| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 916.56 KB | Adobe PDF |
Authors
Advisor(s)
Abstract(s)
O cancro é uma doença temida por todos, apesar dos avanços da ciência e diminuição do número de mortes devido a esta doença. Apesar da sua natureza biológica e genética, encontramos referenciado na literatura a sua componente também psicológica. Neste sentido, nos fatores psicológicos associados ao cancro, o objetivo deste trabalho consiste em avaliar a satisfação sexual e o coping nas mulheres diagnosticadas com cancro de mama mastectomizadas, com vista a conhecer o seu papel na adaptação a esta condição. Trata-se de um estudo quantitativo, correlacional, transversal com uma amostra de 43 mulheres, de um hospital central da zona norte de Portugal. Dos resultados apurados verifica-se que as participantes apresentam resultados satisfatórios ao nível sexual, sendo que todos os domínios apresentam scores superiores à média da subescala. Os valores mais elevados foram os do domínio do relacionamento em geral e o resultado mais baixo, apesar de ainda ser superior à média, foi no domínio do relacionamento sexual. Relativamente aos resultados do questionário de coping constatamos que os domínios com resultados mais elevados são o da religião e o da aceitação e os menos elevados são o uso de substâncias, o desinvestimento, a auto-culpabilização e utilizar suporte instrumental. Quando analisamos as diferenças entre as participantes submetidas a mastectomia parcial e total não encontramos diferenças significativas ao nível da satisfação sexual. Por sua vez, no que respeita às dimensões do Cope apuramos diferenças significativas apenas ao nível da expressão de sentimentos. Da análise das associações entre as variáveis satisfação sexual e coping, na amostra em geral, constatamos que quanto mais elevada a confiança, a autoestima e o relacionamento em geral mais elevada a subescala humor do coping. Encontramos ainda associações entre as variáveis tendo em conta as participantes que foram submetidas a mastectomia parcial e total, sendo que as primeiras apresentam uma associação positiva entre confiança e humor. Por sua vez, nas utentes que foram submetidas a mastectomia total apuramos associações negativas entre confiança e desinvestimento, entre autoestima e auto-culpabilização, negação e desinvestimento e entre o relacionamento em geral e desinvestimento. Por fim, ao nível da variação dos resultados em função das variáveis sociodemográficas apenas encontramos diferenças significativas entre as mulheres mais novas e mais velhas ao nível da satisfação sexual e da estratégia de coping “religião”. Espera-se que esta investigação seja um contributo a nível de conhecimentos na área de saúde, relativamente à temática do cancro da mama.
Cancer is a dreaded disease by all, despite the advances of science and reducing the number of deaths due to this disease. Despite their biological and genetic, found referenced in the literature also its psychological component. In this sense, the psychological factors associated with cancer, the aim of this study is to assess sexual satisfaction and coping in women diagnosed with breast cancer mastectomy in order to know their role in adaptation to this condition. This is a quantitative, correlational, cross-sectional study with a sample of 43 women, a central hospital in northern Portugal. From the results obtained, it appears that participants have satisfactory sexual level results, and all areas have higher than the average subscale scores. The highest values were the domain of the relationship in general and the lowest result, although still above average, was in the field of sexual relationship. Regarding the results of the coping questionnaire found that areas with high results are religion and the acceptance and the lower are the use of substances, disinvestment, self -blame and use instrumental support. When we analyze the differences between the participants underwent partial and total mastectomy did not find significant level of sexual satisfaction differences. Meanwhile, with regard to the dimensions of Cope significant difference was found only at the level of the expression of feeling. Analysis of associations between sexual satisfaction and coping variables, the sample generally found that the higher the confidence, self-esteem and relationship in general the higher the mood subscale of the coping. We also found associations between variables taking into account the participants that the partial and total mastectomies were submitted, with the first show a positive association between confidence and mood. In turn , the users who were undergoing total mastectomy was found negative associations between trust and disinvestment , between self-esteem and self -blame , denial and disinvestment and the relationship between general and disinvestment . Finally, the level of variation in the results depending on sociodemographic variables only found significant differences between the younger and older at the level of sexual satisfaction and coping strategy of “religion " women. It is hoped that this research is a contribution level of knowledge in the area of health, in the theme of breast cancer.
Cancer is a dreaded disease by all, despite the advances of science and reducing the number of deaths due to this disease. Despite their biological and genetic, found referenced in the literature also its psychological component. In this sense, the psychological factors associated with cancer, the aim of this study is to assess sexual satisfaction and coping in women diagnosed with breast cancer mastectomy in order to know their role in adaptation to this condition. This is a quantitative, correlational, cross-sectional study with a sample of 43 women, a central hospital in northern Portugal. From the results obtained, it appears that participants have satisfactory sexual level results, and all areas have higher than the average subscale scores. The highest values were the domain of the relationship in general and the lowest result, although still above average, was in the field of sexual relationship. Regarding the results of the coping questionnaire found that areas with high results are religion and the acceptance and the lower are the use of substances, disinvestment, self -blame and use instrumental support. When we analyze the differences between the participants underwent partial and total mastectomy did not find significant level of sexual satisfaction differences. Meanwhile, with regard to the dimensions of Cope significant difference was found only at the level of the expression of feeling. Analysis of associations between sexual satisfaction and coping variables, the sample generally found that the higher the confidence, self-esteem and relationship in general the higher the mood subscale of the coping. We also found associations between variables taking into account the participants that the partial and total mastectomies were submitted, with the first show a positive association between confidence and mood. In turn , the users who were undergoing total mastectomy was found negative associations between trust and disinvestment , between self-esteem and self -blame , denial and disinvestment and the relationship between general and disinvestment . Finally, the level of variation in the results depending on sociodemographic variables only found significant differences between the younger and older at the level of sexual satisfaction and coping strategy of “religion " women. It is hoped that this research is a contribution level of knowledge in the area of health, in the theme of breast cancer.
Description
Keywords
Cancro da mama Satisfação sexual Estratégias de coping Mastectomia Breast cancer Sexual satisfaction Coping strategies Mastectomy