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Abstract(s)
A finalidade deste estudo foi explorar necessidades psicossociais de uma população cada vez mais presente nos serviços de saúde - os sobreviventes de cancro. Visou observar o “estatuto” de sobrevivente de cancro, expresso pelo número de anos desde o diagnóstico, e descrevê-lo relativamente às variáveis qualidade de vida, suporte social e estilo de coping. Foram então objectivos: a) explorar o efeito preditor das variáveis qualidade de vida, suporte social e estilo de coping no “estatuto” de sobrevivente de cancro e; b) explorar qual o melhor preditor do “estatuto” de sobrevivente de cancro. O “estatuto” de sobrevivente de cancro foi definido como variável dependente e a qualidade de vida, suporte social e estilo de coping como variáveis independentes. Os participantes foram 45 pacientes do sexo feminino da Unidade de Oncologia do Hospital de São Marcos em Braga, com idades compreendidas entre os 35 e os 78 anos, sendo a média de 55,6 anos, portadoras de diferentes tipos de cancro, predominando o cancro da mama (82,2%) e o cancro do colo do útero (8,9%). Foi administrado a versão breve do World Health Organization Quality of Life (WHOQOL-Bref) (qualidade de vida geral e domínios físico, psicológico, relações sociais e meio-ambiente), para avaliar a qualidade de vida; a Escala de Satisfação com o Suporte Social (ESSS) (subescalas satisfação com amizades, intimidade, satisfação com a família e actividades sociais) para avaliar o suporte social; e o Brief COPE (subescalas coping activo, planear, utilizar suporte instrumental, utilizar suporte emocional, religião, reinterpretação positiva, auto culpabilização, aceitação, expressão sentimentos, negação, auto distracção, desinvestimento comportamental, uso substâncias e humor) para avaliar o estilo de coping. Foi utilizada a Análise de Regressão Linear Múltipla pelo método stpwise para prever a variável dependente a partir das variáveis independentes. Os resultados mostraram que as variáveis que apresentam efeito preditor sobre o “estatuto” de sobrevivente de cancro foram a subescala negação do Brief COPE e a subescala intimidade do ESSS. Concluiu-se que os sobreviventes de cancro apresentam dificuldades relacionadas com a negação da realidade da sua doença e com a baixa percepção da existência de suporte social íntimo, beneficiando assim de intervenções psicossociais dirigidas às mesmas.
The purpose of this study was to explore the psychosocial needs of a population increasingly appearing in health care - the survivors of cancer. Aimed to observe the "status" of a survivor of cancer, expressed by the number of years since diagnosis, and describe it in relation to quality of life variables, social support and coping style. They were then objectives: a) explore the effect of predictor variables quality of life, social support and coping style in the "status" of cancer survivor and b) explore what the best predictor of the "status" of surviving cancer. The "status" of surviving cancer was defined as the dependent variable and quality of life, social support and coping style as independent variables. Participants were 45 female patients of the Oncology Unit of Hospital de São Marcos in Braga, aged between 35 and 78 years, the average being 55.6 years, suffering from different types of cancer, mostely Breast Cancer (82.2%) and cancer of the cervix (8.9%). Was administered the brief version of the World Health Organization Quality of Life (WHOQOL-Bref) (overall quality of life and the physical, psychological, social relationships and environment) to assess the quality of life, Escala de Satisfação com o Suporte Social (ESSS) (subscales satisfaction with friendships, intimacy, satisfaction with family and social activities) to assess social support, and the Brief COPE (subscales active coping, planning, using instrumental support, emotional support use, religion, positive reinterpretation, self-blame, acceptance, expression, feelings, denial, self-distraction, behavioral disinvestment, substance use and mood) to assess coping style. We used a Multiple Linear Regression Analysis stpwise method to predict the dependent variable from independent variables. The results showed that the predictor variables that have effect on the "status" of surviving cancer were the denial subscale of the Brief COPE and the intimacy subscale of the ESSS. It was concluded that cancer survivors have difficulties related to the denial of the reality of his illness and the low perception of the existence of intimate social support and benefit from psychosocial interventions targeted to them.
The purpose of this study was to explore the psychosocial needs of a population increasingly appearing in health care - the survivors of cancer. Aimed to observe the "status" of a survivor of cancer, expressed by the number of years since diagnosis, and describe it in relation to quality of life variables, social support and coping style. They were then objectives: a) explore the effect of predictor variables quality of life, social support and coping style in the "status" of cancer survivor and b) explore what the best predictor of the "status" of surviving cancer. The "status" of surviving cancer was defined as the dependent variable and quality of life, social support and coping style as independent variables. Participants were 45 female patients of the Oncology Unit of Hospital de São Marcos in Braga, aged between 35 and 78 years, the average being 55.6 years, suffering from different types of cancer, mostely Breast Cancer (82.2%) and cancer of the cervix (8.9%). Was administered the brief version of the World Health Organization Quality of Life (WHOQOL-Bref) (overall quality of life and the physical, psychological, social relationships and environment) to assess the quality of life, Escala de Satisfação com o Suporte Social (ESSS) (subscales satisfaction with friendships, intimacy, satisfaction with family and social activities) to assess social support, and the Brief COPE (subscales active coping, planning, using instrumental support, emotional support use, religion, positive reinterpretation, self-blame, acceptance, expression, feelings, denial, self-distraction, behavioral disinvestment, substance use and mood) to assess coping style. We used a Multiple Linear Regression Analysis stpwise method to predict the dependent variable from independent variables. The results showed that the predictor variables that have effect on the "status" of surviving cancer were the denial subscale of the Brief COPE and the intimacy subscale of the ESSS. It was concluded that cancer survivors have difficulties related to the denial of the reality of his illness and the low perception of the existence of intimate social support and benefit from psychosocial interventions targeted to them.