported a negative impact on their body image. This finding highlights the need for strategies to increase the resolvability of services to meet the main demands of this population.
| Identifer | oai:union.ndltd.org:IBICT/oai:repositorio.ufrn.br:123456789/23473 |
| Date | 26 July 2016 |
| Creators | Guedes, Thais Sousa Rodrigues |
| Contributors | 00902557475, http://lattes.cnpq.br/9953301230987878, Costa, Karla Veruska Marques Cavalcante da, 02706590483, http://lattes.cnpq.br/1142023017602694, Ferreira, Maria Angela Fernandes, 39817270459, http://lattes.cnpq.br/4036539286429296, 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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