HEALTH-RELATED QUALITY OF LIFE AND THERAPEUTIC ADHERENCE IN BREAST AND PROSTATE CANCER

Viana, Lia Raquel de Carvalho; Pimenta, Cláudia Jeane Lopes; Ferreira, Gerlania Rodrigues Salviano; Oliveira, Jacira dos Santos; Costa, Tatiana Ferreira da; Costa, Kátia Neyla de Freitas Macedo

doi:10.1590/1980-265X-TCE-2020-0217

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Brasil

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Original Article • Texto contexto - enferm. 30 • 2021 • https://doi.org/10.1590/1980-265X-TCE-2020-0217 copy

HEALTH-RELATED QUALITY OF LIFE AND THERAPEUTIC ADHERENCE IN BREAST AND PROSTATE CANCER

CALIDAD DE VIDA RELACIONADA A LA SALUD Y ADHERENCIA TERAPÉUTICA EN LOS CÁNCERES DE MAMA Y DE PRÓSTATA

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective

to correlate health-related quality of life and adherence to treatment of patients with breast and prostate cancer.

Method

an exploratory, descriptive and cross-sectional study, with a quantitative approach, conducted with 305 patients with breast and prostate cancer, in a state oncology hospital in Paraíba, Brazil, between June and November 2019. For data collection, a semi-structured instrument was used to obtain data regarding the sociodemographic and clinical profile, from the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire “core” 30 items, from the specific module Quality of Life Questionnaire-Breast Cancer, and from the Adherence Determinants Questionnaire. Data analysis was performed using descriptive and inferential statistics.

Results

the correlation between health-related quality of life and adherence of patients with prostate cancer showed statistical significance (p≤0.05) between the Global health Scale and the Functional Scale, Intentions domain; emotional function and intentions; insomnia and subjective norms; financial difficulty and subjective norms. In women, there was statistical significance (p≤0.05) between role performance and subjective norms; fatigue and intentions; financial difficulty and total adherence; sexual desire, sexual satisfaction and perceived support/severity; breast symptoms and intentions.

Conclusion

health-related quality of life directly impacts on treatment adherence of patients with breast and prostate cancer.

DESCRIPTORS
Breast neoplasms; Prostate neoplasms; Quality of life; Treatment adherence and compliance; Oncology nursing

	Adherence to treatment	Quality of Life
		Global Health Scale		Functional Scale		Symptom Scale
		r	p*	r	p*	r	p*
Prostate	Interpersonal aspects of care	-0.003	0.973	-0.105	0.296	0.142	0.155
	Perceived susceptibility	0.005	0.957	-0.047	0.639	-0.047	0.641
	Subjective norms	-0.023	0.817	0.017	0.863	0.024	0.816
	Intentions	0.239	0.016	0.285	0.044	-0.123	0.220
	Support/Perceived severity	0.127	0.207	0.028	0.784	-0.028	0.783
	Total	0.122	0.223	0.009	0.928	-0.037	0.712
Breast	Interpersonal aspects of care	-0.077	0.274	-0.059	0.401	-0.030	0.673
	Perceived susceptibility	-0.033	0.636	-0.021	0.764	0.015	0.836
	Subjective norms	0.112	0.110	0.113	0.109	-0.103	0.143
	Intentions	0.007	0.924	0.109	0.122	0.052	0.457
	Support/Perceived severity	0.019	0.349	-0.078	0.265	-0.052	0.230
	Total	0.045	0.521	0.058	0.409	-0.119	0.204

