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

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

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

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

Autoría SCIMAGO INSTITUTIONS RANKINGS

RESUMEN

Objetivo

correlacionar la calidad de vida relacionada con la salud y la adherencia al tratamiento de pacientes con cáncer de mama y de próstata.

Método

estudio exploratorio, descriptivo y transversal, con enfoque cuantitativo, realizado con 305 pacientes con cáncer de mama y de próstata, en un hospital oncológico estatal de Paraíba, Brasil, entre junio y noviembre de 2019. En la recolección de datos, se utilizó un instrumento estructurado para la obtención de datos sobre el perfil sociodemográfico y clínico, el cuestionario del European Organization for Research and Treatment of Cancer Quality of Life Questionnaire “core” 30 itens, del módulo específico Quality of Life Questionnaire-Breast Cancer, y el Cuestionario de Determinantes de Adhesión. El análisis de datos se realizó por medio de estadística descriptiva e inferencial.

Resultados

la correlación entre la calidad de vida relacionada con la salud y la adherencia de los pacientes con cáncer de próstata mostró significancia estadística (p≤0.05) entre la Escala de Salud Global y la Escala Funcional, dominio Intenciones; función e intenciones emocionales; insomnio y normas subjetivas; dificultad financiera y normas subjetivas. En las mujeres, hubo significación estadística (p≤0.05) entre el desempeño de roles y las normas subjetivas; fatiga e intenciones; dificultad financiera y adhesión total; deseo sexual, satisfacción sexual y apoyo / severidad percibidos; síntomas de la mama e intenciones.

Conclusión

la calidad de vida relacionada con la salud tiene un impacto directo en la adherencia al tratamiento en pacientes con cáncer de mama y próstata.

DESCRIPTORES
Neoplasias de mama; Neoplasias de próstata; Calidad de vida; Cumplimiento y adherencia al tratamiento; Enfermería ocológica

	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