PERSPECTIVES INTERNATIONALES : Liens entre les variables démographiques, économiques et cliniques et les symptômes rapportés par les patients en cours de traitement contre le cancer

Adriane Cristina Bernat Kolankiewicz, Tània Solange Bosi de Souza Magnago, Angela Isabel dos Santos Dullius, Edvane Birelo Lopes De Domenico

Abstract


Objectif : Examiner le lien entre les variables démographiques, économiques et cliniques, les symptômes de cancer et les entraves aux activités quotidiennes chez des patients brésiliens recevant des traitements contre le cancer.

Méthodologie : La présente étude transversale s’est penchée sur le cas de 268 patients, qui ont dû répondre à un questionnaire recueillant des données démographiques, économiques et cliniques, en plus d’évaluer leurs symptômes à l’aide de l’inventaire de symptômes MD Anderson (MD Anderson Symptom Inventory – MDASI). Les données ont été soumises à des analyses statistiques descriptives bivariées et multivariées.

Résultats : Les variables suivantes étaient associées à des symptômes plus prononcés : sexe féminin (taux de prévalence [TP]=1,28; intervalle de confiance de 95 % [IC 95 %], 1,06-1,53); analphabétisme ou ≤ 9 années de scolarité formelle (TP=1,40; IC 95 %, 1,08-1,82); équipement médical ou situations nécessitant des soins infirmiers (TP=1,23; IC 95 %, 1,03-1,46); antécédents familiaux de cancer (TP=1,23; IC 95 %, 1,04-1,45). Les entraves aux activités quotidiennes étaient associées aux facteurs suivants : sexe féminin (TP=1,40; IC 95 %, 1,12-1,75); tumeur secondaire (TP=1,42; IC 95 %, 1,16-1,74), radiothérapie (TP=1,24; IC 95 %, 1,01-1,51).

Conclusion : La gestion des patients atteints de cancer nécessite des connaissances multidisciplinaires qui tiennent compte de toutes leurs dimensions subjectives. En connaissant le profil des patients vivant les symptômes les plus intenses, nous pourrons les aider à s’adapter aux limites et aux conséquences qu’entraînent la maladie et le traitement.


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References


Abu-Saad Huijer, H., Doumit, M., Abboud, S., & Dimassi, H. (2012). Quality of palliative care. Perspective of Lebanese patients with cancer. The Lebanese Medical Journal, 60, 91–98.

Alt-Epping, B., Nejad, R.K., Jung, K., Gross, U., & Nauck, F. (2012). Symptoms of the oral cavity and their association with local microbiological and clinical findings—A prospective survey in palliative care. Supportive Care in Cancer, 20, 531–537.

Araújo, L.Z.S., Araújo, C.Z.S., Souto, A.K.B.A., & Oliveira, M.S. (2009). Cuidador principal de paciente oncológico fora de possibilidade de cura, repercussões deste encargo. Revista Brasileira de Enfermagem, 62, 32–37.

Berry, D.L. (2011). Patient-reported symptoms and quality of life integrated into clinical cancer care. Seminars in Oncology Nursing, 27, 203–210.

Brasil, Ministério da Saúde, Instituto Nacional do Câncer. (2016). Estimativas de câncer 2016-2017. Rio de Janeiro: INCA. Available from http://www.inca.gov.br/wcm/dncc/2015/estimativa-2016.asp

Brasil, Ministério da Saúde. (2011). Plano de ações estratégicas para o enfrentamento das doenças crônicas não transmissíveis (DCNT) no Brasil 2011-2022. Brasília: Ministério da Saúde. Available from http://bvsms.saude.gov.br/bvs/publicacoes/plano_acoes_enfrent_dcnt_2011.pdf

Brateibach, V., De Domenico, E.L.B., Berlezi, E.M., Loro, M.M., Rosanelli, C.L.S.P., Gomes, J.S., & Kolankiewicz, A.C.B. (2013). Sintomas de pacientes em tratamento oncológico. Revista Ciência & Saúde, 6, 102–109.

Campos, M.P.O., Hassan, B.J., Riechelmann, R., & del Giglio, A. (2011). Fadiga relacionada ao câncer: uma revisão. Revista da Associação Médica Brasileira, 57, 211–219.

Cleeland, C.S., Mendoza, T.R., Wang, X.S., Chou. C., Harle, M.T., Morrissey, M., & Engstrom, M.C. (2000). Assessing symptom distress in cancer patients: The M.D. Anderson Symptom Inventory. Cancer, 89, 1634–1646.

Ferreira, K.A.S.L., William Jr, W.N., Mendonza, T.R., Kimura, M., Kowalski, L.P., Rosenthal, D.I., & Cleeland, C.S. (2008). Tradução para a língua portuguesa do M.D. Anderson Symptom Inventory - Head and Neck module (MDASI-H&N). Revista Brasileira de Cirurgia de Cabeça e Pescoço, 37, 109–113.

Fitch, M.I. (2012). Supportive care needs of patients with advanced disease undergoing radiotherapy for symptom control. Canadian Oncology Nursing Journal, 22, 84–100.

