Avaliação da qualidade de vida em pacientes oncológicos pós internação em UTI / Evaluation of quality of life in cancer patients after hospitalization in ICU

Abstract

Objetivo: Avaliar a qualidade de vida dos pacientes oncológicos pós-internação em Unidade de Terapia Intensiva Adulto. Metodologia: Trata-se de um estudo exploratório, descritivo, de corte transversal e com abordagem quantitativa. A amostra foi composta por 23 pacientes oncológicos que passaram por internação na UTI. A qualidade de vida foi avaliada através do instrumento genérico Medical Outcomes Study 36 – Item Short – Form Health Survey – SF 36. Resultados: A média dos escores nos domínios do SF 36 apresentavam-se 50% abaixo do percentual médio, destacando-se os domínios Limitação por Aspectos Físicos (30,43), dor (23,67), Estado geral de saúde (30,43) e saúde Mental (44,7) como os mais afetados. Conclusão: A qualidade de vida dos pacientes oncológicos que passaram por internação na UTI, independentemente do gênero, é afetada em alguns aspectos que apontam uma pior qualidade de vida: limitação física, dor, estado geral e saúde mental. A importância da identificação permite que o profissional de enfermagem planeje assistência integral e minimize o impacto no processo de hospitalização.Descritores: Qualidade de vida, Oncologia, Pacientes internados, Tempo de internação, Unidades de terapia intensiva, Cuidados de enfermagemAbstractObjective: To evaluate the quality of life of cancer patients, after hospitalization in the Adult Intensive Care Unit. Methodology: This is an exploratory, descriptive, cross-sectional study with a quantitative approach. The sample consisted of 23 oncology patients who underwent ICU admission. Medical Outcomes Study 36 – Item Short – Form Health Survey – SF 36 General Instrument was used. Results: The mean scores in the SF 36 domains are 50% below the expected percentage. The areas affected are Limitation by physical aspects (30, 43), pain (23, 67), general health status (30, 43) and mental health (44, 7). Conclusion: The quality of life of the research subjects, regardless of gender, is affected in some domains that indicate a worse quality of life physical limitations, pain, general state and mental health. The importance of identification allows the nursing professional to plan comprehensive care and minimize the impact on the hospitalization process.Key words: Quality of life, Oncology, Inpatients, Length of stay, Intensive care units, Nursing care

Judicialization and cancer: quality of life of patients and caregivers in the COVID-19 pandemic

“…The WHO 2016 estimated that pain in almost 90% of cancer patients could be controlled with simple interventions [ 74 ]; however, many studies demonstrate that pain control in these cases is difficult. For example, in the study of 114 American oncology units with 810 individuals, 25% of the participants reported that most of the time, they lived with constant or intense pain that impacted their life and appeared to impair their quality of life [ 94 ].…”

“…The expected result highlights these issues, considering the disease-caused limitations, the effects of treatments, the pain, and restrictions imposed by COVID-19 with social isolation. Physical limitations may include loss of function, muscle atrophy, and reduced range of motion; in addition, in chemotherapy or radiotherapy, fatigue can be one of the main consequences [ 47 , 74 ], which in clinical practice is undervalued, but negatively impacts the quality of life and survival of individuals [ 104 ].…”