OBJECTIVE:To evaluate the influence of pain on quality of life in breast cancer patients.METHODS:A cross-sectional study of 400 patients, including 118 without metastasis, 160 with loco-regional metastasis and 122 with distant metastasis. The instruments used were the European Organization for Research and Treatment for Cancer Quality of Life Questionnaire-Core 30 and the Breast Cancer-specific 23 and short McGill Pain Questionnaire.RESULTS:In total, 71.7% of patients reported pain. The most frequent sensory descriptor used by patients was ‘jumping.’ In the evaluative dimension, the main descriptor chosen was troublesome. The Global Health self-assessment showed pain to be inversely correlated with quality of life: the group without metastasis had a mean score of 55.3 (SD=24.8) for those in pain, which rose to 69.7 (SD=19.2) for those without pain (p=0.001). Subjects with loco-regional metastasis had score of 59.1 (SD=21.3) when in pain, and those without pain had a significantly higher score of 72.4 (SD=18.6) (p<0.001). Patients from the distant metastasis group showed similar results with a mean score of 48.6 (SD=23.1) for those in pain and 67.6 (SD=20.4) for those without pain (p=0.002). Regarding the association of pain intensity and quality of life, patients with distant metastasis and intense pain had the worst scores for quality of life with a functional scale mean of 49.9 (SD=17.3) (p<0.009), a Symptom Scale score of 50.0 (SD=20.1) (p<0.001) and a Global Health Scale score of 39.7 (SD=24.7) (p<0.006).CONCLUSIONS:Pain compromises the quality of life of patients with breast cancer, particularly those with advanced stages of the disease.
Objective: To evaluate the influence of functional capacity (FC) and how it affects quality of life (QoL) in breast cancer survivors. Method: A total of 400 breast cancer survivors were studied -118 without metastasis, 160 with locoregional metastasis and 122 with distant metastasis. The European Organization for Research and Treatment for Cancer Quality of Life Questionnaire--Core 30 (EORTC QLQ-C30), Breast Cancer-Specific (EORTC QLQ-BR23), and the Karnofsky Performance Scale (KPS) were used to evaluate FC and QoL. Results: Women with distant metastases presented lower KPS 75.3 (SD=12.5) (p<0.001). For QLQ-C30, the mean of the Functional Scale for patients with distant metastasis was 57 (SD=19) (p<0.001), and the mean of the Symptom Scale for patients with distant metastasis was 37 (SD=20) (p<0.001). Both the scales for pain and fatigue showed the highest mean in the groups. For the Global Health Scale, patients without metastasis scored a mean of 62 (SD=24) points, while those with locoregional metastases scored a mean of 63 (SD=21.4), and distant metastasis scored 51.3 (SD=24) points. In the group with distant metastases, 105 (87%) had pain, and the average KPS was 74 (SD=12.0) (p=0.001). Conclusion: Breast cancer was associated with decreased FC, compromised QoL in women with locoregional and distant metastases compared to those without metastasis.
IntroductionThe number of patients taking oral chemotherapy is increasing around the world. It is essential to maximise the adherence to oral chemotherapy to improve the overall survival and life expectancy of the patients. In this systematic review and meta-analysis, we aim to evaluate the effectiveness of mobile applications in improving the adherence to oral chemotherapy and adjuvant hormonal therapy in cancer survivors.Methods and analysisMEDLINE, Embase, LILACS, clinicaltrials.gov, Scopus and the Cochrane Central Register of Controlled Trials will be searched for randomised or quasi-experimental studies published between January 2009 and July 2019. This systematic review and meta-analysis will include studies investigating the use of mobile applications by cancer survivors to aid adherence to oral chemotherapy and adjuvant hormonal therapy. Patient education, reminder tools, calendars, pillboxes and electronic reminders will not be evaluated. The primary outcome will be the improvement in adherence to anticancer drugs. The secondary outcomes will be an improvement in the overall survival and life expectancy, improved quality of life and control of cancer-related symptoms. Three independent reviewers will select the studies and extract data from the original publications. The risk-of-bias will be assessed using the Cochrane risk-of-bias tool. Data synthesis will be performed using the Review Manager software (RevMan V.5.2.3). To assess heterogeneity, we will compute the I2 statistics. Additionally, a quantitative synthesis will be performed if the included studies are sufficiently homogenous.Ethics and disseminationThis study will be a review of the published data, and thus, ethical approval is not required. Findings of this systematic review will be published in a peer-reviewed journal.PROSPERO registration numberCRD42018102172.