	Quality of Life	Interpersonal aspects of care		Perceived susceptibility		Subjective norms		Intentions		Support/ Perceived severity		Total
	Quality of Life	r	p*	r	p*	r	p*	r	p*	r	p*	r	p*
Prostate	Global Health Scale	0.017	0.869	-0.036	0.720	-0.035	0.730	0.263	0.208	0.169	0.092	0.069	0.490
	Functional Scale	-0.109	0.276	-0.064	0.522	0.039	0.695	0.205	0.040	0.009	0.930	-0.028	0.784
	Physical Function	-0.016	0.873	0.146	0.146	0.015	0.884	0.142	0.158	0.018	0.856	0.146	0.144
	Role Performance	0.002	0.981	0.088	0.381	-0.129	0.197	-0.006	0.949	0.020	0.842	0.052	0.603
	Emotional Function	-0.002	0.988	-0.171	0.088	0.160	0.111	0.220	0.027	0.010	0.919	-0.065	0.516
	Cognitive Function	-0.033	0.719	-0.076	0.447	0.053	0.600	0.081	0.418	0.021	0.836	-0.050	0.621
	Social Function	-0.031	0.757	-0.179	0.073	-0.074	0.706	0.123	0.221	-0.049	0.626	-0.096	0.450
	Scale of Symptoms	0.112	0.267	-0.015	0.883	0.114	0.258	-0.102	0.393	-0.020	0.845	0.004	0.967
	Fatigue	0.157	0.118	-0.038	0.703	-0.017	0.865	-0.039	0.702	0.090	0.371	0.019	0.852
	Nausea and vomiting	-0.012	0.903	-0.057	0.572	0.056	0.610	-0.162	0.105	-0.010	0.904	-0.058	0.562
	Pain	0.125	0.212	-0.060	0.552	-0.041	0.684	-0.080	0.426	-0.039	0.516	-0.094	0.350
	Dyspnea	0.142	0.157	-0.018	0.859	0.049	0.628	-0.051	0.610	-0.105	0.297	0.019	0.848
	Insomnia	-0.097	0.336	0.075	0.459	0.055	0.031	-0.083	0.409	-0.002	0.985	0.050	0.622
	Loss of appetite	0.034	0.737	-0.167	0.096	-0.029	0.772	-0.165	0.099	-0.048	0.636	-0.178	0.075
	Constipation	0.076	0.450	0.045	0.653	-.0122	0.223	-0.122	0.224	0.115	0.254	0.039	0.699
	Diarrhea	0.004	0.968	-0.097	0.333	-0.044	0.665	-0.030	0.768	0.031	0.757	-0.076	0.451
	Financial difficulty	-0.016	0.874	-0.038	0.703	0.200	0.045	-0.039	0.687	-0.141	0.159	-0.039	0.696
Breast	Global Health Scale	-0.092	0.189	-0.027	0.696	0.088	0.208	-0.001	0.986	0.043	0.542	0.005	0.940
	Functional Scale	-0.043	0.539	-0.005	0.939	0.079	0.263	0.117	0.096	0.024	0.733	0.040	0.574
	Physical Function	-0.025	0.721	-0.064	0.363	-0.041	0.559	-0.013	0.855	-0.105	0.135	-0.111	0.114
	Role Performance	-0.020	0.777	-0.080	0.258	0.141	0.044	0.082	0.244	0.097	0.170	0.042	0.550
	Emotional Function	-0.005	0.939	0.091	0.194	0.057	0.421	0.117	0.095	0.085	0.225	0.130	0.065
	Cognitive Function	-0.031	0.657	-0.101	0.149	0.113	0.106	0.190	0.097	0.018	0.798	0.020	0.772
	Social Function	-0.032	0.652	0.014	0.846	0.061	0.390	-0.141	0.095	0.032	0.652	-0.024	0.731
	Scale of Symptoms	-0.041	0.564	-0.009	0.898	-0.071	0.314	-0.092	0.191	-0.123	0.078	-0.112	0.112
	Fatigue	0.040	0.567	0.041	0.561	-0.080	0.258	-0.150	0.032	-0.078	0.511	-0.102	0.146
	Nausea and vomiting	-0.115	0.102	0.014	0.844	0.021	0.765	0.055	0.431	0.012	0.868	-0.012	0.867
	Pain	-0.072	0.309	-0.025	0.727	-0.059	0.400	0.012	0.860	-0.016	0.822	-0.031	0.656
	Dyspnea	0.011	0.881	0.048	0.493	-0.001	0.991	0.097	0.165	-0.109	0.122	0.000	0.999
	Insomnia	0.049	0.483	-0.023	0.743	-0.116	0.097	-0.076	0.282	-0.111	0.113	-0.109	0.120
	Loss of appetite	-0.084	0.235	-0.003	0.961	0.039	0.579	-0.050	0.474	-0.117	0.097	-0.081	0.252
	Constipation	-0.031	0.661	0.054	0.439	-0.084	0.234	-0.061	0.621	0.032	0.647	-0.033	0.642
	Diarrhea	-0.031	0.662	-0.033	0.642	0.045	0.639	0.029	0.683	-0.135	0.055	-0.059	0.406
	Financial difficulty	-0.064	0.440	-0.129	0.066	-0.039	0.583	-0.042	0.551	-0.060	0.394	-0.164	0.019

Quality of Life	Interpersonal aspects of care		Perceived susceptibility		Subjective norms		Intentions		Support/ Perceived severity		Total
Quality of Life	r	p*	r	p*	r	p*	r	p*	r	p*	r	p*
Functional Scale	-0.013	0.852	-0.011	0.875	0.014	0.839	-0.088	0.213	0.056	0.526	0.068	0.334
Body image	-0.074	0.291	-0.124	0.077	0.040	0.0567	-0.071	0.312	0.077	0.277	-0.043	0.539
Sexual desire	-0.030	0.665	-0.053	0.729	0.031	0.659	0.025	0.723	-0.199	0.004	-0.011	0.702
Sexual satisfaction	-0.026	0.716	-0.058	0.824	0.040	0.572	-0.019	0.792	-0.199	0.004	-0.009	0.803
Future perspective	0.020	0.776	0.056	0.425	0.064	0.362	-0.069	0.324	0.090	0.203	0.071	0.314
Scale of Symptoms	-0.090	0.199	0.000	0.995	-0.002	0.981	0.065	0.353	-0.096	0.174	-0.050	0.479
Side effects	0.032	0.652	-0.076	0.280	0.034	0.634	0.069	0.326	0.076	0.280	0.046	0.515
Arm symptoms	0.086	0.708	0.107	0.128	-0.059	0.398	-0.102	0.145	0.110	0.118	0.107	0.127
Breast symptoms	0.097	0.169	0.044	0.529	-0.035	0.616	-0.199	0.004	0.053	0.452	0.005	0.944
Hair loss	-0.017	0.806	-0.073	0.297	-0.034	0.629	0.092	0.190	0.044	0.534	0.009	0.895

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[1] CORRESPONDING AUTHOR
Cláudia Jeane Lopes Pimenta claudinhajeane8@hotmail.com