Associação entre bem-estar psicossocial, religiosidade e espiritualidade em pacientes com sequelas aparentes de cirurgia oncológica na região de cabeça e pescoço
Ano de defesa: | 2016 |
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Autor(a) principal: | |
Orientador(a): | |
Banca de defesa: | , , , , |
Tipo de documento: | Tese |
Tipo de acesso: | Acesso aberto |
Idioma: | por |
Instituição de defesa: |
Universidade Federal de Goiás
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Programa de Pós-Graduação: |
Programa de Pós-graduação em Odontologia (FO)
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Departamento: |
Faculdade de Odontologia - FO (RG)
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País: |
Brasil
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Palavras-chave em Português: | |
Palavras-chave em Inglês: | |
Área do conhecimento CNPq: | |
Link de acesso: | http://repositorio.bc.ufg.br/tede/handle/tede/6844 |
Resumo: | Treatment of cancer located in the head and neck region includes different therapeutic interventions according to the staging of the tumor, and the surgical approach may culminate in considerable sequelae and biopsychosocial changes in individuals. The objective of this study was to investigate the association between psychosocial well-being and religiosity / spirituality in patients with apparent sequelae of oncologic surgery in the head and neck region. A crosssectional study was conducted in 202 adults at a referral center for cancer treatment in the Midwest Brazil. Sociodemographic, health and health related behavious and psychosocial data were collected through interviews, clinical exams and search of medical records. The variables related to psychosocial well-being were: quality of life (QOL), using the Functional Assessment of Cancer Therapy Head and Neck (FACT-HN) and the University of Washington Quality of Life Questionnaire for patients with head and neck cancer (UW-QOL); and self-perception of appearance, assessed by the Derriford Appearance Scale 24 (DAS24). The explanatory independent variables were: religiosity, evaluated through the Duke University's Index of Religiosity (DUREL) and spirituality, with the Functional Assessment of Chronic Illness TherapySpiritual Well-Being Scale (FACIT-Sp12). Data were analyzed using the Chi-square test and Poisson regression with robust variance. The mean QOL score (FACT-HN) was 97.9 (SD=20.1) and the QOL (UW-QOL) was 744.6 (SD=228.0). The mean total self-perception score was 36.0 (SD=11.7). Religiousness had a mean score of 21.6 (SD=5.0) and spirituality 35.5 (SD=7.5). In the bivariate analyzes, the variables religiousness and spirituality were individually associated with the QOL evaluated by the FACT-HN instrument, while only religiosity was associated with the QV evaluated by the UW-QOL and only spirituality was associated with self-perception of appearance. In the final model of Poisson regression, after adjusting for clinical, sociodemographic characteristics and health behaviors, the variables associated with high QOL (FACT-HN) were: high religiosity and spirituality, male sex and surgery time equal to or greater than two years. Those associated with high QV (UW-QOL) were: high religiosity, cancer sites except oral cavity and oropharynx, types of cancer except squamous cell and basal cell, site of sequelae except the lower / cervical thirds and only surgery as treatment. The variables associated with the best self-perception of appearance were high spirituality, stage T of the lesion (T1+T2), cancer site except oropharynx and only surgery as treatment. It was concluded that there is an association between QOL, religiosity and spirituality and between self-perception of appearance and spirituality, regardless of sociodemographic variables, clinical conditions and health behaviors. |
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Freire, Maria do Carmo Matiashttp://lattes.cnpq.br/6740286066154410Leles, Cláudio Rodrigueshttp://lattes.cnpq.br/6740286066154410Freire, Maria do Carmo MatiasRotta, Rejane Faria RibeiroCosta, Nádia do LagoSilveira, Nusa de AlmeidaNunes, Maria de Fátimahttp://lattes.cnpq.br/1332477460176003Reis, Liliane Braga Monteiro dos2017-02-14T09:44:41Z2016-12-20Reis, L. B. M. Associação entre bem-estar psicossocial, religiosidade e espiritualidade em pacientes com sequelas aparentes de cirurgia oncológica na região de cabeça e pescoço. 2016. 175 f. Tese (Doutorado em Odontologia) - Universidade Federal de Goiás, Goiânia, 2016.http://repositorio.bc.ufg.br/tede/handle/tede/6844Treatment of cancer located in the head and neck region includes different therapeutic interventions according to the staging of the tumor, and the surgical approach may culminate in considerable sequelae and biopsychosocial changes in individuals. The objective of this study was to investigate the association between psychosocial well-being and religiosity / spirituality in patients with apparent sequelae of oncologic surgery in the head and neck region. A crosssectional study was conducted in 202 adults at a referral center for cancer treatment in the Midwest Brazil. Sociodemographic, health and health related behavious and psychosocial data were collected through interviews, clinical exams and search of medical records. The variables related to psychosocial well-being were: quality of life (QOL), using the Functional Assessment of Cancer Therapy Head and Neck (FACT-HN) and the University of Washington Quality of Life Questionnaire for patients with head and neck cancer (UW-QOL); and self-perception of appearance, assessed by the Derriford Appearance Scale 24 (DAS24). The explanatory independent variables were: religiosity, evaluated through the Duke University's Index of Religiosity (DUREL) and spirituality, with the Functional Assessment of Chronic Illness TherapySpiritual Well-Being Scale (FACIT-Sp12). Data were analyzed using the Chi-square test and Poisson regression with robust variance. The mean QOL score (FACT-HN) was 97.9 (SD=20.1) and the QOL (UW-QOL) was 744.6 (SD=228.0). The mean total self-perception score was 36.0 (SD=11.7). Religiousness had a mean score of 21.6 (SD=5.0) and spirituality 35.5 (SD=7.5). In the bivariate analyzes, the variables religiousness and spirituality were individually associated with the QOL evaluated by the FACT-HN instrument, while only religiosity was associated with the QV evaluated by the UW-QOL and only spirituality was associated with self-perception of appearance. In the final model of Poisson regression, after adjusting for clinical, sociodemographic characteristics and health behaviors, the variables associated with high QOL (FACT-HN) were: high religiosity and spirituality, male sex and surgery time equal to or greater than two years. Those associated with high QV (UW-QOL) were: high religiosity, cancer sites except oral cavity and oropharynx, types of cancer except squamous cell and basal cell, site of sequelae except the lower / cervical thirds and only surgery as treatment. The variables associated with the best self-perception of appearance were high spirituality, stage T of the lesion (T1+T2), cancer site except oropharynx and only surgery as treatment. It was concluded that there is an association between QOL, religiosity and spirituality and between self-perception of appearance and spirituality, regardless of sociodemographic variables, clinical conditions and health behaviors.O tratamento do câncer localizado na região de cabeça e pescoço inclui diferentes interven- ções terapêuticas de acordo com o estadiamento do tumor, e a abordagem cirúrgica pode culminar em sequelas consideráveis e alterações biopsicossociais nos indivíduos. O objetivo deste estudo foi investigar a associação entre o bem-estar psicossocial e religiosidade / espiritualidade em pacientes com sequelas aparentes de cirurgia oncológica na região de cabeça e pescoço. Foi realizado um estudo transversal em 202 adultos de um centro de referência no tratamento do câncer no Centro-Oeste brasileiro. Foram coletados dados sociodemográficos e condições de comportamento em saúde e psicossociais, por meio de entrevistas, exame clínico e busca nos prontuários. As variáveis dependentes relacionadas ao bem-estar psicossocial foram: qualidade de vida (QV), avaliada por meio dos instrumentos Functional Assessment of Cancer Therapy Head and Neck (FACT-HN) e Questionário de Qualidade de Vida da Universidade de Washington para pacientes com câncer de cabeça e pescoço (UW-QOL); e autopercepção da aparência, avaliada por meio da Escala de Aparência de Derriford 24 (DAS24). As variáveis independentes explicativas foram: religiosidade, avaliada por meio do Índice de Religiosidade da Universidade Duke (DUREL) e espiritualidade, com o instrumento Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being Scale (FACIT-Sp12). Os dados foram analisados por meio do teste Qui-quadrado e regressão de Poisson com variância robusta. O escore médio da QV (FACT-HN) foi de 97,9 (dp=20,1) e da QV (UW-QOL) foi de 744,6 (dp=228,0). O escore médio total da autopercepção da aparência foi de 36,0 (dp=11,7). A religiosidade apresentou um escore médio de 21,6 (dp=5,0) e a espiritualidade 35,5 (dp=7,5). Nas análises bivariadas, as variáveis religiosidade e espiritualidade foram individualmente associadas à QV avaliada pelo instrumento FACT-HN, enquanto que apenas a variável religiosidade foi associada à QV avaliada pelo UW-QOL, e apenas a espiritualidade foi associada à autopercepção da aparência. No modelo final da regressão de Poisson, após ajuste pelas características clínicas e sociodemográficas e de comportamentos em saúde, as vari- áveis associadas à QV (FACT-HN) alta foram: religiosidade e espiritualidade alta, sexo masculino e tempo de cirurgia igual ou maior a dois anos. As associadas à QV (UW-QOL) alta foram: religiosidade alta, sítios do câncer exceto na cavidade oral e orofaringe, tipos do câncer exceto os espinocelular e basocelular, local da sequela exceto nos terços inferior/cervical e apenas cirurgia como tratamento. As variáveis associadas à melhor autopercepção da aparência fo ram: espiritualidade alta, estágio T da lesão (T1+T2), sítio do câncer exceto orofaringe e apenas cirurgia como tratamento. Conclui-se que houve associação entre QV, religiosidade e espiritualidade e entre autopercepção da aparência e espiritualidade, independente de variáveis sociodemográficas, condições clínicas e comportamentos em saúde.Submitted by Erika Demachki (erikademachki@gmail.com) on 2017-02-13T17:59:26Z No. of bitstreams: 2 Tese - Liliane Braga Monteiro dos Reis - 2016.pdf: 7163783 bytes, checksum: 9a0d724c3182062cca67d6f303d80129 (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5)Approved for entry into archive by Luciana Ferreira (lucgeral@gmail.com) on 2017-02-14T09:44:41Z (GMT) No. of bitstreams: 2 Tese - Liliane Braga Monteiro dos Reis - 2016.pdf: 7163783 bytes, checksum: 9a0d724c3182062cca67d6f303d80129 (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5)Made available in DSpace on 2017-02-14T09:44:41Z (GMT). No. of bitstreams: 2 Tese - Liliane Braga Monteiro dos Reis - 2016.pdf: 7163783 bytes, checksum: 9a0d724c3182062cca67d6f303d80129 (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Previous issue date: 2016-12-20Fundação de Amparo à Pesquisa do Estado de Goiás - FAPEGapplication/pdfporUniversidade Federal de GoiásPrograma de Pós-graduação em Odontologia (FO)UFGBrasilFaculdade de Odontologia - FO (RG)http://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessNeoplasias de cabeça e pescoçoOncologiaQualidade de vidaEspiritualidadeAutoimagemReligiãoHead and neck neoplasmsMedical oncologyQuality of lifeSelf-conceptReligionSpiritualityODONTOLOGIA::CLINICA ODONTOLOGICAAssociação entre bem-estar psicossocial, religiosidade e espiritualidade em pacientes com sequelas aparentes de cirurgia oncológica na região de cabeça e pescoçoAssociation between psychosocial well-being, religiousity and spirituality in patients with approaching sequels of oncological surgery in the head and neck regioninfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/doctoralThesis-2325576619034292269600600600600-5569154581575113691-1816740449898491657-961409807440757778reponame:Repositório Institucional da UFGinstname:Universidade Federal de Goiás (UFG)instacron:UFGLICENSElicense.txtlicense.txttext/plain; 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dc.title.por.fl_str_mv |
Associação entre bem-estar psicossocial, religiosidade e espiritualidade em pacientes com sequelas aparentes de cirurgia oncológica na região de cabeça e pescoço |
dc.title.alternative.eng.fl_str_mv |
Association between psychosocial well-being, religiousity and spirituality in patients with approaching sequels of oncological surgery in the head and neck region |
title |
Associação entre bem-estar psicossocial, religiosidade e espiritualidade em pacientes com sequelas aparentes de cirurgia oncológica na região de cabeça e pescoço |
spellingShingle |
Associação entre bem-estar psicossocial, religiosidade e espiritualidade em pacientes com sequelas aparentes de cirurgia oncológica na região de cabeça e pescoço Reis, Liliane Braga Monteiro dos Neoplasias de cabeça e pescoço Oncologia Qualidade de vida Espiritualidade Autoimagem Religião Head and neck neoplasms Medical oncology Quality of life Self-concept Religion Spirituality ODONTOLOGIA::CLINICA ODONTOLOGICA |
title_short |
Associação entre bem-estar psicossocial, religiosidade e espiritualidade em pacientes com sequelas aparentes de cirurgia oncológica na região de cabeça e pescoço |
title_full |
Associação entre bem-estar psicossocial, religiosidade e espiritualidade em pacientes com sequelas aparentes de cirurgia oncológica na região de cabeça e pescoço |
title_fullStr |
Associação entre bem-estar psicossocial, religiosidade e espiritualidade em pacientes com sequelas aparentes de cirurgia oncológica na região de cabeça e pescoço |
title_full_unstemmed |
Associação entre bem-estar psicossocial, religiosidade e espiritualidade em pacientes com sequelas aparentes de cirurgia oncológica na região de cabeça e pescoço |
title_sort |
Associação entre bem-estar psicossocial, religiosidade e espiritualidade em pacientes com sequelas aparentes de cirurgia oncológica na região de cabeça e pescoço |
author |
Reis, Liliane Braga Monteiro dos |
author_facet |
Reis, Liliane Braga Monteiro dos |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Freire, Maria do Carmo Matias |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/6740286066154410 |
dc.contributor.advisor-co1.fl_str_mv |
Leles, Cláudio Rodrigues |
dc.contributor.advisor-co1Lattes.fl_str_mv |
http://lattes.cnpq.br/6740286066154410 |
dc.contributor.referee1.fl_str_mv |
Freire, Maria do Carmo Matias |
dc.contributor.referee2.fl_str_mv |
Rotta, Rejane Faria Ribeiro |
dc.contributor.referee3.fl_str_mv |
Costa, Nádia do Lago |
dc.contributor.referee4.fl_str_mv |
Silveira, Nusa de Almeida |
dc.contributor.referee5.fl_str_mv |
Nunes, Maria de Fátima |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/1332477460176003 |
dc.contributor.author.fl_str_mv |
Reis, Liliane Braga Monteiro dos |
contributor_str_mv |
Freire, Maria do Carmo Matias Leles, Cláudio Rodrigues Freire, Maria do Carmo Matias Rotta, Rejane Faria Ribeiro Costa, Nádia do Lago Silveira, Nusa de Almeida Nunes, Maria de Fátima |
dc.subject.por.fl_str_mv |
Neoplasias de cabeça e pescoço Oncologia Qualidade de vida Espiritualidade Autoimagem Religião |
topic |
Neoplasias de cabeça e pescoço Oncologia Qualidade de vida Espiritualidade Autoimagem Religião Head and neck neoplasms Medical oncology Quality of life Self-concept Religion Spirituality ODONTOLOGIA::CLINICA ODONTOLOGICA |
dc.subject.eng.fl_str_mv |
Head and neck neoplasms Medical oncology Quality of life Self-concept Religion Spirituality |
dc.subject.cnpq.fl_str_mv |
ODONTOLOGIA::CLINICA ODONTOLOGICA |
description |
Treatment of cancer located in the head and neck region includes different therapeutic interventions according to the staging of the tumor, and the surgical approach may culminate in considerable sequelae and biopsychosocial changes in individuals. The objective of this study was to investigate the association between psychosocial well-being and religiosity / spirituality in patients with apparent sequelae of oncologic surgery in the head and neck region. A crosssectional study was conducted in 202 adults at a referral center for cancer treatment in the Midwest Brazil. Sociodemographic, health and health related behavious and psychosocial data were collected through interviews, clinical exams and search of medical records. The variables related to psychosocial well-being were: quality of life (QOL), using the Functional Assessment of Cancer Therapy Head and Neck (FACT-HN) and the University of Washington Quality of Life Questionnaire for patients with head and neck cancer (UW-QOL); and self-perception of appearance, assessed by the Derriford Appearance Scale 24 (DAS24). The explanatory independent variables were: religiosity, evaluated through the Duke University's Index of Religiosity (DUREL) and spirituality, with the Functional Assessment of Chronic Illness TherapySpiritual Well-Being Scale (FACIT-Sp12). Data were analyzed using the Chi-square test and Poisson regression with robust variance. The mean QOL score (FACT-HN) was 97.9 (SD=20.1) and the QOL (UW-QOL) was 744.6 (SD=228.0). The mean total self-perception score was 36.0 (SD=11.7). Religiousness had a mean score of 21.6 (SD=5.0) and spirituality 35.5 (SD=7.5). In the bivariate analyzes, the variables religiousness and spirituality were individually associated with the QOL evaluated by the FACT-HN instrument, while only religiosity was associated with the QV evaluated by the UW-QOL and only spirituality was associated with self-perception of appearance. In the final model of Poisson regression, after adjusting for clinical, sociodemographic characteristics and health behaviors, the variables associated with high QOL (FACT-HN) were: high religiosity and spirituality, male sex and surgery time equal to or greater than two years. Those associated with high QV (UW-QOL) were: high religiosity, cancer sites except oral cavity and oropharynx, types of cancer except squamous cell and basal cell, site of sequelae except the lower / cervical thirds and only surgery as treatment. The variables associated with the best self-perception of appearance were high spirituality, stage T of the lesion (T1+T2), cancer site except oropharynx and only surgery as treatment. It was concluded that there is an association between QOL, religiosity and spirituality and between self-perception of appearance and spirituality, regardless of sociodemographic variables, clinical conditions and health behaviors. |
publishDate |
2016 |
dc.date.issued.fl_str_mv |
2016-12-20 |
dc.date.accessioned.fl_str_mv |
2017-02-14T09:44:41Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/doctoralThesis |
format |
doctoralThesis |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
Reis, L. B. M. Associação entre bem-estar psicossocial, religiosidade e espiritualidade em pacientes com sequelas aparentes de cirurgia oncológica na região de cabeça e pescoço. 2016. 175 f. Tese (Doutorado em Odontologia) - Universidade Federal de Goiás, Goiânia, 2016. |
dc.identifier.uri.fl_str_mv |
http://repositorio.bc.ufg.br/tede/handle/tede/6844 |
identifier_str_mv |
Reis, L. B. M. Associação entre bem-estar psicossocial, religiosidade e espiritualidade em pacientes com sequelas aparentes de cirurgia oncológica na região de cabeça e pescoço. 2016. 175 f. Tese (Doutorado em Odontologia) - Universidade Federal de Goiás, Goiânia, 2016. |
url |
http://repositorio.bc.ufg.br/tede/handle/tede/6844 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.program.fl_str_mv |
-2325576619034292269 |
dc.relation.confidence.fl_str_mv |
600 600 600 600 |
dc.relation.department.fl_str_mv |
-5569154581575113691 |
dc.relation.cnpq.fl_str_mv |
-1816740449898491657 |
dc.relation.sponsorship.fl_str_mv |
-961409807440757778 |
dc.rights.driver.fl_str_mv |
http://creativecommons.org/licenses/by-nc-nd/4.0/ info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
http://creativecommons.org/licenses/by-nc-nd/4.0/ |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Universidade Federal de Goiás |
dc.publisher.program.fl_str_mv |
Programa de Pós-graduação em Odontologia (FO) |
dc.publisher.initials.fl_str_mv |
UFG |
dc.publisher.country.fl_str_mv |
Brasil |
dc.publisher.department.fl_str_mv |
Faculdade de Odontologia - FO (RG) |
publisher.none.fl_str_mv |
Universidade Federal de Goiás |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional da UFG instname:Universidade Federal de Goiás (UFG) instacron:UFG |
instname_str |
Universidade Federal de Goiás (UFG) |
instacron_str |
UFG |
institution |
UFG |
reponame_str |
Repositório Institucional da UFG |
collection |
Repositório Institucional da UFG |
bitstream.url.fl_str_mv |
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repository.name.fl_str_mv |
Repositório Institucional da UFG - Universidade Federal de Goiás (UFG) |
repository.mail.fl_str_mv |
tasesdissertacoes.bc@ufg.br |
_version_ |
1793965594578518016 |