Perfil clínico-epidemiológico de idosos submetidos à quimioterapia antineoplásica atendidos em um hospital de referência oncológica do estado do Pará, Brasil MATERIALS AND METHODS:A cross-sectional study involving 200 elderly people was performed from April to October, 2015. A socioeconomic and clinical questionnaire was applied and statistical analyses were done afterwards. RESULTS: The prevalence was 60-80 years old (83.5%); no gender predominance; low schooling -82.5% of the participants had finished the elementary school; low family income, from them 79.5% had a family income less than three minimum wages, and 87.5% participating actively in family income; and 57.0% were married or were in stable union. The most common cancer type was breast cancer (26.5%), followed by prostate cancer (17.0%); and the most prevalent anti-neoplasic or adjuvant treatments were bisphosphonate and alkylating agent. CONCLUSION: This study demonstrated the elderly patients profile receiving anti-neoplasic treatment at an oncological reference unit in the North of Brazil, predominating individuals with other comorbidities besides neoplasm, which increases the risks of complications and adverse reactions related to the chemotherapy.
RESUMO OBJETIVOS: Avaliar a qualidade de vida (QV) dos idosos submetidos ao tratamento quimioterápico antineoplásico, assim como suas associações com fatores socioeconômicos, nível de dependência e dados clínicos. MATERIAIS E MÉTODOS: Realizou-se um estudo transversal com 200 idosos atendidos em um ambulatório de um hospital de referência oncológica do estado do Pará, Brasil. A QV foi avaliada pelo instrumento EORTC QLQ-C30 v3, constituído por 30 questões que abrangiam 15 domínios, divididos em três escalas distintas: escala de estado de saúde global e QV; escala funcional; e escala de sintomas. O nível de dependência foi avaliado pela Escala de Lawton e Brody, que permite analisar a capacidade do indivíduo em realizar as atividades instrumentais da vida diária, como utilizar o telefone, administrar o dinheiro, realizar compras, preparar refeições e viajar. Os dados foram analisados por meio de estatística descritiva, teste de qui-quadrado e ANOVA. RESULTADOS: Evidenciou-se uma QV mediana. As escalas saúde global e funcional apresentaram resultados medianos, enquanto a escala de sintomas demonstrou melhor QV em seus domínios. Identificou-se uma relação significante entre a QV dos idosos e o nível de dependência. Os domínios mais afetados foram dificuldade financeira, fadiga, desempenho de papéis e função social. CONCLUSÃO: A interferência da QV, bem como o nível de dependência dos idosos, estão associados à doença, seu tratamento e às condições de morbidade.Palavras-chave: Qualidade de Vida; Idosos; Idoso Fragilizado; Antineoplásicos.ABSTRACT OBJECTIVES: To evaluate the quality of life (QL) of elderly patients submitted to antineoplastic chemotherapy and its associations with socioeconomic factors, level of dependence, and clinical data. MATERIALS AND METHODS: A cross-sectional study was conducted on 200 elderly patients attending an outpatient clinic at a oncology reference hospital in Pará State, Brazil. QL was evaluated by the EORTC QLQ-C30 v3 instrument, consisting of 30 questions covering 15 domains, divided into three distinct scales: global health status scale and QL; functional scale; and scale of symptoms. The dependency level was evaluated by the Lawton and Brody Scale, which allows the analysis of the individual's ability to perform the instrumental activities of daily living, such as using the telephone, administering money, shopping, preparing meals, and traveling. Data were analyzed using descriptive statistics, chi-square test, and ANOVA. RESULTS: A median QL was demonstrated. The global and functional health scales presented median results, while the symptom scale showed better QL in its domains. A significant relation was identified between the QL of elderly and the level of dependence. The most affected domains were financial difficulty, fatigue, performance, and social function. CONCLUSION: QL interference and the level of dependence of elderly are associated with the disease, its treatment, and morbidity conditions.
Objective: to describe some perceptions about the experience of the virtual teaching period and reflect on some of the impacts of the transition from classroom to classroom in a virtual environment in higher education in nursing that occurred during the pandemic caused by the new coronavirus. Method: this is an experience report, with participatory observation about the experiences of teachers of the Bachelor of Nursing course at Escola Superior da Amazônia (ESAMAZ), Belém, State of Pará, about the dynamics developed in the teaching-learning process in Pre-Hospital Urgency discipline, from August to December 2020. Result: In this brief report we present some perceptions of the period of virtual education that occurred during the pandemic caused by the new coronavirus. Not making exclusive use of a chronological order, we recorded facts and situations that led to the actions that guided virtual nursing classes and the impressions of this experience. Conclusion: the situations described here may corroborate with the experiences of other teachers, showing that it is not enough to use digital information and communication technologies in teaching, training, time and strategies are needed for an adequate incorporation of these technologies in nursing education.
Objective: To present a script script to use the RStudio software for decomposition of time series in epidemiological studies using the R language. Materials and methods: The data used in this study to demonstrate the applicability of the R environment in the analysis and decomposition of time series were extracted from DATASUS, and composed of data on mortality from infectious diseases in Brazil and in the North Region, considering deaths by residence, from 1996 to 2019. The data were analyzed using the R language through the RStudio software Version 2022.02.1 . Results: Time series were analyzed using the R language and decomposed into their trend, seasonality and noise components. The seasonality graphs were isolated to understand the variation in the behavior of mortality from infectious diseases in the North Region when compared to data from Brazil distributed in the months of the year. Conclusion: Using RStudio, it was possible to analyze and decompose a large volume of data to build a 25-year time series, subdivided into monthly periods. Allowing the customization of graphic elements and their plotting.
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