"Será que não vai acabar nunca?": perscrutando o universo do pós-tratamento do cancêr de mama

Abstract

RESUMO:O diagnóstico de câncer de mama altera permanentemente a vida da mulher, porém há peculiaridades, dependendo da fase da doença, que precisam ser consideradas. As pesquisas dedicadas ao câncer de mama, no entanto, são escassas quanto ao período da reabilitação (pós-tratamento). Nesse sentido, este estudo descritivo teve como objetivo investigar os eventos estressores presentes na vida de mulheres acometidas durante o período pós-tratamento. Foram investigadas 16 mulheres atendidas em um serviço especializado em reabilitação de mastectomizadas, em 2003. Para coleta de dados foi utilizado um roteiro de entrevista individual semi-estruturada. A análise dos dados foi feita por meio da análise de conteúdo. Os resultados indicaram a presença de estressores físicos relacionados ao seguimento do tratamento, como seqüelas, limitações de movimento, lindefema, acarretando alterações na imagem corporal e medo de ressurgimento da doença. Esses resultados reforçam a importância da atuação dos serviços de reabilitação psicossocial junto a essa clientela. ABSTRACT:The diagnosis of breast cancer permanently affects the woman's life, however there are special characteristics related to each stage of the disease which need to be considered. Studies about breast cancer, nevertheless, do not emphasize the rehabilitation period (post-treatment). The aim of this descriptive study was to investigate the stress events present in the lives of breast cancer patients during their post-treatment period. The sample was composed of 16 women who were assisted at a specialized rehabilitation service for women who had mastectomies in 2003. Data was collected through individual faceto-face semi-structured interviews. The content analysis technique was used for data analysis. The results indicated the presence of physical stressors related to the treatment, such as movement limitations and lymphedema, giving rise to the appearance of the fear of the disease relapsing and alterations of the body image. The results reinforce the importance of providing psychosocial rehabilitation to this population. RESUMEN:El diagnóstico del cáncer de mama altera permanentemente la vida de la mujer, pero, dependiendo de la fase de la enfermedad, existen peculiaridades que necesitan ser consideradas. Sin de rehabilitación (posterior al tratamiento). En ese sentido, el presente estudio tuvo como objetivo investigar los eventos estresantes presentes en la vida de mujeres con cáncer de mama durante el período posterior al tratamiento. Participaron del estudio 16 mujeres atendidas en un servicio especializado en rehabilitación de mujeres mastectomizadas, en 2003. Para la obtención de los datos, se utilizó una entrevista parcialmente estructurada, de forma individual. En el análisis de los datos se empleó la técnica de análisis de contenido. Los resultados indicaron la presencia de factores físicos estresantes, relacionados al seguimiento del tratamiento, tales como: las limitaciones de movimiento, el linfedema, provocando alteraciones en la imagen corporal, y el m...

Taxa de sobrevida na mulher com câncer de mama: estudo de revisão

“…In this context, the rehabilitation is associated with an expanded concept of health, which incorporates the biopsychosocial and spiritual well-being that all individuals have the right to. 50 Considering the size of the tumor, the diagnosis of breast cancer tends to be performed by self-examination with the tumor greater than 2.0 cm, varying between 2.0 and 5.0 cm. 8,14,20,38,43 This result demonstrates the difficulty for the healthcare systems to diagnose breast cancer in the early stages, especially with the absence of metastasis, when the disease is easy to control and potentially curable.…”

Perceptions, feelings and physical and emotional experiences of woman after breast cancer

“…Being so, questions referring the shoulder functionality, to the impossibility to re-take the labor activity and the branch of acceptance of her mutilated body, propels reflective actions surrounding esthetic concepts (as shaving of the affected area and lymphedema) and new life styles (obstacles or physical restrictions). It is relevant to observe that after the appearance of breast cancer, the feelings of guilt and sorrow blossom in the woman by the non realization and/ or conquests projected previously the disease 24,25 . Andresen et al 27 relate that the woman with breast cancer gets disoriented by modifications in her life and, mainly, by uncertainties face the effective cure.…”

Breast cancer and support group in the life of mastectomized women

“…The initial negative impact regarding the diagnosis of breast cancer is present in several other studies (5,6,7,8,9,10), and this impact is usually related to two factors: patient's encountering of vulnerability and finitude; and the stigma that is still associated to the disease (11,12,13,14).…”