Freitas, D.A., Caballero, A.D., Pereira, M.M., Oliveira, S.K.M., Silva, G.P.E., & Hernández, C.I.V. (2011). Sequelas bucais da radioterapia de cabeça e pescoço. Revista CEFAC, 13, 1103–1108.

Guirimand, F., Buyck, J.F., Lauwers-Allot, E., Revnik, J., Kerguen, T., Aegerter, P., ... Cleeland, C.S. (2010). Cancer-related symptom assessment in France: Validation of the French M.D. Anderson Symptom Inventory. Journal of Pain and Symptom Management, 39, 721–733.

Halverson, J.L., Martinez-Donate, A.P., Palta, M., Leal, T., Lubner, S., Walsh, M.C., Strickland, J.S., Smith, P.D., & Trentham-DietzHealth, A. (2015). Literacy and health-related quality of life among a population-based sample of cancer patients. Journal Of Health Communication. Published online: 10 Jul 2015 http://www.tandfonline.com/doi/full/10.1080/10810730.2015.1018638

Herr, G.E., Kolankiewicz, A.C.B., Berlezi, E.M., Gomes, J.S., Magnago, T.S.B.S., Rosanelli, C.P., & Loro, M.M. (2013) Avaliação de conhecimentos acerca da doença oncológica e práticas de cuidado com a saúde. Revista Brasileira de Cancerologia, 59, 33–41.

Ivanova, M.O., Ionova, T.I., Kalyadina, S.A., Uspenskaya, O.S., Kishtovich, A.V., Guo, H., ... Wang, X.S. (2005). Cancer-related symptom assessment in Russia: validation and utility of the Russian M.D. Anderson Symptom Inventory. Journal of Pain and Symptom Management, 30, 443–453.

Karabulu, N., Erci, B., Ozer, N., & Ozdemir, S. (2010). Symptom clusters and experiences of patients with cancer. Journal of Advanced Nursing, 66, 1011–1021.

Kolankiewicz, A.C.B., De Domenico, E.B.L., Lopes, L.F.D., & Magnago, T.S. (2014). [Portuguese validation of the symptom inventory of the M.D. Anderson Cancer Center]. Revista da Escola de Enfermagem da USP, 48, 999–1005.

Lin, C.C., Chang, A.P., Cleeland, C.S., Mendoza, T.R., & Wang, X.S. (2007). Taiwanese version of the M.D. Anderson Symptom Inventory: symptom assessment in cancer patients. Journal of Pain and Symptom Management, 33, 180–188.

Longacre, M.L. (2013). Cancer caregivers’ information needs and resource preferences. Journal of Cancer Education, 28, 297–305.

Martins, L.C., Ferreira Filho, C., Del Giglio, A., Munhoes, D.A., Trevizan, L.L.B., Herbst, L.G., ... Pachon, S.C. (2009). Desempenho profissional ou doméstico das pacientes em quimioterapia para câncer de mama. Revista da Associação Médica Brasileira, 55, 158–162.

Matos, E., Pires, D.E.P., & Gelbcke, F.L. (2012). Implicações da interdisciplinaridade na organização do trabalho da enfermagem: estudo em equipe de cuidados paliativos. Revista Eletrônica de Enfermagem, 14, 230–239.

Menezes, M.F.B., Camargo, T.C., Guedes, M.T.S., & Alcântara, L.F.F. (2007). Câncer, pobreza e desenvolvimento humano: desafios para a assistência de enfermagem em oncologia. Revista Latino-Americana de Enfermagem, 15, 780–788.

Miaskowski, C., Aouizerat, B.E., Dodd, M., & Cooper, B. (2007). Conceptual issues in symptom clusters research and their implications for quality-of-life assessment in patients with cancer. Journal of the National Cancer Institute. Monographs, 37, 37–46.

Mohile, S.G., Heckler, C., Fan, L., Mustian, K., Jean-Pierre, P., Usuki, K., ... Morrow, G. (2011). Age-related differences in symptoms and their interference with quality of life in 903 cancer patients undergoing radiation therapy. Journal of Geriatric Oncology, 2, 225–232.

Moreira, S.R. & Turrini, R.N.T. (2011). Paciente oncológico terminal: sobrecarga do cuidador [Internet]. Enfermería Global, 10. Available from: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1695-61412011000200013&lng=es

Mota, D.D.C.F., Pimenta, C.A.M., & Caponero, R. (2012). Fadiga em pacientes com câncer colorretal: prevalência e fatores associados. Revista Latino-Americana de Enfermagem, 20, 495–503.

Mota, D.D.C.F., Pimenta, C.A.M., & Fitch, M. I. (2009). Pictograma de fadiga: uma alternativa para avaliação da intensidade e impacto da fadiga. Revista da Escola de Enfermagem da USP, 43, 1080–1087.

Mystakidou, K., Cleeland, C., Tsilika, E., Katsouda, E., Primikiri, A., Parpa, E., ... Mendoza, T. (2004). Greek M.D. Anderson Symptom Inventory: validation and utility in a cancer patient population. Oncology, 67, 203–210.

