Qualidade de uma vida de mulheres com câncer de mama em quimioterapia neoadjuvante

• Ano de defesa: 2015
• Autor(a) principal: Vianna, Ana Márcia Sanches de Almeida
• Orientador(a): Domingos, Neide Aparecida Micelli
• Banca de defesa: Bordin Júnior, Newton Antônio, Miyazaki, Maria Cristina de Oliveira Santos
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Faculdade de Medicina de São José do Rio Preto
• Programa de Pós-Graduação: Programa de Pós-Graduação em Psicologia::2588426296948062698::500
• Departamento: Faculdade 1::Departamento 2::2907770059257635076::600
• País: Brasil
• Palavras-chave em Português: Neoplasias da Mama; Qualidade de Vida; Quimioterapia
• Palavras-chave em Inglês: Breast Neoplasms; Quality of Life; Drug Therapy
• Área do conhecimento CNPq: CIENCIAS HUMANAS::PSICOLOGIA::3411867255817377423::600
• Link de acesso: http://bdtd.famerp.br/handle/tede/355

Breast cancer is the second most frequent type of cancer, only preceded by skin cancer. Although considered of good prognosis, it is still a stigmatizing condition. Objective: To characterize demographic aspects and quality of life (QoL) of women with breast cancer before and after treatment with neo-adjuvant chemotherapy at a teaching hospital in the state of São Paulo. Methodology: descriptive, cross-sectional study. Patients: participants were 60 adult women starting neo-adjuvant chemotherapy AC (Adriamycin + Cyclophosphamide). For data collection the following instruments were used: Identification Card, Interview Guide and Functional Assessment of Cancer Therapy (FACT-B). Data were qualitative and quantitatively analyzed with descriptive statistics. For comparative analysis between variables the Wilcoxon test was used with significance level of p<0.05. Results: Participants ages ranged from 27 to 83 years old (M = 52.42 years, SD = 12.66 years), married (61.7%), with children and attending primary school (75%). For the physical, and functional domain, TOI (Trial Outcome Index), FACT-G (Functional Assessment of Cancer Therapy – General) and FACT-B there was a significant difference in the assessment of QoL pre and post-QT. Feeling unattractive (58.3%), sexual dissatisfaction (56.6%), insomnia (53.3%), alopecia (52.3%), fatigue (43.3%), inability to experience pleasure in life (40%) and feelings of sadness (41.6%) and inability to work (35%) were the most frequent symptoms post-QT. Conclusion: QT has an important impact on physical and functional QoL, impairing several roles played by the patient and affecting sexual and affective relationships.