Objectives: to characterize scientific production on oncologic pain on Portal da Biblioteca Virtual em Saúde (BIREME) from 2000 to 2008 regarding research method, language, year of publication, listed publication relating to pain evaluation and control. Methodology: bibliographic research performed through scientific articles available on BIREME, using “pain” and “cancer” descriptors on complete papers on the researched theme, published between 2000 and 2008, in Portuguese, English or Spanish. Results: 41.2% of the articles were literature revisions, in Portuguese (53%). Publications took place predominantly in the year 2003 (29%). The publications that included the most studies were Latino-americana de Enfermagem and Revista Escola de Enfermagem USP, both with 18%. The most researched study object was pain evaluation and control (41.2%). Conclusion: oncologic pain constitutes a worldwide problem, deserving the professionals’ attention. It is thus necessary to invest more on studies on the theme aiming to promote care and restore these patients’ quality of life. Descriptors: cancer; pain; nursing. RESUMOObjetivos: caracterizar as produções científicas de 2000 a 2008 sobre dor oncológica na Portal da Biblioteca Virtual em Saúde (BIREME) quanto ao método de pesquisa, idioma, ano de publicação, periódico relacionando a avaliação e o controle da dor. Metodologia: pesquisa bibliográfica realizada por meio de artigos científicos disponíveis na BIREME, utilizando os descritores “dor” e “câncer” tendo como critérios de inclusão textos completos sobre o tema investigado, publicados entre 2000 a 2008, em português, inglês ou espanhol. Resultados: 41,2% dos artigos foram de revisão da literatura, em português (53%). As publicações ocorreram principalmente nos anos de 2003 (29%). Os periódicos que mais publicaram estudos foram a Latino-americana de Enfermagem e a Revista Escola de Enfermagem USP, ambas com 18%. O objeto de estudo mais pesquisado foi a avaliação e controle da dor (41,2%). Conclusão: a dor oncológica constitui um problema mundial, merecendo atenção dos profissionais. Portanto, é necessário investir mais em estudos sobre a temática com a finalidade de promover o cuidado e resgatar a qualidade de vida desses pacientes. Descritores: câncer; dor; enfermagem. RESUMENObjetivos: caracterizar las producciones científicas de 2000 a2008 sobre dolor oncológico en la Portal da Biblioteca Virtual em Saúde (BIREME), cuanto al método de investigación, idioma, año de Publicación, periódico relacionado a la evaluación y al control del dolor. Metodología: investigaciones bibliográficas realizadas através de artículos científicos disponibles en la BIREME, utilizando los descriptores “dolor” y “cáncer” teniendo como criterios de inclusión textos completos sobre el tema investigado, publicados entre 2000 a 2008; en portugués ,inglés o español. Resultados: 41,2% de los artículos, era la revisión de la literatura en portugués (53%). Las publicaciones ocurrieron principalmente en el año de 2003 (29%). Los periódicos que mas publicaron estudios fueron; Latino-americana de Enfermería y la Revista Escuela de Enfermería USP, ambas con l8%. El objetivo del estudio más tratado es la investigación y control del dolor (41,2%). Conclusión: el dolor oncológico constituye un problema mundial, mereciendo atención de los profesionales. Por tanto, es necesario investir más en estudios sobre el tema con la finalidad de promover el cuidado y rescatar la calidad de vida de esos pacientes. Descriptores: cáncer; dolor; enfermería.
