ABSTRACT
Objetivo: Identificar los factores relacionados con las diferentes estrategias de afrontamiento al cáncer de mama en pacientes con reciente diagnóstico. Método: Estudio descriptivo trasversal, de correlación en pacientes con cáncer de mama de la clínica de mama del Hospital General Regional 1 y Unidad Médica de Atención Ambulatoria, del Instituto Mexicano del Seguro Social, Querétaro, México, en el 2011. Se estudiaron 98 pacientes con el diagnóstico referido, entre seis y doce meses de evolución, de cualquier edad. Se estudiaron variables socio-demográficas, tipo de familia, tratamiento recibido, la capacidad y estrategias de afrontamiento utilizadas, medidas con el instrumento "Inventario de Estrategias de Afrontamiento" modificado y adaptado al castellano por Cano et al. en el año 2007, replicado en México en el 2010 por Nava et al. Se respetaron las consideraciones éticas. Se analizó con estadística descriptiva, Rho de Spearman, Pearson y con la X2. Resultados: El sentimiento que con mayor frecuencia se presentó al recibir el diagnóstico fue el temor (28,6%), la estrategia de afrontamiento más usada fue la resolución de problemas. Los factores que se vieron estrechamente relacionados con el afrontamiento fueron la edad, la escolaridad, el tipo de familia y tratamiento utilizado. Conclusiones: El tipo de familia, de tratamiento recibido la edad y la escolaridad se encuentran estrechamente relacionados con el estilo de estrategias de afrontamiento que presentan las pacientes con cáncer de mama
Objetive: To identify factors relating to the strategies for coping with breast cancer recently diagnosed patients. Methods: cross-sectional design, descriptive study of correlation among patients with breast cancer at the Clinica de Mama of the Hospital General Regional N°1 (HGR N°1) and Unidad Medica de Atencion Ambulatoria (UMAA), Instituto Mexicano del Seguro Social, Queretaro, Mexico in 2011. 98 patients of all ages with this diagnosis were studied with a background of diagnosis of between six to twelve months. Sociodemographic variables were studied (age, schooling, occupation, marital status), type of family, type of treatment received, and capability for coping strategies by them with "Inventory of strategies of coping",modified and adapted in Spain by Cano et al. (2007) and reproduced in Mexico by Nava et al.(2010). In all procedures were applied with ethical considerations. An analysis was carried out using descriptive statistics, Spearman's Rho, Pearson's r and X2. Results: The predominant emotion upon hearing the diagnosis was fear (28,6%), the most coping strategy was problem solving. The related factors with the ability to cope were age, schooling, type of treatment received. Conclusions: Type of family, treatment received, age and schooling are strongly related tocoping strategies among patients with recent diagnosed breast cancer
Subject(s)
Humans , Female , Adaptation, Psychological , Breast Neoplasms/psychology , Sickness Impact Profile , Problem Solving , Risk Factors , Social Support , Family RelationsABSTRACT
BACKGROUND: Healthy children attending day-care centers (DCC) may excrete cytomegalovirus (CMV) frequently. Mothers of children excreting CMV are at higher risk for acquiring this infection than mothers of children not excreting CMV. Despite the increased attendance to DCC by children there is a lack of information regarding CMV infection in Mexico. METHODS: Prospective determination of CMV excretion in saliva of children attending public and private DCC. Three saliva samples were collected during a 2-month follow-up period from participating children and the presence of CMV was determined by viral culture. Demographic features of children and DCC type were taken into account when comparing children with and without CMV excretion. RESULTS: One hundred fifty-two children participated in the study (84 from public and 68 from private DCC). Overall, 17 (11.2%) children excreted CMV during the study period. Excretion rates varied between DCC from 3.1 to 31.3%. Children from private DCC were as likely to excrete CMV as children from public DCC. There were no demographic or clinical features of children associated with viral excretion. CONCLUSIONS: CMV was excreted on an average of 11.2% children attending DCC. The type of DCC or other demographic features were not associated with the likelihood of CMV excretion. CMV seronegative mothers of children who attend DCC need to be aware of the possibility of CMV acquisition and transmission in DCC.
