Symptom Cluster and the Impact on the Global Health Quality of Patients with Advanced Cancer

Detalhes bibliográficos
Autor(a) principal: Mello, Iza Rodrigues
Data de Publicação: 2021
Outros Autores: Guimarães, Noélly Maura de Jesus, Monteiro, Luana Silva, Taets, Gunnar de Cunto Carelli
Tipo de documento: Artigo
Idioma: por
eng
Título da fonte: Revista Brasileira de Cancerologia (Online)
Texto Completo: https://rbc.inca.gov.br/index.php/revista/article/view/1190
Resumo: Introduction: Patients with cancer can present multiple symptoms that are interrelated, forming the so-called clusters or groups of symptoms. Objective: To evaluate the relationship between a cluster of symptoms and the global quality of life of patients with advanced cancer. Method: Analytical, crosssectional study with 146 patients. Sociodemographic characterization and quality of life assessment instruments were used. For data analysis, the Kolmogorov-Smirnov, Mann-Whitney, and Kruskal-Wallis tests were applied. Data collection was carried out between July 2019 and February 2020 and the European Organization for Research and Treatment of Cancer Core Quality of Life Questionnaire (EORTC QLQ-C30), version 3, was adopted. Results: Spearman’s correlation was positive between the final score of the symptom scale and the final score of the global health assessment (ρ=0.605; p<0.001). In addition, it was observed that the increase of 1 point in the question “Did you need to rest?” was associated with an increase of 5.87 points in the global health quality score (p<0.01), for the question “Did you feel tired?”, 6.14 points (p<0.01) and “Did you have shortness of breath?”, 5.08 points (p<0.01). Conclusion: There is a positive correlation between the cluster of symptoms formed by pain, fatigue, dyspnea, nausea, vomiting, insomnia, lack of appetite, constipation, diarrhea and the overall health quality of patients with cancer.
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spelling Symptom Cluster and the Impact on the Global Health Quality of Patients with Advanced CancerGrupo de Síntomas y el Impacto en la Calidad Global de la Salud de los Pacientes con Cáncer AvanzadoCluster de Sintomas e o Impacto na Qualidade de Saúde Global de Pacientes com Câncer AvançadoNeoplasiasQualidade de VidaPerfil de Impacto da DoençaSinais e SintomasNeoplasmsQuality of LifeSickness Impact ProfileSigns and SymptomsNeoplasiasCalidad de VidaPerfil de Impacto de EnfermedadSignos y SíntomasIntroduction: Patients with cancer can present multiple symptoms that are interrelated, forming the so-called clusters or groups of symptoms. Objective: To evaluate the relationship between a cluster of symptoms and the global quality of life of patients with advanced cancer. Method: Analytical, crosssectional study with 146 patients. Sociodemographic characterization and quality of life assessment instruments were used. For data analysis, the Kolmogorov-Smirnov, Mann-Whitney, and Kruskal-Wallis tests were applied. Data collection was carried out between July 2019 and February 2020 and the European Organization for Research and Treatment of Cancer Core Quality of Life Questionnaire (EORTC QLQ-C30), version 3, was adopted. Results: Spearman’s correlation was positive between the final score of the symptom scale and the final score of the global health assessment (ρ=0.605; p<0.001). In addition, it was observed that the increase of 1 point in the question “Did you need to rest?” was associated with an increase of 5.87 points in the global health quality score (p<0.01), for the question “Did you feel tired?”, 6.14 points (p<0.01) and “Did you have shortness of breath?”, 5.08 points (p<0.01). Conclusion: There is a positive correlation between the cluster of symptoms formed by pain, fatigue, dyspnea, nausea, vomiting, insomnia, lack of appetite, constipation, diarrhea and the overall health quality of patients with cancer.Introducción: Los pacientes con cáncer pueden presentar múltiples síntomas que están interrelacionados, formando los llamados grupos o grupos de síntomas. Objetivo: Evaluar la relación entre uno grupo de síntomas y la calidad de vida general de los pacientes con cáncer avanzado. Método: Estudio analítico, transversal, con 146 pacientes. Se utilizaron instrumentos de caracterización sociodemográfica y de evaluación de la calidad de vida. Para el análisis de datos, se aplicaron las pruebas de Kolmogorov-Smirnov, Mann-Whitney y Kruskal-Wallis. La recolección de datos se