< .0,5) e nível de independência (t=6,51; p>< 0,001) da qualidade de vida, e alertando para a necessidade de delinear intervenções multidisciplinares que ajudem a pessoa a lidar com esta doença e com os seus tratamentos, promovendo o seu bem-estar.]]>
< .05) and level of independence (t=6.51; p>< .001) quality of life domains. This study evidence the need for multidisciplinary interventions that help the patient to cope better with this disease and its treatments, improving their wellbeing.]]>
Tiago Paredes1, Mário R. Simões2, Maria Cristina Canavarro2, Adriano Vaz Serra3, Marco Pereira1, Manuel João Quartilho3, Daniel Rijo2, Sofia Gameiro1 & Carlos Carona4
1Bolseiro de Doutoramento da Fundação para a Ciência e Tecnologia;
2Faculdade de Psicologia e de Ciências da Educação da Universidade de Coimbra – Portugal;
3Faculdade de Medicina da Universidade de Coimbra – Portugal;
4Núcleo Regional do Centro da Associação Portuguesa de Paralisia Cerebral (NRCAPPC), Coimbra Portugal
RESUMO: O diagnóstico de cancro, a própria doença e os seus tratamentos têm associadas implicações físicas, psicológicas e sociais que acarretam uma redução significativa da qualidade de vida dos doentes. Este estudo exploratório teve como objectivo avaliar o impacto de uma doença crónica específica – a patologia tumoral do aparelho locomotor – na qualidade de vida. Para o efeito, o WHOQOL-100 foi administrado a uma amostra constituída por 30 doentes com tumor do aparelho locomotor e a um grupo de controlo de 30 indivíduos saudáveis. Os resultados obtidos revelam a existência de diferenças estatisticamente significativas entre o grupo clínico e o grupo de controlo, sugerindo o impacto negativo da patologia tumoral do aparelho locomotor na qualidade de vida global (t=2,38; p< 0,05), nos domínios físico (t=2,06; p < .0,5) e nível de independência (t= 6,51; p< 0,001) da qualidade de vida, e alertando para a necessidade de delinear intervenções multidisciplinares que ajudem a pessoa a lidar com esta doença e com os seus tratamentos, promovendo o seu bem-estar.
]]> Palavraschave: Doença oncológica, Tumor do aparelho locomotor, Qualidade de vida, WHOQOL-100, Avaliação psicológica.
Impact of chronic illness on quality of life: a comparison between individuals from the general population and bone and soft tissue cancer patiente
ABSTRACT: Cancer diagnosis and its treatments are associated with physical, psychological and social implications that cause a significant reduction in the patient’s quality of life. The aim of this exploratory study was to assess the impact of a specific chronic illness – the bone and soft tissue cancer – on the quality of life. In this sense, a sample of 30 bone and soft tissue cancer patients and a control group of 30 healthy individuals responded to the WHOQOL-100. The results obtained evidence the statistical significant differences between the clinical and the control group, suggesting the negative impact of bone and soft tissue cancer on the global quality of life (t=2.38; p< .05) and on the physical (t=2.06; p< .05) and level of independence (t=6.51; p< .001) quality of life domains. This study evidence the need for multidisciplinary interventions that help the patient to cope better with this disease and its treatments, improving their wellbeing.
Key words: Cancer, Bone and soft tissue cancer, Quality of life, WHOQOL-100; Psychological assessment.
Texto completo disponível apenas em PDF.
Full text only available in PDF format.
]]>
REFERÊNCIAS
Andersen, B., Andersen, B., & deProsse, C. (1989). Controlled prospective longitudinal study of women with breast cancer. II. Psychological outcomes. Journal of Consulting and Clinical Psychology, 57(6), 692-697. [ Links ]
Andrykowski, M. A., Brady, M. J., & Hunt, J. W. (1993). Positive psychosocial adjustment in potential bone marrow transplant recipients: Cancer as a psychosocial transition. Psycho-Oncology, 2, 261–276.
Andrykowski, M. A., Bruch, S., Brady, M. J., & Henslee-Downey, P. J. (1995). Physical and psychosocial status of adults oneyear after bone marrow transplantation: A prospective study. Bone Marrow Transplantation, 15, 837-844.
Bishop, G. D. (1994). Health Psychology: integrating mind and body. Boston: Allyn and Bacon.
Bowling, A. (1995). Measuring Health: A Review of Quality of Life Measurement Scales. Buckingham: Open University Press.