Objetivo: Analisar os aspectos relacionados à violência ocupacional nos setores de urgência de um hospital situado em Natal, Rio Grande do Norte. Método: Estudo exploratório e descritivo, com abordagem quantitativa. Para a coleta de dados foi utilizado um questionário validado, cujos pesquisados eram as equipes de enfermagem dos setores selecionados. Resultados: Dentre os 86 questionados, 87,2% eram mulheres, 49,4% tinham ensino médio completo e 46,5% eram casados. A ocorrência da violência foi considerada normal por 82,9% e 91,8% dos sujeitos relataram nunca ter participado de algum treinamento sobre como agir no momento do ato de violência. Conclusão: É necessária a construção de políticas nacionais e institucionais que atuem sobre a violência, além da minimização da sua invisibilidade desde o ensino na graduação destes profissionais, até o ambiente laboral. Descritores: Condições de Trabalho, Equipe de Enfermagem, Qualidade de Vida, Saúde do Trabalhador, Violência.
Objective: to report a classroom experience of using images to construct a reflective analysis on the paradigms that imbues the current health care models. Method: this is about an experience report on an academic activity called paradigms that permeate the health care model in the country of the discipline of Critical Analysis of Nursing Practice of the Post-Graduate Nursing Program/UFRN. A text basis and handmade drawing images were used as a methodological tool in the academic activity. Results: the educative practice based in storing up information had been replaced by a dialogic practice, where those involved played an active role in the knowledge construction. It is a dense topic that relates types of paradigms and health models that could be worked flexibly, enriching the space to knowledge construction. Conclusion: the practice allowed approximation in the group on reflective questions submitted during the teaching and learning process, permitting the participation of students, which contributed significantly, bringing out examples of their professional practice and seeking scientific support for arguments. The experience validated the use of strategies that contribute to the understanding of complex issues. Descriptors: knowledge; teaching; nursing.RESUMOObjetivo: relatar a experiência vivenciada na sala de aula com a utilização de imagens para construção de uma análise reflexiva sobre os paradigmas que permeiam os modelos de atenção à saúde vigente. Método: relato de experiência de uma atividade acadêmica, intitulada os paradigmas que permeiam o modelo de atenção à saúde no país, da Disciplina de Análise Crítica da Prática de Enfermagem do Programa de Pós-Graduação em Enfermagem da UFRN. Como dispositivos metodológicos utilizaram-se texto base e imagens desenhadas à mão sobre a temática abordada. Resultados: a prática educativa baseada no depósito de informações foi substituída por uma prática dialógica, onde os envolvidos tinham um papel ativo na construção do saber. Uma temática densa que relaciona tipos de paradigmas e modelos de saúde pôde ser trabalhada de maneira flexível, tornando o espaço enriquecedor para construção de conhecimentos. Conclusão: a prática possibilitou aproximação do grupo com questões reflexivas propostas durante o processo de ensino-aprendizagem, permitindo a participação dos discentes, os quais contribuíram de forma significativa, trazendo exemplos de sua prática profissional e buscando respaldo científico para argumentações. A experiência validou a utilização de estratégias que contribuem para compreensão de temas complexos. Descritores: conhecimento; ensino; enfermagem.RESUMENObjetivo: relatar la experiencia vivida en el aula con la utilización de imágenes para construcción de un análisis reflexivo sobre los paradigmas que entremedian los modelos de atención a la salud vigente. Métodos: relato de experiencia de una actividad académica, intitulada los paradigmas que entremedian el modelo de atención a la salud en el país, de la Disciplina de Análisis Crítico de Práctica de Enfermería del Programa de Posgrado en Enfermería/UFRN. Como dispositivos metodológicos se utilizó texto base y imágenes dibujadas a mano sobre el tema abordado. Resultados: una práctica de diálogo sustituyó la práctica educativa basada en el depósito de informaciones, donde los participantes tenían un papel activo en la construcción del saber. Una temática densa que relaciona tipos de paradigmas y modelos de salud pudo ser trabajada de modo flexible, llevando un espacio enriquecedor para la construcción de conocimientos. Conclusión: la práctica posibilitó aproximación del equipo con cuestiones reflexivas propuestas durante el proceso de enseñanza y aprendizaje, permitiendo la participación de los discentes, los cuales contribuyeron significativamente, con ejemplos de su práctica profesional y buscando respaldo científico para argumentaciones. La experiencia validó la utilización de estrategias que contribuyen para comprensión de temas complejos. Descriptores: conocimiento; enseñanza; enfermería.
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