Abstract
The aim of this study was to describe the socio-economic, occupational and clinical characteristics of cancer patients undergoing outpatient chemotherapy treatment and to assess the level of distress during chemotherapy treatment, using the Distress Thermometer instrument. This was a descriptive, cross-sectional study with a quantitative approach, developed at the chemotherapy outpatient clinic of a University Hospital, with 30 cancer patients. The Distress Thermometer instrument was used, and the data were analyzed using Software R (4.0.0). As a result, it was identified that the majority were men, average age of 59.5 years, married, employed and monthly income between 1 and 5 minimum wages. The result of the Distress Thermometer observed a high degree of suffering (>4), with a mean of 6.3 and standard deviation of 2.54. Associations between explanatory variables and outcome were not statistically significant. It was concluded that the instrument evaluated the level of distress of patients, being an important tool in nursing consultations in chemotherapy, favoring the perception and monitoring of stressors.
References
Instituto Nacional do Câncer José Alencar Gomes da Silva (BR). Estimativa 2020-2022: estimativa de câncer no Brasil. Rio de Janeiro: INCA.
National Comprehensive Cancer Network. Distress management. Clinical practice guidelines. J Natl Compr Canc Netw. 2003; 1(3):344-74. doi: 10.6004/jnccn.2003.0031.
Nascimento LKAS, et al. Sistematização da assistência de enfermagem a pacientes oncológicos: uma revisão integrativa da literatura. Rev. Gaúcha Enferm. [Internet]. 2012 [citado em 2022 Jan 18] ; 33( 1 ): 177-185. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1983-14472012000100023&lng=en. http://dx.doi.org/10.1590/S1983-14472012000100023.
Hinz A, Weis J, Brähler E, Härter M, Geue K, Ernst J. Fatigue in cancer patients: comparison with the general population and prognostic factors. Support Care Cancer. 2020. Sep;28(9):4517-4526. doi: 10.1007/s00520-019-05260-8.
Miot Hélio Amante. (2011) Tamanho da amostra em estudos clínicos e experimentais. J. vasc. [Internet]. [citado em 19 de janeiro de 2021]; 10 (4): 275-278. Disponível em: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677 54492011000400001&lng=en. http://dx.doi.org/10.1590/S1677-54492011000400001.
Triola MF. Introdução à Estatística. 10ª ed, 2018, Rio de Janeiro: LTC Editora.
James BR. Probabilidade: um curso de nível intermediário. 2004; 3ª ed, Rio de Janeiro: IMPA.
Araujo LHB et al. Lung cancer in Brazil. J. bras. pneumol. [Internet]. [cited 2021 Jan 18] ; 2018; 44( 1 ): 55-64. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-37132018000100055&lng=en. http://dx.doi.org/10.1590/s1806-37562017000000135.
Brasil. Lei nº 12.732, de 22 de novembro de 2012. Dispõe sobre o primeiro tratamento de paciente com neoplasia maligna comprovada e estabelece prazo para seu início. Diário Oficial da União. 2012. Disponível em: http://www.planalto.gov.br/ccivil_03/_ato2011-2014/2012/lei/l12732.htm
Donev IS, Ivanova MS, Conev NV. Fast time perception is associated with high levels of anxiety in cancer patients prior to starting chemotherapy. Biosci Trends. 2020; Mar 16;14(1):35-41. doi: 10.5582/bst.2019.01296.
Ferreira Junior J, Ferreira RE, Rangel FMT, Dominici MSAR, Santana TSS, Oliveira DN, Coelho RJC, Bregonci R, Neves MP, Passos AS. Representações sociais dos sentimentos vivenciados pelo paciente portador de neoplasia. Glob Acad Nurs. 2022;3(Spe.2):e271. https://dx.doi.org/10.5935/2675-5602.20200271
Ekman H, Pettersson A, Jakobsson L, Garmy P. A cross-sectional study of distress: A cancer response. Nurs Open. 2020; Apr 1;7(3):850-856. doi: 10.1002/nop2.460.
Carlson LE, Angen M, Cullum J, Goodey E, Koopmans J, Lamont L, MacRae JH, Martin M, Pelletier G, Robinson J, Simpson JS, Speca M, Tillotson L, Bultz BD. High levels of untreated distress and fatigue in cancer patients. Br J Cancer. 2004; Jun 14;90(12):2297-304. doi: 10.1038/sj.bjc.6601887.
Fitch MI, Ashbury F, Nicoll I. Reflections on the implementation of screening for distress (sixth vital sign) in Canada: key lessons learned. Support Care Cancer. 2018; 26(12):4011-4020. doi: 10.1007/s00520-018-4278-y
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