Brown, J. E., Butow, P. N., Culjak, G., Coates, A. S., & Dunn, S. M. (2000). Psychosocial predictors of outcome: time to relapse and survival in patients with early stage melanoma. British Journal of Cancer, 83(11), 1448-1453.
Canavarro, M. C., Vaz Serra, A., Pereira, M., Simões, M. R., Quintais, L., Quartilho, M. J., et al. (2006). Desenvolvimento do Instrumento de Avaliação da Qualidade de Vida da Organização Mundial de Saúde (WHOQOL100) para Português de Portugal. Psiquiatria Clínica, 27(1), 15-23.
Cartwright, A., Hockey, L., & Anderson, J. L. (1973). Life Before Death. London: Routledge.
]]> Cella, D., & Tross, S. (1986). Psychological adjustment to survival from Hodgkin’s disease. Journal of Consulting and Clinical Psychology, 54, 616622.Davis, A. M., Wright, J. G., Williams, J. I., Bombardier, C., Griffin, A., & Bell, R. S. (1996). Development of a measure of physical function for patients with bone and soft tissue sarcoma. Quality of Life Research, 5(5), 508-516.
DiCaprio, M. R., & Friedlaender, G. E. (2003). Malignant bone tumors: Limb sparing versus amputation. Journal of the American Academy of Orthopaedic Surgeons, 11(1), 25-37.
Fairclough, D. L. (2002). Design and analysis of quality of life studies in clinical trials. New York: Chapman & Hall/CRC.
Fang, F., Tsai, W., Chien, C., Chiu, H., & Wang, C. (2004). Healthrelated quality of life outcome for oral cancer survivors after surgery and postoperative radiotherapy. Journal of Clinical Oncology, 34(11), 641-646.
Fawzy, I. F., & Fanzy, N. (1994). A Structured Psychoeducational Intervention for Cancer Patients. General Hospital Psychiatry, 16, 14-192.
Felder-Puig, R., Formann, A., Mildner, A., Bretschneider, W., Bucher, B., Windhager, R., et al. (1998). Quality of life and psychosocial adjustment of young patients after treatment of bone cancer. Cancer, 83, 69-75.
Fitzpatrick, R., Fletcher, A., Gore, S., Jones, D., Spiegelhalter, D., & Cox, D. (1992). Quality of life measures in health care. I: Applications and issues in assessment. British Medical Journal, 305, 1074-1077.
Ganz, P., Haskell, C., Figlin, R., LaSota, N., & Siau, J. (1988). Estimating the quality of life in a clinical trial of patients with metastic lung cancer using the Karnofsky Performance Status and the Functional Living Index – Cancer. Cancer, 61, 849-856.
Gilbert, H., Kagan, A., Nussbaum, H., Rao, A., Satzman, J., Chan, P., et al. (1977). Evaluation of radiation therapy for bone metastases: Pain relief and quality of life. American Journal of Roentgenology, 129, 1095-1096.
]]> Hagle, M. (1990). Cancer patient’s experiences with portable chemotherapy pump. Dissertation Abstracts International, 50, 5547.Holland, J. C., Greenberg, D. B., & Hughes, M. K. (2006). Quick Reference for Oncology Clinicians: The Psychiatric and Psychological Dimensions of Cancer Symptom Management. IPOS Press.
Kilian, R., Matschinger, H., & Angermeyer, M. (2001). Assessment the impact of chronic illness on subjective quality of life: A comparison between general population and hospital inpatients with somatic and psychiatric diseases. Clinical Psychology and Psychotherapy, 8, 206-213.
Lopes, H. B., Ribeiro, J. L., & Leal, I. P. (1999). Estudos sobre qualidade de vida em mulheres submetidas a histerectomia ou anexectomia para tratamento de cancro do útero ou ovário. Análise Psicológica, 3(XVII), 483-497.
Martin, A. J., & Stockler, M. (1998). Quality of life assessment in healthcare research and practice. Evaluation & The Health Professions, 21, 141-156.
Mercadante, S. (1997). Malignant bone pain: Pathophysiology and treatment. Pain, 69 (12), 1-18.
Moorey, S., & Greer, S. (2002). Cognitive Behaviour Therapy for People With Cancer. Oxford: Oxford University Press.
Northouse, L., Mood, D., Karshaw, T., Schafenadoer, A., Mellon, S., Walker, J., et al. (2002). Quality of life of women with recurrent breast cancer and their family members. Journal of Clinical Oncology, 19 (20), 4050-4064.
Ogden, J. (1999). Psicologia da Saúde. Lisboa: Climepsi Editores.