llevó a cabo entre julio de 2019 y febrero de 2020 y se utilizó el cuestionario de calidad de vida básica de la Organización Europea para la Investigación y el Tratamiento del Cáncer (EORTC QLQ-C30), versión 3. Resultados: La correlación de Spearman fue positiva entre el puntaje final de la escala de síntomas y el puntaje final de la evaluación de salud global (ρ=0,605; p<0,001). Además, se observó que el aumento de 1 punto en la pregunta “.Necesitabas descansar?” se asoció con un aumento de 5,87 puntos en el puntaje de calidad de salud global (p<0,01); para la pregunta “.Se sintió cansado?”, 6,14 puntos (p<0,01); y “.Tuvo dificultad para respirar?”, 5,08 puntos (p<0,01). Conclusión: Existe una correlación positiva entre el conjunto de síntomas compuestos por dolor, fatiga, disnea, nauseas, vómitos, insomnio, falta de apetito, estreñimiento, diarrea y la calidad de salud general de los pacientes con cáncer.Introdução: Os pacientes com câncer podem apresentar múltiplos sintomas que se inter-relacionam, formando os chamados clusters ou agrupamentos de sintomas. Objetivo: Avaliar a relação entre um cluster de sintomas e a qualidade de saúde global de pacientes com câncer avançado. Método: Estudo analítico, transversal, com 146 pacientes. Foram utilizados instrumentos de caracterização sociodemográficas e de avaliação de qualidade de vida. Para analise dos dados, aplicaram-se os testes Kolmogorov-Smirnov, Mann-Whitney e Kruskal-Wallis. A coleta de dados foi realizada entre julho de 2019 e fevereiro de 2020 e utilizado o questionário 30-item European Organization for Research and Treatment of Cancer Core Quality of Life Questionnaire (EORTC QLQ-C30), versão 3. Resultados: A correlação de Spearman mostrou-se positiva entre o escore final da escala de sintomas e o escore final da avaliação global da saúde (ρ=0,605; p<0,001). Além disso, observou-se que o incremento de 1 ponto na pergunta: “Precisou descansar?” associou-se com aumento de 5,87 pontos no escore da qualidade da saúde global (p<0,01); para a pergunta “Sentiu-se cansado/a?”, 6,14 pontos (p<0,01); e “Teve falta de ar?”, 5,08 pontos (p<0,01). Conclusão: Existe uma correlação positiva entre o cluster de sintomas composto por dor, fadiga, dispneia, náusea, vomito, insônia, inapetência, constipação, diarreia e a qualidade de saúde global de pacientes com câncer.INCA2021-05-06info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionArtigos, Avaliado pelos paresapplication/pdfapplication/pdfhttps://rbc.inca.gov.br/index.php/revista/article/view/119010.32635/2176-9745.RBC.2021v67n3.1190Revista Brasileira de Cancerologia; Vol. 67 No. 3 (2021): July/Aug./Sept.; e-011190Revista Brasileira de Cancerologia; Vol. 67 Núm. 3 (2021): jul./ago./sept.; e-011190Revista Brasileira de Cancerologia; v. 67 n. 3 (2021): jul./ago./set.; e-0111902176-9745reponame:Revista Brasileira de Cancerologia (Online)instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)instacron:INCAporenghttps://rbc.inca.gov.br/index.php/revista/article/view/1190/1208https://rbc.inca.gov.br/index.php/revista/article/view/1190/1472Copyright (c) 2021 Revista Brasileira de Cancerologiainfo:eu-repo/semantics/openAccessMello, Iza Rodrigues Guimarães, Noélly Maura de JesusMonteiro, Luana Silva Taets, Gunnar de Cunto Carelli2023-02-13T12:43:43Zoai:rbc.inca.gov.br:article/1190Revistahttps://rbc.inca.gov.br/index.php/revistaPUBhttps://rbc.inca.gov.br/index.php/revista/oairbc@inca.gov.br0034-71162176-9745opendoar:2023-02-13T12:43:43Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)false
dc.title.none.fl_str_mv Symptom Cluster and the Impact on the Global Health Quality of Patients with Advanced Cancer
Grupo de Síntomas y el Impacto en la Calidad Global de la Salud de los Pacientes con Cáncer Avanzado
Cluster de Sintomas e o Impacto na Qualidade de Saúde Global de Pacientes com Câncer Avançado
title Symptom Cluster and the Impact on the Global Health Quality of Patients with Advanced Cancer
spellingShingle Symptom Cluster and the Impact on the Global Health Quality of Patients with Advanced Cancer
Mello, Iza Rodrigues
Neoplasias
Qualidade de Vida
Perfil de Impacto da Doença
Sinais e Sintomas
Neoplasms
Quality of Life
Sickness Impact Profile
Signs and Symptoms
Neoplasias
Calidad de Vida
Perfil de Impacto de Enfermedad
Signos y Síntomas
title_short Symptom Cluster and the Impact on the Global Health Quality of Patients with Advanced Cancer
title_full Symptom Cluster and the Impact on the Global Health Quality of Patients with Advanced Cancer
