Body Image and Physical suffering during Radiotherapy in Breast Cancer Patients Following Breast Conserving Operations

PURPOSE: The purposes of this study were to identify body image changes and physical suffering during radiotherapy among breast cancer patients following breast conserving operations and establish correlations between the two. METHODS: Twenty seven patients were recruited in this survey design. Patient interviews and patient-reported questionnaires were used to collect data from March 1 to July 30, 2013. The questionnaire included 18 items about body image and 10 items about physical suffering. RESULTS: Patients' body image during radiotherapy following breast conserving operation turned significantly negative. Likewise, patients' physical suffering increased significantly during radiotherapy. Body image and physical suffering were inversely correlated (p=.031). CONCLUSION: Breast cancer patients receiving radiotherapy following breast conserving operations go through changes in body image. Timely and proper interventions for physical suffering during radiotherapy would help to set up and maintain a positive body image.

Implicações dos processos licitatórios na psicodinâmica do trabalho de uma Unidade Pública de Alimentação e Nutrição / Implications of bidding processes in the work psychodynamics of a Food and Nutrition Public Unit

Trabalhadores do segmento de alimentação estão expostos a situações que podem alterar sua saúde por condições inadequadas de trabalho, por problemas de ambiente, processos de trabalho e por equipamentos e insumos provavelmente adquiridos nas licitações. Considerando estes aspectos, o presente estudo objetivou identificar os insumos e equipamentos adquiridos nas licitações que ocasionam provável sofrimento no trabalho; descrever os mecanismos utilizados por este sujeito, de forma defensiva e/ou criativa, quanto à existência de possíveis sofrimentos relacionados aos produtos adquiridos nas licitações e analisar a relação entre necessidades laborais dos trabalhadores de Unidade de Alimentação e Nutrição e os insumos e equipamentos licitados, que implicam na psicodinâmica do trabalho, visando minimizar seu possível sofrimento. Estudo de abordagem exploratória, descritiva, qualitativa que seguiu a partir de pressupostos metodológicos de um estudo de caso, tendo como sujeitos quarenta trabalhadores de um restaurante universitário, Niterói ­ RJ. A coleta de dados ocorreu por observação direta não participativa com registros em diário de campo e fotográfico e entrevista semiestruturada individual com perguntas sobre condições de trabalho. Para análise dos dados utilizou-se o software ALCESTE, que é uma técnica computadorizada e também uma metodologia de análise lexical de conteúdo, baseada nas coocorrências. Os dados obtidos foram triangulados e confrontados com as concepções de sofrimento no trabalho de Christophe Dejours. Como resultados desta pesquisa 28 entrevistados eram do gênero masculino e 12 do feminino, idade variou entre 46 e 55 anos, 13 servidores públicos e 27 contratados, admitidos há mais de 36 meses na unidade, com jornada de trabalho de 8 horas/diárias no período da manhã, desenvolvida majoritariamente nos setores de pré-preparo de vegetais e distribuição de refeições. Na observação verificou-se que os trabalhadores elaboram estratégias defensivas visando minimizar o sofrimento laboral. A análise do ALCESTE dividiu o corpus em sete classes, destas classes emergiram quatro categorias, a saber: Percepção do trabalhador acerca de utilização de uniforme, touca e calçado e a participação do trabalhador em opinar nas aquisições de seus instrumentos de trabalho; Percepção do trabalhador acerca de utilização de Equipamento de Proteção Individual; Necessidades e dificuldades laborais e estratégias defensivas/criativas dos trabalhadores e Dificuldades laborais e Doenças ocupacionais de trabalhadores de Unidade de Alimentação e Nutrição. As categorias apresentadas discutem as condições de trabalho, os incômodos/sofrimentos dos trabalhadores, seus problemas de saúde, além da realização de estratégias defensivas/criativas para desvencilhar-se do sofrimento. Conclui-se que ocorre sofrimento laboral dos trabalhadores na unidade pesquisada e que esta situação leva à elaboração, por parte dos trabalhadores, de estratégias defensivas para suportarem as condições adversas de trabalho e que muitas de suas necessidades para o exercício de suas funções poderão ser atendidas pelos processos licitatórios. Este estudo pode contribuir para uma condição favorável de trabalho e de saúde dos trabalhadores e estimular o desenvolvimento de futuras pesquisas referentes à licitação e ambiente laboral

