Factors associated with the quality of life of women undergoing radiotherapy

Vilhena, Fabiane Diniz Machado; Pereira, Odenilce Vieira; Sousa, Fabianne de Jesus Dias de; Martins, Nandara Celana Negreiros; Albuquerque, Gisela Pereira Xavier; Lopes, Renata Glaucia Barros da Silva; Sagica, Taís dos Passos; Ramos, Aline Maria Pereira Cruz

doi:10.1590/1983-1447.2024.20230062.en

Fabiane Diniz Machado Vilhena

formal analysis

conceptualization

data curation

writing – original draft

writing – review & editing

investigation

methodology

visualization

Universidade Federal do Pará (UFPA), Faculdade de Enfermagem. Belém, Pará, Brasil.

http://orcid.org/0000-0003-1713-0103

Odenilce Vieira Pereira

formal analysis

conceptualization

data curation

writing – original draft

writing – review & editing

methodology

supervision

visualization

Universidade Federal do Pará (UFPA), Complexo Hospitalar Universitário. Belém, Pará, Brasil.

http://orcid.org/0000-0002-4698-6413

Fabianne de Jesus Dias de Sousa

formal analysis

conceptualization

writing – original draft

writing – review & editing

visualization

Universidade Federal do Pará (UFPA), Faculdade de Enfermagem. Belém, Pará, Brasil.

http://orcid.org/0000-0002-8151-3507

Nandara Celana Negreiros Martins

investigation

methodology

supervision

Universidade Federal do Pará (UFPA), Faculdade de Enfermagem. Belém, Pará, Brasil.

http://orcid.org/0009-0004-7562-0981

Gisela Pereira Xavier Albuquerque

formal analysis

conceptualization

writing – original draft

writing – review & editing

supervision

visualization

Universidade Federal do Pará (UFPA), Complexo Hospitalar Universitário. Belém, Pará, Brasil.

http://orcid.org/0000-0002-9712-2236

Renata Glaucia Barros da Silva Lopes

investigation

methodology

supervision

Universidade do Estado do Pará (UEPA), Faculdade de Enfermagem. Belém, Pará, Brasil.

http://orcid.org/0000-0002-9232-5560

Taís dos Passos Sagica

formal analysis

conceptualization

writing – original draft

writing – review & editing

visualization

Universidade do Estado do Pará (UEPA), Faculdade de Enfermagem. Belém, Pará, Brasil.

http://orcid.org/0000-0002-6871-0100

Aline Maria Pereira Cruz Ramos

formal analysis

conceptualization

data curation

writing – original draft

writing – review & editing

methodology

supervision

visualization

Universidade Federal do Pará (UFPA), Faculdade de Enfermagem. Belém, Pará, Brasil.

http://orcid.org/0000-0001-8812-2923

Corresponding author:
Fabiane Diniz Machado Vilhena E-mail: dinizfabi3@gmail.com

Associate editor:

Jéssica Teles Schlemmer

Editor-in-chief:

João Lucas Campos de Oliveira

The authors declare that there is no conflict of interest.

Variables	n=60	%
Age group (years)
15-25	1	1.6
26-35	2	3.3
36-45	12	20.0
46-55	13	21.7
56-65	16	26.7
66-75	13	21.7
76-85	3	5.0
Origin
Belém	19	31.7
Other cities	29	48.3
Other state	12	20.0
Marital status
Single	20	33.3
Married	29	48.3
Widowed	7	11.7
Divorced	4	6.7
Children
Yes	49	81.7
No	11	18.3
Education level
Elementary School	29	48.3
High School	22	36.6
Higher Education	9	15.0
Occupation
Homemaker	22	36.7
Other occupations	38	63.3
Income
No income	16	26.7
≥ 1 salary^*	44	73.3
Lifestyle habits
None	46	76.6
Alcoholic	10	16.6
Smoker	2	3.3
Alcoholic and smoker	2	3.3
Comorbidity
Diabetes mellitus	9	15.0
Systemic arterial hypertension	20	33.3
No comorbidity	31	51.7

RISRAS	n=60	%	RTOG (%)		p-value^*	^**
Symptoms	n=60	%	1	2	p-value^*	^**
Do you have any sensitivity, discomfort, or pain in the skin in the treatment area?
Not at all	16	26.67	87.50	12.50	0.0036	ab
A little	33	55.00	90.91	9.09		a
A lot	10	16.67	40.00	60.00		b
Very much	1	1.67	100.00	0.00		ab
Does your skin in the treatment area itch?
Not at all	15	25.00	100.00	0.00	0.0055	a
A little	29	48.33	86.21	13.79		ab
A lot	15	25.00	53.33	46.67		b
Very much	1	1.67	100.00	0.00		ab
Do you have a burning sensation in the skin in the treatment area?
Not at all	13	21.67	100	0	0.0004	a
A little	31	51.67	90.32	9.68		a
A lot	14	23.33	42.86	57.14		b
Very much	2	3.33	100	0		ab
Is the skin in the treatment area hot?
Not at all	11	18.33	100	0	0.0050	a
A little	33	55	87.88	12.12		ab
A lot	14	23.33	50	50		b
Very much	2	3.33	100	0		ab
To what extent have your skin reactions and symptoms affected your daily activities?
Not at all	4	6.67	100.00	0.00	0.1090
A little	15	25.00	100.00	0.00
A lot	24	40.00	75.00	25.00
Very much	16	26.67	68.75	31.25
Signs
Erythema
Normal skin	2	3.33	100.00	0.00	0.0524
Dusty pink	47	78.33	87.23	12.77
Red	11	18.33	54.55	45.45
Dry desquamation
Normal skin	46	76.67	100.00	0.00	<0.001
1 (<25%)	14	23.33	21.43	78.57
Wet desquamation
Normal skin	52	86.67	94.23	5.77	<0.001
1 (<25%)	8	13.33	0.00	100.00