title_fullStr Symptom Cluster and the Impact on the Global Health Quality of Patients with Advanced Cancer
title_full_unstemmed Symptom Cluster and the Impact on the Global Health Quality of Patients with Advanced Cancer
title_sort Symptom Cluster and the Impact on the Global Health Quality of Patients with Advanced Cancer
author Mello, Iza Rodrigues
author_facet Mello, Iza Rodrigues
Guimarães, Noélly Maura de Jesus
Monteiro, Luana Silva
Taets, Gunnar de Cunto Carelli
author_role author
author2 Guimarães, Noélly Maura de Jesus
Monteiro, Luana Silva
Taets, Gunnar de Cunto Carelli
author2_role author
author
author
dc.contributor.author.fl_str_mv Mello, Iza Rodrigues
Guimarães, Noélly Maura de Jesus
Monteiro, Luana Silva
Taets, Gunnar de Cunto Carelli
dc.subject.por.fl_str_mv Neoplasias
Qualidade de Vida
Perfil de Impacto da Doença
Sinais e Sintomas
Neoplasms
Quality of Life
Sickness Impact Profile
Signs and Symptoms
Neoplasias
Calidad de Vida
Perfil de Impacto de Enfermedad
Signos y Síntomas
topic Neoplasias
Qualidade de Vida
Perfil de Impacto da Doença
Sinais e Sintomas
Neoplasms
Quality of Life
Sickness Impact Profile
Signs and Symptoms
Neoplasias
Calidad de Vida
Perfil de Impacto de Enfermedad
Signos y Síntomas
description Introduction: Patients with cancer can present multiple symptoms that are interrelated, forming the so-called clusters or groups of symptoms. Objective: To evaluate the relationship between a cluster of symptoms and the global quality of life of patients with advanced cancer. Method: Analytical, crosssectional study with 146 patients. Sociodemographic characterization and quality of life assessment instruments were used. For data analysis, the Kolmogorov-Smirnov, Mann-Whitney, and Kruskal-Wallis tests were applied. Data collection was carried out between July 2019 and February 2020 and the European Organization for Research and Treatment of Cancer Core Quality of Life Questionnaire (EORTC QLQ-C30), version 3, was adopted. Results: Spearman’s correlation was positive between the final score of the symptom scale and the final score of the global health assessment (ρ=0.605; p<0.001). In addition, it was observed that the increase of 1 point in the question “Did you need to rest?” was associated with an increase of 5.87 points in the global health quality score (p<0.01), for the question “Did you feel tired?”, 6.14 points (p<0.01) and “Did you have shortness of breath?”, 5.08 points (p<0.01). Conclusion: There is a positive correlation between the cluster of symptoms formed by pain, fatigue, dyspnea, nausea, vomiting, insomnia, lack of appetite, constipation, diarrhea and the overall health quality of patients with cancer.
publishDate 2021
dc.date.none.fl_str_mv 2021-05-06
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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Artigos, Avaliado pelos pares
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dc.identifier.uri.fl_str_mv https://rbc.inca.gov.br/index.php/revista/article/view/1190
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url https://rbc.inca.gov.br/index.php/revista/article/view/1190
identifier_str_mv 10.32635/2176-9745.RBC.2021v67n3.1190
dc.language.iso.fl_str_mv por
eng
language por
eng
dc.relation.none.fl_str_mv https://rbc.inca.gov.br/index.php/revista/article/view/1190/1208
https://rbc.inca.gov.br/index.php/revista/article/view/1190/1472
dc.rights.driver.fl_str_mv Copyright (c) 2021 Revista Brasileira de Cancerologia
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2021 Revista Brasileira de Cancerologia
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv INCA
publisher.none.fl_str_mv INCA
dc.source.none.fl_str_mv Revista Brasileira de Cancerologia; Vol. 67 No. 3 (2021): July/Aug./Sept.; e-011190
Revista Brasileira de Cancerologia; Vol. 67 Núm. 3 (2021): jul./ago./sept.; e-011190
Revista Brasileira de Cancerologia; v. 67 n. 3 (2021): jul./ago./set.; e-011190
2176-9745
reponame:Revista Brasileira de Cancerologia (Online)
instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)
instacron:INCA
instname_str Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)
instacron_str INCA
institution INCA
reponame_str Revista Brasileira de Cancerologia (Online)
collection Revista Brasileira de Cancerologia (Online)
repository.name.fl_str_mv Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)
repository.mail.fl_str_mv rbc@inca.gov.br
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