Workers of the segment are alimentation exposed to situations that can change your health for poor working conditions, problems of environment, work processes and equipment and supplies probably acquired in bidding. Considering these aspects , the present study aimed to identify the inputs and equipment acquired at auctions, likely to cause pain at work; describe the mechanisms used by this subject, and/or creative defensively, as to the possible existence of the suffering related products acquired at auctions and analyze the relationship between labor needs of workers Food and Nutrition Unit and the inputs and equipment procured, implying the psychodynamics of work in order to minimize their possible suffering. Exploratory qualitative study approach, descriptive, which followed from methodological assumptions of a case study, having forty workers as subjects in a university restaurant, Niterói - RJ. Data collection occurred by direct non-participative observation with records in a field diary and photographic and individual semi-structured interviews with questions about working conditions. For data analysis we used the ALCESTE software, which is a computerized technique and also a methodology of lexical content analysis, based on cooccurrences. Data were triangulated and compared with concepts of suffering in the work of Christophe Dejours. The results of this survey respondents were 28 males and 12 females, age ranged between 46 and 55 years, 13 civil servants and 27 contractors, admitted more than 36 months in the unit, with workday of 8 hours/day during the morning, mostly developed in the pre - prepare vegetables and meal distribution sectors. The observation it was found that workers elaborate defensive strategies to minimize labor pain. The analysis of the corpus ALCESTE divided into seven classes, these classes emerged four categories, namely: Perception worker about using uniform, cap and shoes and worker participation in opine on purchase of their tools; Worker's perception about the use of Personal Protective Equipment; Needs and labor difficulties and defensive/creative workers and Strategies - labor difficulties and occupational diseases of workers from the Food and Nutrition Unit. The categories shown discussing working conditions, disturbances/sufferings of workers, their health problems, in addition to conducting defensive/creative strategies to extricate himself from suffering. Labor occurring suffering of workers in the unit researched and it is concluded that this situation leads to the elaboration, by workers of defensive strategies to withstand the harsh conditions of work and that many of their needs for the exercise of their functions may be met the bidding process. This study may contribute to a favorable working condition and health of workers and stimulate the development of future research regarding bidding and work environment

Los trabajadores del segmento son la alimentación expuestos a situaciones que pueden cambiar su estado de salud para las condiciones de trabajo deficientes, problemas de medio ambiente, procesos y equipos de trabajo y suministros probablemente adquiridos en la licitación. Teniendo en cuenta estos aspectos, el presente estudio tuvo como objetivo identificar los insumos y equipos adquiridos en las subastas, que pueden causar sufrimiento en el trabajo; describir los mecanismos utilizados por este tema, y/o creativa a la defensiva, en cuanto a la posible existencia de los productos relacionados con el sufrimiento adquiridos en las subastas y analizar la relación entre las necesidades laborales de los trabajadores Unidad de Nutrición y Alimentos y los insumos y equipos adquiridos, lo que implica la psicodinámica del trabajo con el fin de minimizar su sufrimiento posible. Enfoque exploratorio estudio cualitativo, descriptivo, que siguió a partir de los supuestos metodológicos de un estudio de caso, con cuarenta trabajadores como sujetos en un restaurante universitario, Niterói - RJ. Los datos fueron recolectados por observación no participativa directa con los registros en un diario de campo y las entrevistas semi - estructuradas fotográficos e individuales con preguntas sobre las condiciones de trabajo. Para el análisis de los datos se utilizó el software ALCESTE, que es una técnica computarizada, así como una metodología de análisis de contenido léxico, sobre la base de co-ocurrencias. Los datos fueron triangulados y comparados con los conceptos de sufrimiento en el trabajo de Christophe Dejours . Los resultados de esta encuesta los encuestados fueron 28 hombres y 12 mujeres, la edad osciló entre 46 y 55 años, 13 funcionarios y 27 contratistas, admitieron más de 36 meses en la unidad, con jornada laboral de 8 horas/día durante la mañana, en su mayoría desarrollados en los sectores de distribución de comida de vegetales pre - preparar y. La observación se encontró que los trabajadores elaboran estrategias defensivas para reducir al mínimo el dolor del parto. El análisis de la ALCESTE corpus dividido en siete clases, estas clases surgió cuatro categorías, a saber: Trabajador Percepción sobre el uso de uniforme, gorra y zapatos y participación de los trabajadores en opinar sobre compra de sus herramientas; La percepción de los trabajadores sobre el uso del equipo de protección personal; Necesidades y dificultades laborales y trabajadores defensivos/creativos y estrategias Dificultades laborales y enfermedades profesionales de los trabajadores de la Unidad de Alimentación y Nutrición. Las categorías que se muestran discutir las condiciones de trabajo, alteraciones/sufrimientos de los trabajadores, sus problemas de salud, además de la realización de estrategias defensivas/creativas para liberarse del sufrimiento. Labor que ocurre el sufrimiento de los trabajadores de la unidad investigada y se concluye que esta situación conduce a la elaboración, por los trabajadores de las estrategias defensivas para resistir las duras condiciones de trabajo y que muchas de sus necesidades para el ejercicio de sus funciones pueden cumplirse el proceso de licitación. Este estudio puede contribuir a una condición de trabajo favorable y la salud de los trabajadores y estimular el desarrollo de la investigación futura en relación con la licitación y ambiente de trabajo