Nascimento, E.A., Tarcia, R.M.L., Magalhães, L.P., Soares, M.A., Suriano, M.L., & Domenico, E.B. (2015). Educational pamphlets on health: A reception study. Revista da Escola de Enfermagem da USP, 49, 432–439.

Okuyama, T., Wang, X.S., Akechi, T., Mendoza, T.R., Hosaka, T., Cleeland, C.S., & Uchitomi, Y. (2003). Japanese version of the MD Anderson Symptom Inventory: A validation study. Journal of Pain and Symptom Management, 26, 1093–1104.

Pan, H.H., Lin, K.C., Ho, S.T., Liang, C.Y., Lee, S.C., & Wang, K.Y. (2012). Factors related to daily life interference in lung cancer patients: A cross-sectional regression tree study. European Journal of Oncology Nursing, 16, 345–352.

Park, H.C., Janian, N.A., Mendoza, T.R., Lin, E.H., Vadhan-Raj, S., Hundal, M., ... Krishnan, S. (2009). Temporal patterns of fatigue predict pathologic response in patients treated with preoperative chemoradiation therapy for rectal cancer. International Journal of Radiation Oncology, Biology, Physics, 75, 775–781.

Prigozin, A., Uziely, B., & Musgrave, C.F. (2010). The relationship between symptom severity and symptom interference, education, age, marital status, and type of chemotherapy treatment in Israeli women with early-stage breast cancer. Oncology Nursing Forum, 37, 411–418.

Reilly, C.M., Bruner, D.W., Mitchell, S.A., Minasian, L.M., Basch, E., Dueck, A.C., et al. (2013). A literature synthesis of symptom prevalence and severity in persons receiving active cancer treatment. Support Care Cancer, 21(6), 1525-50.

Santos, S.S., Melo, L.R., Koifman, R.J., & Koifman, S. (2013). Cancer incidence, hospital morbidity, and mortality in young adults in Brazil. Cadernos de Saúde Pública, 29, 1029–1040.

Shi, Q., Trask, P.C., Wang, X.S., Mendoza, T.R., Apraku, W.A., Malekifar, M., & Cleeland, C.S. (2010). Does recall period have an effect on cancer patients’ ratings of the severity of multiple symptoms? Journal of Pain and Symptom Management, 40, 191–199.

Somjaaivong, B., Thanasilp, S., Preechawong, S., & Sloan, R. (2011). The influence of symptoms, social support, uncertainty, and coping on health-related quality of life among cholangiocarcinoma patients in Northeast Thailand. Cancer Nursing, 34, 434–442.

Spichiger, E., Müller-Fröhlich, C., Denhaerynck, K., Stoll, H., Hantikainen, V., & Dodd, M. (2011). Prevalence of symptoms, with a focus on fatigue, and changes of symptoms over three months in outpatients receiving cancer chemotherapy. Swiss Medical Weekly, 141, w13303.

Steel, J.L., Geller, D.A., Robinson, T.L., Savkova, A.Y., Brower, D.S., Marsh, J.W., & Tsung, A. (2014). Health-related quality of life as a prognostic factor in patients with advanced cancer, Cancer, 120, 3717–3721.

Tevaarwerk, A.J., Lee, J.W., Sesto, M.E., Buhr, K.A., Cleeland, C.S., Manola, J., ... Fisch, M.J. (2013). Employment outcomes among survivors of common cancers: The Symptom Outcomes and Practice Patterns (SOAPP) study. Journal of Cancer Survivorship, 7, 191–202.

Wang, H., Zhou, J., Huang, L., Li, X., Fennie, K.P., & Williams, A.B. (2010). Effects of nurse-delivered home visits combined with telephone calls on medication adherence and quality of life in HIV-infected heroin users in Hunan of China. Journal of Clinical Nursing, 19, 380–388.

Wang, J.L., Schmitz, N., & Dewa, C.S. (2010). Socioeconomic status and the risk of major depression: The Canadian National Population Health Survey. Journal of Epidemiology & Community Health, 64, 447–452.

Wang, X.S., Wang, Y., Guo, H., Mendoza, T.R., Hao, X.S., & Cleeland, C.S. (2004). Chinese version of the M.D. Anderson Symptom Inventory: Validation and application of symptom measurement in cancer patients. Cancer, 101, 1890–1901.

Wolff, J.L., Rand-Giovannetti, E., Palmer, S., Wegener, S., Reider, L., Frey, K., ... Boult, C. (2009). Caregiving and chronic care: the guided care program for families and friends. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 64, 785–791.

Yun, Y.H., Mendoza, T.R., Kang, I.O., You, C.H., Roh, J.W., Lee, C.G., ... Wang, X.S. (2006). Validation study of the Korean version of the M.D. Anderson Symptom Inventory. Journal of Pain and Symptom Management, 31, 345–352.

Zhang, M., Zheng, M., Liu, W., Wen, Y., Wu, X., & Liu, Q. (2015). The influence of demographics, psychological factors and self-efficacy on symptom distress in colorectal cancer patients undergoing post-surgical adjuvant chemotherapy. European Journal of Oncology Nursing, 19, 89–96.


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