QUALIDADE DE VIDA E ESTRATÉGIAS DE ENFRENTAMENTO DE MULHERES COM E SEM LINFEDEMA APÓS CÂNCER DE MAMA

• Autor(a) principal: Alegrance, Fábia Cristina
• Data de Publicação: 2007
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da METODISTA
• Texto Completo: http://tede.metodista.br/jspui/handle/tede/1373
• topic: câncer de mama; linfedema; aspectos psicossociais; qualidade de vida; estratégias de enfrentamento; breast cancer; lymphoedema; psychosocial aspects; quality of life; coping strategies; CNPQ::CIENCIAS HUMANAS::PSICOLOGIA

Arm lymphoedema is an inherent complication of the breast cancer treatment. Characterized by the increase of the arm volume, it leads to the physical and functional limitations, and negative impact in the psychological and social scope. The aim of this study was to investigate the quality of life and its domains, the coping strategies front to the breast cancer, and the correlation between these variables. This study was carried through in a health women center, for four months. The evaluation instruments were: general and specific characterization questionnaire of the breast cancer, arms circumference measurements; quality of life questionnaires of the European Organization for Research and Treatment of Cancer , EORTC QLQ-30 and BR-23; and the Coping Strategies Inventory. Totally, 82 women had been interviewed, 57,4 mean age (SD 12,3), submitted unilateral breast surgical treatment or axillary lymph node dissection, without metastasis. The lymphoedema was presented in 39.03% (32) presented lymphoedema. Lymphoedema seems not interfered on the breast cancer iwomen quality of life, harming more the social function. Chemotherapy and the breast symptoms related bother the women of both groups, however the arms symptoms were statistically significant bigger in the lymphoedema s women. The strategies more used by the interviewed to face the breast cancer were: positive reappraisal, planful problem solving, escape/avoidance, social support and self-controlling, the self-controllling was only statistically bigger in the lymphoedema s women. The planful problem solving strategies, self-controlling and low social support can have collaborated for the developed of lymphoedema. None high correlation was found between variables analyzed. Concludes that the use of active and positive strategies to face the breast cancer seems to result in a good psicossocial adaptation