The factors associated with a willingness to repeat an endoscopic examination / 대한내과학회지

BACKGROUND: The purpose of this study was to evaluate the association of physical distress and mental health characteristics with the willingness to repeat an esophagogastroduodenoscopic (EGD) examination. METHODS: A questionnaire survey was conducted on 137 patients who had an EGD procedure. The mental health status was evaluated with the Checklist-90-Revision tool, which is based on the Multidimensional Self Report Symptom Inventory. RESULTS: The results were as follows. 1) The elderly and those patients with two or more procedures had a significantly higher willingness to repeat the EGD examination. Those who were willing to repeat the examination had more EGD examinations than those who did not (p<0.05). 2) As for the mental health characteristics, persons with a willingness to repeat the EGD examination showed significantly lower scores on the interpersonal, sensitivity, depression, anxiety, hostility, and paranoid ideation than did those without a willingness. 3) As for the degree of physical distress during the EGD examination, persons with a willingness to repeat the EGD examination had significantly lower scores on the total symptom score and global discomfort score than those without a willingness (p<0.05). 4) The younger patients, under 30, had a significantly lower willingness to repeat the EGD examination than did the elderly patients over 60 (OR=86.03, 95% CI 2.11-999). According to patient occupations, homemakers showed a significantly higher willingness than did others (OR=16.24, 95% CI 1.69-156.23). CONCLUSIONS: The results of this study suggested that a willingness to repeat the EGD examination was closely associated with the mental health characteristics of the patients.

Influences of Perceived Treatment Effect and Perceived Physical Suffering on Hope of Cancer Patients in Post-operative Period / 성인간호학회지

PUPPOSE: The purposes of the study were 1) to examine what relationships exist between PTE(perceived treatments effect) and PPS (perceived physical suffering) as the independent variables and hope as the dependent variable and 2) to examine whether PTE and PPS predict hope in cancer patients in their post-operative period within the Stotland's hope theory. METHOD: The Visual Analog Scale was used for measuring PTE and PPS and the Kim and Lee's Hope Scale which had acceptable reliability and validity was used for measuring hope. The data was collected from 38 hospitalized cancer patients who were in the post-operative period with a convenient sampling method. RESULT: There was a significant positive relationship between hope and the PTE in the low PTE group. There was a significant negative relationship between hope and the PPS in the low PPS group. There were no significant relationships between hope and the PTE in the high PTE group, and between hope and the PPS in the high PPS group. And the PTE explained hope with 71.2% of the variance in the low PTE group. CONCLUSION: PTE in the low PTE group and PPS in the low PPS group were identified as the factors to explain hope.