ABSTRACT
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.
Subject(s)
Humans , Female , Adult , Middle Aged , Quality of Life , Breast Neoplasms/psychology , Cancer Pain/psychology , Socioeconomic Factors , Pain Measurement , Brazil/epidemiology , Breast Neoplasms/epidemiology , Cross-Sectional Studies , Prospective Studies , Neoplasm MetastasisABSTRACT
Summary 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.
Resumo Objetivo: Avaliar a influência da capacidade funcional (CF) sobre a qualidade de vida (QV) de mulheres sobreviventes de câncer de mama. Método: 400 mulheres sobreviventes de câncer de mama foram avaliadas -118 sem metástases, 160 com metástases locorregionais e 122 com metástases a distância. Para avaliar a capacidade funcional e a qualidade de vida, os seguintes instrumentos foram utilizados: European Organization for Research and Treatment for Cancer Quality of Life Questionnaire-Core 30 (EORTC QLQ-C30), Breast Cancer-Specific (EORTC QLQ-BR23) e Karnofsky Performance Scale (KPS). Resultados: Mulheres com metástases a distância apresentaram menor KPS 75,3 (DP=12,5) (p<0,001). Quanto ao QLQ-C30, a média da escala funcional para pacientes com metástases a distância foi de 57 (DP=19) (p<0,001). A média da escala de sintomas das pacientes com metástase a distância foi de 37 (DP=20) (p<0,001). A escala de dor e fadiga apresentou a maior média nos grupos. Em relação à Escala Global de Saúde, as pacientes sem metástase tinham uma média de 62 (DP=24); com metástase locorregional, 63 (DP=21,4); e com metástase a distância, 51,3 (DP=24). Para o grupo com metástase a distância, 105 (87%) tiveram dor, e a média do KPS foi de 74 (DP=2,0) (p=0,001). Conclusão: O câncer de mama foi associado com diminuição da capacidade funcional, comprometendo a qualidade de vida das mulheres sobreviventes do câncer de mama com metástases locorregional ou a distância, quando comparadas àquelas sem metástases.
Subject(s)
Female , Quality of Life , Breast Neoplasms/psychology , Survivors/psychology , Pain Measurement , Breast Neoplasms/epidemiology , Interviews as Topic , Surveys and Questionnaires , Karnofsky Performance Status , Neoplasm MetastasisABSTRACT
Objective: Analyzing the aspects related to the occupational violence in the urgency sectors of a hospital in Natal, Rio Grande do Norte. Method: an exploratory and descriptive study, using a quantitative approach. For data collection was used a validated questionnaire, which surveyed were nursing teams of selected sectors. Results: Among the 86 subjects, 87.2% were women, 49.4% had high school completed and 46.5% were married. The occurrence of violence was considered normal by 82.9 and 91.8% of subjects reported never having participated in some training on how to act at the moment of the violence act. Conclusion: it is necessary the construction of national and institutional policies that act on violence, also minimizing its invisibility since the teaching in graduation of these professionals until the workplace.
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.
Objetivo: Analizar los aspectos de la violencia ocupacional en los sectores de un hospital de emergencia en Natal, Rio Grande do Norte. Método: Estudio exploratorio y descriptivo, con enfoque cuantitativo. Para recopilar los datos, se utilizó un cuestionario validado, cuyos encuestados eran el personal de enfermería de los sectores seleccionados. Resultados: De los 86 sujetos, el 87,2% eran mujeres, el 49,4% habían completado la escuela secundaria y el 46,5% estaban casados. La ocurrencia de la violencia fue considera normal por 82,9% y el 91,8% de los sujetos reportaron nunca haber participado en algún tipo de formación sobre cómo actuar en el momento de los actos de violencia. Conclusión: Es necesaria la construcción de políticas nacionales e institucionales que aborden la violencia, además, disminuir su invisibilidad desde la enseñanza en la graduación de estos profesionales, hasta el lugar de trabajo.