Skin color	n=60	%	RTOG		p-value^*
Skin color	n=60	%	1	2	p-value^*
Light brown	14	23.3	12	2	0.692
Moderate brown	25	41.7	19	6
Dark brown	21	35	18	3

Variable	n	%	RTOG (%)		p-value^*	Fitzpatrick (%)			^**	p-value^*
Variable	n	%	1	2	p-value^*	Light brown	Moderate brown	Dark brown	^**	p-value^*
1. How much has your skin been affected over the past week due to itching, inflammation, pain or burning?
Nothing	8.00	13.33	100.00	0.00	0.0020	25.00	50.00	25.00	a	0.7228
A little	33.00	55.00	93.94	6.06		24.24	39.39	36.36	ab
A lot	17.00	28.33	47.06	52.94		17.65	47.06	35.29	ab
Really a lot	2.00	3.33	100.00	0.00		50.00	0.00	50.00	b
2. How much embarrassment or other types of limitations were caused by your skin during the past week?
Nothing	47.00	78.33	85.11	14.89	0.1969	25.53	40.43	34.04		0.4644
A little	7.00	11.67	71.43	28.57		14.29	57.14	28.57
A lot	6.00	10.00	66.67	33.33		16.67	33.33	50.00
3. How much has your skin interfered with your shopping or outings, at home or in public places, during the last week?
Nothing	18.00	30.00	100.00	0.00	0.0022	27.78	33.33	38.89	b	0.6515
A little	14.00	23.33	92.86	7.14		21.43	64.29	14.29	a
A lot	25.00	41.67	64.00	36.00		20.00	36.00	44.00	ab
Really a lot	3.00	5.00	66.67	33.33		33.33	33.33	33.33	ab
4. To what extent has your skin interfered this past week with the clothes you wear?
Nothing	5.00	8.33	100.00	0.00	0.1367	20.00	40.00	40.00		0.4920
A little	5.00	8.33	100.00	0.00		0.00	60.00	40.00
A lot	46.00	76.67	78.26	21.74		26.09	39.13	34.78
Really a lot	4.00	6.67	75.00	25.00		25.00	50.00	25.00
5. During the last week, how much has your skin affected any social activities or leisure activities?
Nothing	20.00	33.33	90.00	10.00	0.0740	20.00	50.00	30.00		0.6673
A little	16.00	26.67	87.50	12.50		25.00	50.00	25.00
A lot	22.00	36.67	72.73	27.27		22.73	31.82	45.45
Really a lot	2.00	3.33	50.00	50.00		50.00	0.00	50.00
6. During the past week, how much did your skin make it difficult to engage in sports?
Nothing	44.00	73.33	84.09	15.91	0.1499	20.45	43.18	36.36		0.6329
A little	4.00	6.67	100.00	0.00		25.00	50.00	25.00
A lot	11.00	18.33	72.73	27.27		36.36	36.36	27.27
Really a lot	1.00	1.67	0.00	100.00		0.00	0.00	100.00
7. During the past week, did your skin prevent you from working or studying?
Nothing	42.00	70.00	83.33	16.67	0.6576	23.81	45.24	30.95		0.2910
A little	4.00	6.67	75.00	25.00		50.00	25.00	25.00
A lot	14.00	23.33	78.57	21.43		14.29	35.71	50.00
8. During the past week, how much did your skin create problems in your relationship with your partner, friends, or relatives?
Nothing	56.00	93.33	82.14	17.86	0.2792	25.00	41.07	33.93		0.4682
A little	3.00	5.00	100.00	0.00		0.00	33.33	66.67
A lot	1.00	1.67	0.00	100.00		0.00	100.00	0.00
9. During the past week, how much did your skin cause any sexual difficulties?
Nothing	54.00	90.00	81.48	18.52	0.8082	22.22	42.59	35.19		0.7089
A little	3.00	5.00	100.00	0.00		33.33	33.33	33.33
A lot	3.00	5.00	66.67	33.33		33.33	33.33	33.33
10. During the last week, to what extent did your skin treatment cause any type of problem, for example, making your belongings or your home dirtier, messier, or taking up your time on a daily basis?
Nothing	21.00	35.00	100.00	0.00	0.0092	23.81	38.10	38.10	b	0.9818
A little	18.00	30.00	77.78	22.22		27.78	38.89	33.33	a
A lot	20.00	33.33	65.00	35.00		20.00	45.00	35.00	ab
Really a lot	1.00	1.67	100.00	0.00		0.00	100.00	0.00	ab

[1] Corresponding author:
Fabiane Diniz Machado Vilhena E-mail: dinizfabi3@gmail.com

Brasil

Brasil

Factors associated with the quality of life of women undergoing radiotherapy

Factores asociados a la calidad de vida de mujeres en radioterapia

ABSTRACT

Objective:

Method:

Results:

Conclusion: