Necessidades de autocuidado à qualidade de vida de clientes com câncer de cabeça e pescoço: contribuição da enfermagem

• Ano de defesa: 2012
• Autor(a) principal: Luca, Manoela Dias de
• Orientador(a): Santos, Iraci dos
• Banca de defesa: Berardinelli, Lina Márcia Miguéis , Moreira, Marléa Chagas
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade do Estado do Rio de Janeiro
• Programa de Pós-Graduação: Programa de Pós-Graduação em Enfermagem
• Departamento: Centro Biomédico::Faculdade de Enfermagem
• País: BR
• Palavras-chave em Português: Enfermagem oncológica; Cabeça - Câncer - Pacientes; Câncer - Tratamento paliativo; Enfermagem; Cuidados paliativos; Autocuidado; Qualidade de vida; Tumores da cabeça e pescoço; Oncologia; Pescoço - Câncer - Pacientes
• Palavras-chave em Inglês: Nursing; Palliative care; Self-care; Quality of life; Head and neck tumors; Oncology
• Área do conhecimento CNPq: CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM
• Link de acesso: http://www.bdtd.uerj.br/handle/1/11269

The approach in on the nursing appointment as a research strategy, aiming at identifying the self-care (SC) needs in outpatients with head and neck cancer under palliative treatment. The aims are: to identify the socio-demographic and nosological profile of outpatients with head and neck cancer assisted for palliative care; to identify the quality of live (QL) of those people through nursing appointment; to assess the changes in the self-care system, considering the nursing intervention. The study is based on concepts, protocols and specific instruments of the chosen theme and on Orem's Self-care Deficit Theory. A quantitative and descriptive method was chosen with before-and-after time-series quasi-experimental design in sole group, which received self-care guidance at nursing appointment (NA). The subjects were 77 clients registered in the specialized palliative treatment outpatient s clinic at the National Cancer Institute in Rio de Janeiro, from March to August, 2011. Socio-demographic and nosological variables comprise the data production instrument,while the nursing assistance systematization steps comprise the form for NA implementation. In order to asses QL, the form QLQ30-H&N45 was applied, with data produced being treated upon descriptive statistics. It was observed that most of the 77 (100%) subjects of the study is male and between 50 and 60 years of age. There is a predominance of residents in Baixada Fluminense (Lowlands in Rio de Janeiro), who hold fundamental education and are retired. They live under common-law marriage, have informal caregivers and report low practice of leisure activities. Most of them routinely consume tobacco and alcohol. As for the nosological profile, most bear odorless tumor injury, being the oral cavity the site most affected by cancer and being local metastasis the most frequent one. As for the self-care capacity, most of them feed themselves, get dressed and move around without assistance. It is noticeable that, in the QL assessment, the predominant scores point at recommended controls of symptoms and functionality. 33 nursing diagnoses were formulated, and the following domains stood out: physical (impaired swallowing); psychological (chronic low self-esteem); social (impaired social interaction); cognitive (poor knowledge of the illness).To conclude, the goals of the study were achieved, identifying that the head and neck cancer clients under palliative treatment have different self-care needs, being the nurse the professional in charge of his/her education for health and the resulting identification of demands for other professionals from the multiprofessional team.