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Perception of quality of life and anxious and depressive symptoms of cancer patients undergoing chemotherapy: a comparison between users of a public service and a private service

OBJECTIVE: To compare the perception of quality of life and the presence of anxious and depressive symptoms of patients undergoing chemotherapy, users of a public hospital and a private hospital in the city of Maceió/AL.METHODS: Observational cross-sectional study, carried out with patients undergoi...

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Principais autores: Nascimento, Carlos Queiroz do, Fireman, Edilma Fernandes, Lima, Sônia Oliveira, Barros-Neto, João Araújo
Formato: Artigo
Idioma: Português
Publicado em: Universidade Tecnológica Federal do Paraná (UTFPR) 2019
Acesso em linha: http://periodicos.utfpr.edu.br/rbqv/article/view/9305
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spelling peri-article-93052024-05-01T10:37:48Z Perception of quality of life and anxious and depressive symptoms of cancer patients undergoing chemotherapy: a comparison between users of a public service and a private service Percepção da qualidade de vida e sintomas ansiosos e depressivos de pacientes oncológicos em tratamento quimioterápico: um comparativo entre usuários de um serviço público e um privado Nascimento, Carlos Queiroz do Fireman, Edilma Fernandes Lima, Sônia Oliveira Barros-Neto, João Araújo saúde pública, qualidade de vida Neoplasias; Qualidade de vida; Ansiedade; Depressão; Enfermagem oncológica. Neoplasms; Quality of life; Anxiety; Depression; Oncological nursing. OBJECTIVE: To compare the perception of quality of life and the presence of anxious and depressive symptoms of patients undergoing chemotherapy, users of a public hospital and a private hospital in the city of Maceió/AL.METHODS: Observational cross-sectional study, carried out with patients undergoing oncologic treatment with chemotherapy in a public and private hospital in Maceió from November 2015 to July 2016. The QV was evaluated using the European Organization for Research and Treatment of Cancer Core Quality of Life Questionnaire (EORTC) and the presence of anxiety and depressive symptoms were observed by the Hospital Anxiety and Depression Scale (HAD). The collected data were organized in electronic database and analyzed quantitatively through statistical software Statistical Package for Social Sciences (SPSS), respecting the distribution nature of the studied variables.RESULTS: The sample consisted of 65 patients, 33 (50.9%) were attended in a hospital that was contracted to the Unified Health System (SUS) and 32 (49.1%) in the private hospital. The mean age was 54.2 years (±11.8 SD), with no difference between groups (p=0.184). Much of the sample was female (67.7%). It was observed that the group of individuals treated through the private covenant had a greater possibility of presenting signs of anxiety compared to the SUS group (n=26, 81.2% versus n=7, 21.2%, respectively) (p<0.001). The frequency of individuals with depressive symptoms was higher in the group served by the private agreement (n=27, 84.3% versus n=7, 21.2%, respectively) (p<0.001). In the physical, cognitive and social functions, the mean was 73.2 points for SUS patients and 62.6 points for patients attended in a private hospital (p=0.005). At symptom scales, the mean was 29.7 for public hospital patients and 34.9 for private hospital clients (p=0.043).CONCLUSIONS: The disease and the chemotherapy treatment seem to have a more negative impact on the QoL of the patients being treated by the private covenant. However, the presence of anxious and depressive symptoms was quite frequent in the users of both hospital services. OBJETIVO: Comparar a percepção da qualidade de vida (QV) e a presença de sintomas ansiosos e depressivos de pacientes em tratamento quimioterápico, usuários de um hospital público e de um privado na cidade de Maceió/AL.MÉTODOS: Estudo do tipo transversal observacional, realizado com pacientes em tratamento oncológico com quimioterápicos em um hospital público e outro privado de Maceió no período de novembro de 2015 a julho de 2016. A QV foi avaliada por meio do protocolo European Organization for Research and Treatment of Cancer Core Quality of Life Questionnaire (EORTC) e a presença de sintomas ansiosos e depressivos foram observados pela Escala Hospital Anxiety and Depression (HAD). Os dados coletados foram organizados em banco de dados eletrônicos e analisados quantitativamente por meio do software estatístico Statistical Package for Social Sciences (SPSS), respeitando a natureza de distribuição das variáveis estudadas.RESULTADOS: A amostra constituiu-se de 65 pacientes, 33 (50,9%) foram atendidos em hospital conveniado ao Sistema Único de Saúde (SUS) e 32 (49,1%) no hospital particular. A média da idade foi de 54,2 anos (±11,8 DP), não havendo diferença entre os grupos (p=0,184). A maioria da amostra foi do sexo feminino (67,7%). Avaliando a frequência de indivíduos com sinais de ansiedade, observou-se que o grupo de indivíduos atendidos através do convênio particular sofre com maior possibilidade de apresentar sinais de ansiedade em comparação com o grupo atendido pelo convênio SUS (n=26, 81,2% versus n=7, 21,2%; respectivamente) (p<0,001). A