Avaliação de qualidade de vida e depressão em pacientes oncológicos e em seus cuidadores e o acesso dos pacientes a reabilitação
Evaluation of quality of life and depression in cancer patients and their caregivers and the patients' access to rehabilitation
Camila Ribeiro de Arruda Monteiro; Jean Henri Maselli Schoueri; Celeste Rodovalho Soares de Camargo; Liya Serikawa Sato; Yasmin Pagano Monteiro; Karoline Passarela; Gabriela Aoki Shimaoka; Rafaella da Costa Oliveira; Igor Luiz Argani; Claudia Vaz de Melo Sette; Daniel de Iracema Gomes Cubero; Auro del Giglio
Resumo
Objetivo: Analisar a correlação existente entre o diagnóstico de câncer e suas repercussões na vida de pacientes e cuidadores. O presente estudo também visa avaliar o acesso desses pacientes aos serviços de reabilitação, e seu impacto neste cenário. Métodos: Estudo transversal realizado no serviço de Oncologia da Faculdade de Medicina do ABC. A pesquisa baseou-se na aplicação de questionários previamente validados a pacientes oncológicos e seus acompanhantes. O trabalho teve aprovação do Comitê de Ética e Pesquisa da instituição. Resultados: Foram incluídos 238 indivíduos – 119 pacientes e seus respectivos (119) cuidadores. Não houve relação entre otimismo e pessimismo dos dois grupos (p > 0,05). Houve relação entre os níveis de ansiedade e depressão de pacientes e cuidadores (β = 0,206; r2 = 0,0395; p = 0,030). Conclusão: As condições e modificações na vida diária impostas pela doença possuem impacto na QV de cuidadores e pacientes, havendo associação entre níveis de ansiedade e depressão em ambos os grupos, acarretando em piora da QV. Frente a este cenário, é necessário que as equipes médica e multidisciplinar estejam capacitadas a fornecer apoio emocional, e que o sistema de saúde forneça redes de apoio com o objetivo de melhora da QV em suas diversas esferas.
Palavras-chave
Abstract
Objective: Analyze the correlation between the diagnosis of cancer and its repercussions on the lives of patients and caregivers. The present study also aims to evaluate the access of these patients to rehabilitation services, and their impact in this scenario. Methods: A cross-sectional study performed at the Oncology Service of ABC Medical School. The research was based on the application of previously validated questionnaires to oncology patients and their companions. The work was approved by the institution's Ethics and Research Committee. Results: 238 individuals were individuals - 119 patients and their respective (119) caregivers. There was no relation between optimism and pessimism between the two groups (p> 0.05). There was a relationship between the levels of anxiety and depression of patients and caregivers (β = 0.206, r2 = 0.0395, p = 0.030). Conclusion: The conditions and changes in daily life imposed by the disease have an impact on the quality of life of caregivers and patients, with an association between levels of anxiety and depression in both groups, leading to worsening of quality of life. Faced with this scenario, it is necessary for medical and multidisciplinary teams to be able to provide emotional support, and for the health system to provide support networks with the objective of improving quality of life in its various spheres.
Keywords
Referências
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