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Rev. gaúch. enferm ; 34(3): 110-116, set. 2013. tab
Article Dans Portugais | LILACS, BDENF | ID: lil-695263

Résumé

Objetivou-se avaliar a qualidade de vida (QV) de mulheres com câncer de mama em tratamento quimioterápico e identificar a ocorrência de náuseas e vômitos durante o tratamento. Os dados foram coletados com a aplicação do instrumento da Organização Europeia de Pesquisa e Tratamento de Câncer, EORTC-QLQ-C30, na versão em português, bem como do módulo para câncer de mama BR-23, aplicados antes, no meio e ao final do tratamento. Das 79 mulheres incluídas, 93% apresentaram náuseas e 87% vômitos pelo menos uma vez durante o tratamento. A QV apresentou pequena diminuição durante o tratamento. O coeficiente alfa de Cronbach para cada aplicação dos questionários foi de 0,890492, 0,936392 e de 0,937639. A disponibilidade de informações sobre o tratamento e de orientações quanto ao manejo da náusea e do vômito é crucial para o gerenciamento adequado das toxicidades da quimioterapia.


Evaluar la calidad de vida (QOL) de las mujeres con cáncer de mama durante la quimioterapia e identificar el acontecimiento de náuseas y vómitos durante el tratamiento. Se recogieron datos con la aplicación del instrumento de la Organización Europea para la Investigación y Tratamiento del Cáncer, EORTC-QLQ-C30 versión en portugués y módulo para el cáncer de mama BR-23 aplicado antes, en la mitad y al final del tratamiento. Se incluyeron 79 mujeres, el 93% tuvo náuseas, el 87% vómitos al menos una vez durante el tratamiento. La QOL presentó una ligera disminución durante el tratamiento. El coeficiente alfa de Cronbach para cada aplicación de los cuestionarios fue 0.890492, 0.936392 y 0.937639. La disponibilidad de informaciones sobre el tratamiento y directrices sobre el manejo de la náusea y vómito es fundamental para la correcta gestión de las toxicidades de la quimioterapia.


The aim of this study was to assess the quality of life (QoL) of women with breast cancer during chemotherapy and to identify the incidence of nausea and vomiting during the treatment. Data were assessed with the application of the instrument of the European Organization for Research and Treatment of Cancer, EORTC-QLQ-C30 Portuguese version and breast cancer module BR-23, which was applied before, in the middle and in the end of the treatment. The participants were 79 women, of which 93% had nausea and 87% had vomited at least once during the treatment. QoL showed a slight decrease during treatment. Cronbach's alpha for each application of the questionnaires was 0.890492, 0.936392 and 0.937639. The availability of treatment information and guidelines on the management of nausea and vomiting is crucial for the proper management of the toxicities of chemotherapy.


Sujets)
Adulte , Sujet âgé , Femelle , Humains , Adulte d'âge moyen , Protocoles de polychimiothérapie antinéoplasique/effets indésirables , Tumeurs du sein/traitement médicamenteux , Nausée/induit chimiquement , Vomissement/induit chimiquement , Anticorps monoclonaux humanisés/administration et posologie , Protocoles de polychimiothérapie antinéoplasique/administration et posologie , Protocoles de polychimiothérapie antinéoplasique/usage thérapeutique , Tumeurs du sein/soins infirmiers , Tumeurs du sein/psychologie , Cyclophosphamide/administration et posologie , Cyclophosphamide/effets indésirables , Épirubicine/administration et posologie , Épirubicine/effets indésirables , Fluorouracil/administration et posologie , Fluorouracil/effets indésirables , Nausée/soins infirmiers , Nausée/psychologie , Études prospectives , Qualité de vie , Enquêtes et questionnaires , Indice de gravité de la maladie , Facteurs socioéconomiques , Taxoïdes/administration et posologie , Vomissement/soins infirmiers , Vomissement/psychologie
2.
Southeast Asian J Trop Med Public Health ; 1999 Dec; 30(4): 789-803
Article Dans Anglais | IMSEAR | ID: sea-34740

Résumé

Morbidity and mortality patterns, health care practices, and health care beliefs were assessed over three seasons in Pwo and Sgaw Karen preschool children living in the highlands of northwest Thailand. The sample consisted of all preschool children from 77 Pwo and 71 Sgaw households. Although the Pwo and Sgaw Karen residing in the highlands of northwest Thailand live in isolated villages in the same ecozone, utilize similar technologies, have similar access to health facilities, and maintain a certain level of sociocultural homogeneity through their identification as Karen, Pwo preschool children exhibit significantly higher levels of morbidity and mortality than their Sgaw counterparts. It is argued that these differences in morbidity and mortality are primarily the function of historical patterns which resulted in an earlier contact of the Sgaw with modem societies and particularly with an earlier exposure to western health care.


Sujets)
Adulte , Enfant d'âge préscolaire , Diarrhée/soins infirmiers , Ethnies/statistiques et données numériques , Caractéristiques familiales , Femelle , Troubles de la croissance/soins infirmiers , Connaissances, attitudes et pratiques en santé , Soins à domicile/méthodes , Humains , Nourrisson , Nouveau-né , Paludisme/soins infirmiers , Mâle , Unités sanitaires mobiles/statistiques et données numériques , Morbidité , Mortalité , Troubles liés aux opiacés/épidémiologie , Pratiques éducatives parentales , Facteurs de risque , Santé en zone rurale , Saisons , Fumer/épidémiologie , Thaïlande/épidémiologie , Vaccination/statistiques et données numériques , Vomissement/soins infirmiers
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