Clinical Oncology Letters
https://clinicaloncologyletters.com/article/doi/10.4322/col.2018.003
Clinical Oncology Letters
Artigo Original

Avaliação de qualidade de vida e depressão em pacientes oncológicos e em seus cuidadores e o acesso dos pacientes a reabilitação

Evaluation of quality of life and depression in cancer patients and their caregivers and the patients' access to rehabilitation

Camila Ribeiro de Arruda Monteiro; Jean Henri Maselli Schoueri; Celeste Rodovalho Soares de Camargo; Liya Serikawa Sato; Yasmin Pagano Monteiro; Karoline Passarela; Gabriela Aoki Shimaoka; Rafaella da Costa Oliveira; Igor Luiz Argani; Claudia Vaz de Melo Sette; Daniel de Iracema Gomes Cubero; Auro del Giglio

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Resumo

Objetivo: Analisar a correlação existente entre o diagnóstico de câncer e suas repercussões na vida de pacientes e cuidadores. O presente estudo também visa avaliar o acesso desses pacientes aos serviços de reabilitação, e seu impacto neste cenário. Métodos: Estudo transversal realizado no serviço de Oncologia da Faculdade de Medicina do ABC. A pesquisa baseou-se na aplicação de questionários previamente validados a pacientes oncológicos e seus acompanhantes. O trabalho teve aprovação do Comitê de Ética e Pesquisa da instituição. Resultados: Foram incluídos 238 indivíduos – 119 pacientes e seus respectivos (119) cuidadores. Não houve relação entre otimismo e pessimismo dos dois grupos (p > 0,05). Houve relação entre os níveis de ansiedade e depressão de pacientes e cuidadores (β = 0,206; r2 = 0,0395; p = 0,030). Conclusão: As condições e modificações na vida diária impostas pela doença possuem impacto na QV de cuidadores e pacientes, havendo associação entre níveis de ansiedade e depressão em ambos os grupos, acarretando em piora da QV. Frente a este cenário, é necessário que as equipes médica e multidisciplinar estejam capacitadas a fornecer apoio emocional, e que o sistema de saúde forneça redes de apoio com o objetivo de melhora da QV em suas diversas esferas.

Palavras-chave

Qualidade de Vida, Reabilitação, Oncologia

Abstract

Objective: Analyze the correlation between the diagnosis of cancer and its repercussions on the lives of patients and caregivers. The present study also aims to evaluate the access of these patients to rehabilitation services, and their impact in this scenario. Methods: A cross-sectional study performed at the Oncology Service of ABC Medical School. The research was based on the application of previously validated questionnaires to oncology patients and their companions. The work was approved by the institution's Ethics and Research Committee. Results: 238 individuals were individuals - 119 patients and their respective (119) caregivers. There was no relation between optimism and pessimism between the two groups (p> 0.05). There was a relationship between the levels of anxiety and depression of patients and caregivers (β = 0.206, r2 = 0.0395, p = 0.030). Conclusion: The conditions and changes in daily life imposed by the disease have an impact on the quality of life of caregivers and patients, with an association between levels of anxiety and depression in both groups, leading to worsening of quality of life. Faced with this scenario, it is necessary for medical and multidisciplinary teams to be able to provide emotional support, and for the health system to provide support networks with the objective of improving quality of life in its various spheres.

Keywords

quality of life; rehabilitation; Oncology

Referências

1. Pereira LJ, Caputo JB, Castelo PM, et al. Oral physiology and quality of life in cancer patients. Nutr Hosp. 2015;31(5):2161-6. PMid:25929388.

2. Mazzotti E, Sebastiani C, Antonini Cappellini GC, Marchetti P. Predictors of mood disorders in cancer patients’ caregivers. Support Care Cancer. 2013;21(2):643-7. http://dx.doi.org/10.1007/s00520-012-1663-9. PMid:23203651.

3. Micu EC, Irsay L. The rehabilitation of oncological patients presenting neuropathies. Clujul Med. 2014;87(2):67-72. PMid:26528000.

4. Benedetti MG, Erfe Delayon S, Colangeli M, et al. Rehabilitation need in oncological patients: the On rehab project results on patients operated for musculoskeletal tumors. Eur J Phys Rehabil Med. 2017;53(1):81-90. PMid:27351983.

5. Alfano CM, Cheville AL, Mustian K. Developing High-Quality Cancer Rehabilitation Programs: A Timely Need. Am Soc Clin Oncol Educ Book. 2016;35(36):241-9. http://dx.doi.org/10.1200/EDBK_156164. PMid:27249704.

6. Chang VT, Hwang SS, Feuerman M, Kasimis BS. Symptom and quality of life survey of medical oncology patients at a veterans affairs medical center. Cancer. 2000;88(5):1175-83. http://dx.doi.org/10.1002/(SICI)1097-0142(20000301)88:5<1175::AID-CNCR30>3.0.CO;2-N. PMid:10699909.

