Adriane Cristina Bernat Kolankiewicz1, Tânia Solange Bosi de Souza Magnago2, Angela Isabel Dos Santos Dullius3, Edvane Birelo Lopes De Domenico4. 1. Enfermeira, Professora Doutora, Graduação/Programa de Pós-Graduação em Atenção Integral à Saúde, Universidade Regional do Noroeste do Estado do Rio Grande do Sul/UNIJUÍ. Ijuí (RS), Brasil. 2. Enfermeira, Professora Doutora, Graduação/Programa de Pós-Graduação em Enfermagem da Universidade Federal de Santa Maria (UFSM), RS, Brasil. 3. Odontóloga. Professora Doutora, Graduação/Pós-Graduação em Enfermagem da UFSM. 4. Enfermeira. Professora Doutora, Graduação/Programa de Pós-Graduação em Enfermagem da Escola Paulista de Enfermagem, Departamento de Enfermagem Clínica e Cirúrgica, Universidade Federal de São Paulo, UNIFESP.
Abstract
OBJECTIVE: To investigate the association between demographic, economic and clinical variables, cancer symptoms, and daily life interference in patients receiving cancer treatment in Brazil. METHODS: In this cross-sectional study, 268 patients were assessed. A questionnaire was used to collect data on demographic, economic and clinical variables, and the M.D. Anderson Symptom Inventory was used to assess cancer symptoms. Data were analyzed using bivariate and multivariate descriptive statistics. FINDINGS: The following variables were associated with higher symptom scores: female sex (prevalence ratio [PR]=1.28; 95% confidence interval [95% CI] 1.06-1.53), illiteracy or ≤ 9 years of formal education (PR=1.40; 95% CI 1.08-1.82), clinical equipment or situations that requiring nursing care (PR=1.23; 95% CI 1.03-1.46), and family history of cancer (PR=1.23; 95% CI 1.04-1.45). Daily life interference was associated with female sex (PR=1.40; 95% CI 1.12-1.75), secondary tumour (PR=1.42; 95% CI 1.16-1.74) and radiotherapy (PR=1.24; 95% CI 1.01-1.51). CONCLUSION: Management of cancer patients requires multidisciplinary knowledge, taking into consideration all the subjective dimensions of the patients. Knowing the profile of patients most strongly affected by symptoms will help them face the limitations and consequences of the disease and its treatment.
OBJECTIVE: To investigate the association between demographic, economic and clinical variables, cancer symptoms, and daily life interference in patients receiving cancer treatment in Brazil. METHODS: In this cross-sectional study, 268 patients were assessed. A questionnaire was used to collect data on demographic, economic and clinical variables, and the M.D. Anderson Symptom Inventory was used to assess cancer symptoms. Data were analyzed using bivariate and multivariate descriptive statistics. FINDINGS: The following variables were associated with higher symptom scores: female sex (prevalence ratio [PR]=1.28; 95% confidence interval [95% CI] 1.06-1.53), illiteracy or ≤ 9 years of formal education (PR=1.40; 95% CI 1.08-1.82), clinical equipment or situations that requiring nursing care (PR=1.23; 95% CI 1.03-1.46), and family history of cancer (PR=1.23; 95% CI 1.04-1.45). Daily life interference was associated with female sex (PR=1.40; 95% CI 1.12-1.75), secondary tumour (PR=1.42; 95% CI 1.16-1.74) and radiotherapy (PR=1.24; 95% CI 1.01-1.51). CONCLUSION: Management of cancer patients requires multidisciplinary knowledge, taking into consideration all the subjective dimensions of the patients. Knowing the profile of patients most strongly affected by symptoms will help them face the limitations and consequences of the disease and its treatment.
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Authors: Maria O Ivanova; Tatyana I Ionova; Svetlana A Kalyadina; Olga S Uspenskaya; Anton V Kishtovich; Hong Guo; Tito R Mendoza; Andrei Novik; Charles S Cleeland; Xin S Wang Journal: J Pain Symptom Manage Date: 2005-11 Impact factor: 3.612
Authors: Hee Chul Park; Nora A Janjan; Tito R Mendoza; Edward H Lin; Saroj Vadhan-Raj; Mandeep Hundal; Yiqun Zhang; Marc E Delclos; Christopher H Crane; Prajnan Das; Xin Shelley Wang; Charles S Cleeland; Sunil Krishnan Journal: Int J Radiat Oncol Biol Phys Date: 2009-02-21 Impact factor: 7.038