frequência de indivíduos com sintomas depressivos foi maior no grupo atendido pelo convênio particular (n=27, 84,3% versus n=7, 21,2%; respectivamente) (p<0,001). Nas funções física, cognitiva e social, a média foi de 73,2 pontos para pacientes do SUS e 62,6 pontos para pacientes atendidos em hospital particular (p=0,005). Nas escalas de sintomas, a média foi de 29,7 para pacientes do hospital público e 34,9 para clientes do hospital particular (p = 0,043).CONCLUSÕES: A doença e o tratamento quimioterápico parecem exercer impacto mais negativo sobre a QV dos pacientes em tratamento pelo convênio particular. Entretanto, a presença de sintomas ansiosos e depressivos foi bastante frequente nos usuários de ambos os serviços hospitalares. Universidade Tecnológica Federal do Paraná (UTFPR) 2019-05-30 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf http://periodicos.utfpr.edu.br/rbqv/article/view/9305 10.3895/rbqv.v11n2.9305 Revista Brasileira de Qualidade de Vida; v. 11, n. 2 (2019) 2175-0858 10.3895/rbqv.v11n2 por http://periodicos.utfpr.edu.br/rbqv/article/view/9305/pdf http://periodicos.utfpr.edu.br/rbqv/article/downloadSuppFile/9305/1181 Direitos autorais 2019 CC-BY http://creativecommons.org/licenses/by/4.0
institution Universidade Tecnológica Federal do Paraná
collection PERI
language Português
format Artigo
author Nascimento, Carlos Queiroz do
Fireman, Edilma Fernandes
Lima, Sônia Oliveira
Barros-Neto, João Araújo
spellingShingle Nascimento, Carlos Queiroz do
Fireman, Edilma Fernandes
Lima, Sônia Oliveira
Barros-Neto, João Araújo
Perception of quality of life and anxious and depressive symptoms of cancer patients undergoing chemotherapy: a comparison between users of a public service and a private service
author_sort Nascimento, Carlos Queiroz do
title Perception of quality of life and anxious and depressive symptoms of cancer patients undergoing chemotherapy: a comparison between users of a public service and a private service
title_short Perception of quality of life and anxious and depressive symptoms of cancer patients undergoing chemotherapy: a comparison between users of a public service and a private service
title_full Perception of quality of life and anxious and depressive symptoms of cancer patients undergoing chemotherapy: a comparison between users of a public service and a private service
title_fullStr Perception of quality of life and anxious and depressive symptoms of cancer patients undergoing chemotherapy: a comparison between users of a public service and a private service
title_full_unstemmed Perception of quality of life and anxious and depressive symptoms of cancer patients undergoing chemotherapy: a comparison between users of a public service and a private service
title_sort perception of quality of life and anxious and depressive symptoms of cancer patients undergoing chemotherapy: a comparison between users of a public service and a private service
description OBJECTIVE: To compare the perception of quality of life and the presence of anxious and depressive symptoms of patients undergoing chemotherapy, users of a public hospital and a private hospital in the city of Maceió/AL.METHODS: Observational cross-sectional study, carried out with patients undergoing oncologic treatment with chemotherapy in a public and private hospital in Maceió from November 2015 to July 2016. The QV was evaluated using the European Organization for Research and Treatment of Cancer Core Quality of Life Questionnaire (EORTC) and the presence of anxiety and depressive symptoms were observed by the Hospital Anxiety and Depression Scale (HAD). The collected data were organized in electronic database and analyzed quantitatively through statistical software Statistical Package for Social Sciences (SPSS), respecting the distribution nature of the studied variables.RESULTS: The sample consisted of 65 patients, 33 (50.9%) were attended in a hospital that was contracted to the Unified Health System (SUS) and 32 (49.1%) in the private hospital. The mean age was 54.2 years (±11.8 SD), with no difference between groups (p=0.184). Much of the sample was female (67.7%). It was observed that the group of individuals treated through the private covenant had a greater possibility of presenting signs of anxiety compared to the SUS group (n=26, 81.2% versus n=7, 21.2%, respectively) (p<0.001). The frequency of individuals with depressive symptoms was higher in the group served by the private agreement (n=27, 84.3% versus n=7, 21.2%, respectively) (p<0.001). In the physical, cognitive and social functions, the mean was 73.2 points for SUS patients and 62.6 points for patients attended in a private hospital (p=0.005). At symptom scales, the mean was 29.7 for public hospital patients and 34.9 for private hospital clients (p=0.043).CONCLUSIONS: The disease and the chemotherapy treatment seem to have a more negative impact on the QoL of the patients being treated by the private covenant. However, the presence of anxious and depressive symptoms was quite frequent in the users of both hospital services.
publisher Universidade Tecnológica Federal do Paraná (UTFPR)
publishDate 2019
url http://periodicos.utfpr.edu.br/rbqv/article/view/9305
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score 10,814766

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