7. Wadhwa D, Burman D, Swami N, Rodin G, Lo C, Zimmermann C. Quality of life and mental health in caregivers of outpatients with advanced cancer. Psychooncology. 2013;22(2):403-10. PMid:22135229.

8. Goren A, Gilloteau I, Lees M, Dibonaventura MC. Quantifying the burden of informal caregiving for patients with cancer in Europe. Support Care Cancer. 2014;22(6):1637-46. http://dx.doi.org/10.1007/s00520-014-2122-6. PMid:24496758.

9. Aaronson NK, Ahmedzai S, Bergman B, et al. The european organization for research and treatment of cancer QLQC30: a quality-of-life instrument for use in international clinical trials in oncology. J Natl Cancer Inst. 1993;85(5):365-76. http://dx.doi.org/10.1093/jnci/85.5.365. PMid:8433390.

10. Velikova G, Booth L, Smith AB, et al. Measuring Quality of Life in Routine Oncology Practice Improves Communication and Patient Well-Being: A Randomized Controlled. J Clin Oncol. 2004;22(4):714-24. http://dx.doi.org/10.1200/JCO.2004.06.078. PMid:14966096.

11. Akin S, Can G, Aydiner A, Ozdilli K, Durna Z. Quality of life, symptom experience and distress of lung cancer patients undergoing chemotherapy. Eur J Oncol Nurs. 2010;14(5):400-9. http://dx.doi.org/10.1016/j.ejon.2010.01.003. PMid:20149733.

12. Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand. 1983;67(6):361-70. http://dx.doi.org/10.1111/j.1600-0447.1983.tb09716.x. PMid:6880820.

13. Scheier MF, Carver CS, Bridges MW. Distinguishing optimism from neuroticism (and trait anxiety, self-mastery, and self-esteem): A re-evaluation of the Life Orientation. Test. J Pers Soc Psychol. 1994;67(6):1063-78. http://dx.doi.org/10.1037/0022-3514.67.6.1063. PMid:7815302.

14. Valer DB, Aires M, Fengler FL, Paskulin LMG. Adaptation and validation of the Caregiver Burden Inventory for use with caregivers of elderly individuals. Rev Lat Am Enfermagem. 2015;23(1):130-8. http://dx.doi.org/10.1590/0104-1169.3357.2534. PMid:25806641.

15. Bottomley A. The cancer patient and quality of life. Oncologist. 2002;7(2):120-5. http://dx.doi.org/10.1634/theoncologist.7-2-120. PMid:11961195.

16. Kannan G, Ananthanarayanan RM, Nigam N, et al. Assessment of quality of life of cancer patients in a tertiary care hospital of South India. J Cancer Res Ther. 2011;7(3):275-9. http://dx.doi.org/10.4103/0973-1482.87013. PMid:22044807.

17. Sharma N, Chakrabarti S, Grover S. Gender differences in caregiving among family - caregivers of people with mental illnesses. World J Psychiatry. 2016;6(1):7-17. http://dx.doi.org/10.5498/wjp.v6.i1.7. PMid:27014594.

18. Glajchen M. Physical well-being of oncology caregivers: an important quality of life domain. Semin Oncol Nurs. 2012;28(4):226-35. http://dx.doi.org/10.1016/j.soncn.2012.09.005. PMid:23107180.

19. Dehkordi A, Heydarnejad MS, Fatehi D. Quality of Life in Cancer Patients undergoing Chemotherapy. Oman Med J. 2009;24(3):204-7. PMid:22224186.

20. Heydarnejad MS, Hassanpour DA, Solati DK. Factors affecting quality of life in cancer patients undergoing chemotherapy. Afr Health Sci. 2011;11(2):266-70. PMid:21857860.

21. Üstündağ S, Zencirci AD. Factors affecting the quality of life of cancer patients undergoing chemotherapy: a questionnaire study. Asia Pac J Oncol Nurs. 2015;2(1):17-25. PMid:27981088.

22. Rha SY, Park Y, Song SK, Lee CE, Lee J. Caregiving burden and the quality of life of family caregivers of cancer patients: the relationship and correlates. Eur J Oncol Nurs. 2015;19(4):376-82. http://dx.doi.org/10.1016/j.ejon.2015.01.004. PMid:25795160.

23. Kitrungrote L, Cohen MZ. Quality of life of family caregivers of patients with cancer: a literature review. Oncol Nurs Forum. 2006;33(3):625-32. http://dx.doi.org/10.1188/06.ONF.625-632. PMid:16676018.

24. Dehkordi A, Heydarnejad MS, Fatehi D. Quality of life in cancer patients undergoing chemotherapy. Oman Med J. 2009;24(3):204-7. PMid:22224186.

25. Kitrungrote L, Cohen MZ. Quality of life of family caregivers of patients with cancer: a literature review. Oncol Nurs Forum. 2006;33(3):625-32. http://dx.doi.org/10.1188/06.ONF.625-632. PMid:16676018.

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