qualidade de vida de pacientes com carcinoma em cabeça e pescoço quality of life of patients with head and neck cancer

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ID: 248955
2013
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Abstract
Pacientes com câncer em cabeça e pescoço têm de lidar com o impacto de seu tratamento sobre aspectos funcionais e estéticos e seu autorrelato permite aprimorar medidas de suporte clínico e social. OBJETIVO: Avaliar a qualidade de vida de pacientes em tratamento de carcinoma de células escamosas em cabeça e pescoço. MÉTODO: Estudo analítico prospectivo. Vinte e nove pacientes com idade média de 57 anos responderam em três momentos: início, metade e final do tratamento, aos questionários: Quality of Life Core Questionnaire - Cancer 30 e ao Quality of Life Questionnaire - Head and Neck, European Organization for the Research and Treatment of Cancer. Foi realizado teste de Friedman, significância: 0,05. RESULTADO: Houve altas médias para as funções física, cognitiva, social; melhora no estado de saúde geral e declínio da função social ao longo do tratamento e diferença significativa para gosto e cheiro (p = 0,020), deglutição (p = 0,040), tosse (p = 0,013), e perda de peso (p = 0,011). CONCLUSÃO: Houve redução significativa da qualidade de vida em relação a alguns sintomas comuns decorrentes do tratamento do câncer, que não ocorreu na avaliação das dimensões relacionadas às funções física, cognitiva, social e ao estado geral de saúde.
Patients with head and neck cancer have to deal with the impact of treatment on its functional and aesthetic aspects, and its self-report enables improvements in clinical and social support. OBJECTIVE: To evaluate the quality of life of patients dealing with squamous cell carcinoma of the head and neck. METHOD: A prospective analytical study. Twenty nine patients with mean age of 57 years answered at three stages: onset, middle and end of treatment, the questionnaires: Quality of Life Core Questionnaire - Cancer 30 and the Quality of Life Questionnaire - Head and Neck, the European Organization for Research and Treatment of Cancer. We used the Friedman test at: 0.05. RESULTS: There were high mean values concerning physical, cognitive, social functions; improvements in general health and social function decline during treatment; and a significant difference in taste and smell (p = 0.020), swallowing (p = 0.040), cough (p = 0.013) and weight loss (p = 0.011). CONCLUSION: There was a significant reduction in the quality of life for some common symptoms resulting from cancer treatment, which was not seen in the evaluation of the aspects related to physical, cognitive and social functions, and general health.
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Authors ;Mário Rodrigues de Melo Filho;Breno Amaral Rocha;Maria Betânia de Oliveira Pires;Emerson Santos Fonseca;Edimilson Martins de Freitas;Hercílio Martelli Junior;Francis Balduíno Guimarães Santos
Journal cardiovascular diabetology
Year 2013
DOI
DOI not found
URL
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1808-86942013000100014
Keywords
quality of life head and neck neoplasms

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