Health-related quality of life among patients with advanced cancer: an integrative review

Abstract

RESUMENEsta revisión integradora de la literatura tuvo como objetivo caracterizar los artícu-los de la literatura nacional e internacional que abordan la calidad de vida relacionada con la salud (CVRS) de los pacientes con cáncer avanzado y resumir los factores evidenciados en la literatura que contribuyen a mejorarla o empeorarla. La búsqueda se realizó en las bases de datos electrónicas CINHAL, EMBASE, LILACS, SCIELO y PUB-MED. De los 21 artículos de la muestra, 13 estudios mostraron una mejoría de la CVRS de los pacientes con cáncer avanzado mediante la realización de intervenciones físicas, emocionales y espirituales. En ocho estudios se identificaron signos y síntomas predictores de baja de la CVRS citados como dolor, fatiga, trastornos del sueño, depresión, cambios nutricionales, entre otros. Los resultados muestran que las manifestaciones clínicas inherentes al cáncer son factores que pueden reducir la CVRS del paciente, mientras que los beneficios físicos, psicológicos y espirituales resultantes de las intervenciones terapéuticas pueden promover su mejora. DESCRIPTORES Neoplasias Enfermo terminal Calidad de vida Enfermería oncológica Revisión RESUMOEsta revisão integrativa da literatura objetivou caracterizar artigos abordando a qualidade de vida relacionada à saúde -QVRS -de pacientes com câncer avança-do nas literaturas nacional e internacional e sumarizar os fatores contribuintes para a melhora ou a piora da QVRS de pacientes com câncer avançado, evidenciados na literatura pesquisada. A busca foi realizada nas bases eletrônicas CINHAL, EMBA-SE, PUBMED, SCIELO e LILACS. Dentre os 21 artigos que compuseram a amostra, 13 evidenciaram melhora da QVRS de pacientes com câncer avançado mediante a realização de intervenções físicas, emocionais e espirituais. Em oito estudos, foram identificados sinais e sintomas preditores de baixa QVRS, como dor, fadiga, distúrbio do sono, depressão, alterações nutricionais, entre outros. Os resultados mostram que manifestações clínicas inerentes ao câncer são fatores que podem rebaixar a QVRS do paciente, enquanto os benefícios físicos, psicológicos e espirituais resultantes de intervenções terapêuticas, podem promover a melhora. DESCRITORES Neoplasias Doente terminal Qualidade de vida Enfermagem oncológica Revisão ABSTRACTThis integrative literature review aimed to characterize scientific articles on healthrelated quality of life -HRQoL -among patients with advanced cancer from national and international literature, and summarize those factors evidenced in the literature that contributed to the improvement or worsening of HRQoL among patients with advanced cancer. The search for materials was conducted in the following databases: CINAHL, EMBASE, PubMed, SciELO and LILACS. Among the 21 articles in the sample, 13 showed an improvement of HRQoL among patients with advanced cancer related to the development of physical, emotional and spiritual interventions. In eight studies, we identified predictive symptoms of low HRQoL, such as pain, fatigue, sleep disorders, depression, nu...

Health-related quality of life in patients with high-grade gliomas: a quantitative longitudinal study

“…Patient involvement has the potential to contribute to a better adaption process to the HGG illness [67]. Eventually, this can lead to a positive effect on HRQOL among terminally ill HGG patients [6].…”

“…Still, the HGG prognosis has improved and long-term survival has been reported [5] which stresses the necessity of increased attention on health-related quality of life (HRQOL). For that reason it is imperative to identify and understand the mechanisms that contribute to the improvement or deterioration of HRQOL [6]. Physical deterioration has a negative impact on HRQOL, leading to anxiety and depression [7][8][9].…”

Quality of life of patients who undergone myocardial revascularization surgery

“…The patient is the better source of information on their QOL, which is measured and defined according to the disease. Its improvement, from the perspective of health care, has been an expected result, both in care practices and public policies (8) . QOL is an important matter that concerns nursing professionals.…”

Therapeutic Actions Promoted To Terminal Patient: Professional Experience At Home Care Service

“…[11,18,[27][28] The severity of these signs and symptoms should be the professionals' focus of attention, by compromising nutritional standard and the patients' quality of life [29]. The lines following confirm this assertion: The above speeches highlight some factors that affect the nutritional status of the terminally ill, which are cited by a symptomatology cast that include physical weakness, poor appetite, dysphagia, cachexia and malnutrition.…”

“…Studies show that spirituality, inevitably, is present in times of distress and it is notable especially in individuals with a disease that threatens life. [28,[38][39] When it comes to religion, professionals who participated of this study highlighted the respect and religious diversity, and contemplated the faith as a crucial point to proceed with actions directed to the spiritual evolution of the patient, highlighting prayer as the intervention strategy. In this sense, authors recommend that health services offer spiritual and religious support, through institutional groups or Chaplaincy Service, without imposing religious preference, respecting the beliefs and values of the patient and his family.…”