Osoba, D. (1991). Measuring the effect of cancer on quality of life. In D. Osoba (Ed.), Effect of Cancer on Quality of Life. (pp. 25-40). Florida: CRC Press, Inc.
]]> Osoba, D., Aaronson, N., & Till, J. (1991). A practical guide for selecting quality of life measures in clinical trials and practice. In D. Osoba (Ed.). Effect of Cancer on Quality of Life (pp. 89-104). Florida: CRC Press, Inc.Patrão, I., & Leal, I. (2004). Abordagem do impacto psicossocial no adoecer da mama. Psicologia, Saúde & Doenças, 5(1), 53-73.
Pibernik-Okanovic, M. (2001). Psychometric properties of the World Health Organization Quality of Life Questionnaire (WHOQOL100) in diabetic patients in Croatia. Diabetes Research and Clinical Practice, 51, 133-143.
Pimentel, F. L. (2006). Qualidade de Vida e Oncologia. Coimbra: Edições Almedina, S.A.
Postma, A., Kingma, A., De Ruiter, J., Schraffordt, K., Veth, R., Goeken, L., et al. (1992). Quality of life in bone tumor patients comparing limb salvage and amputation of the lower extremity. Journal of Surgical Oncology, 51(1), 47-51.
Ribeiro, J. L. (1994). A importância da qualidade de vida para a psicologia da saúde. Análise Psicológica, 23(XII), 179-191.
Ribeiro, J. L. (2002). Qualidade de vida e doença oncológica. In M. R. Dias & E. Durá (Eds.). Territórios da psicologia oncológica (pp. 75-98). Lisboa: Climepsi Editores.
Rijo, D., Canavarro, M. C., Pereira, M., Simões, M. R., Vaz Serra, A., Quartilho, M. J., et al. (2006). Especificidades da avaliação da qualidade de vida na população portuguesa: O processo de construção da faceta portuguesa do WHOQOL-100. Psiquiatria Clínica, 27(1), 25-30.
Santos, C. S., Ribeiro, J. L., & Lopes, C. (2003). Estudo de adaptação da Escala de Satisfação com o Suporte Social (ESSS) a pessoas com diagnóstico de doença oncológica. Psicologia, Saúde & Doenças, 4(2), 185-204.
Schipper, H., Clinch, J., MsMurray, A., & Levitt, M. (1984). Measuring the quality of life of cancer patients: the Functional Living Index – Cancer: Development and validation. Journal of Clinical Oncology, 2, 472-483.
]]> Spiegel, D., & Classen, C. (2000). Group Therapy for Cancer Patients: A Research-based Handbook of Psychosocial Care. New York: Basic Books.Stjernsward, J., & Teoh, N. (1991). Perspectives on quality of life and the global cancer problem. In D. Osoba (Ed.). Effect of Cancer on Quality of Life (pp. 15). Florida: CRC Press, Inc.
The WHOQOL Group (1994). Development of the WHOQOL: Rationale and current status. International Journal of Mental Health, 23(3), 24-56.
The WHOQOL Group (1995). The World Health Organization Quality of Life Assessment (WHOQOL): Position paper from the World Health Organization. Social Science & Medicine, 41(10), 14031409.
The WHOQOL Group (1998). The World Health Organization Quality of Life Assessment (WHOQOL): Development and general psychometric properties. Social Science & Medicine, 46(12), 1569-1585.
Uzun, O., Aslan, F., Selimen, D., & Koç, M. (2004). Quality of life in women with breast cancer in Turkey. Journal of Nursing Scholarship, 36(3), 207-213.
Van’t Spijker, A., Trijsburg, R., & Duivenvoorden, H. (1997). Psychological sequelae of cancer diagnosis: A metaanalytical review of 58 studies after 1980. Psychosomatic Medicine, 59, 280-293.
Vaz Serra, A., Canavarro, M. C., Simões, M. R., Pereira, M., Gameiro, S., Quartilho, M. J., et al. (2006). Estudos psicométricos do Instrumento de Avaliação da Qualidade de Vida da Organização Mundial de Saúde (WHOQOL-100) para Português de Portugal. Psiquiatria Clínica, 27(1), 31-40.
Vinokur, A. D., Threatt, B. A., Caplan, R. D., & Zimmerman, B. (1989). Physical and psychosocial functioning and adjustment to breast cancer. Longterm followup of a screening population. Cancer, 63 (2), 394-405.
]]> Recebido em 10 de Março de 2008 / aceite em 20 de Abril de 2008
1 Contactar para Email: tiago_paredes@yahoo.com.br.
]]>