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Publication
O impacto psicológico do cancro metastático e a vivência da doença oncológica paliativa
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Advisor(s)
Abstract(s)
Objetivo: A doença oncológica metastática tem forte impacto na vida do indivíduo. É descrita
como sendo traumática e ameaçadora da integridade física e psicológica exigindo respostas
individuais do doente. Na literatura, verifica-se um aumento da evidência da perceção de
mudanças em uma ou mais áreas da vida como resultado do esforço individual do positivas
confronto com situação traumática - Crescimento Pós-Traumático (CPT), facilitando o ajuste
psicossocial à doença e aliviando a intensidade do sofrimento. O sofrimento global elevado,
ameaça a dignidade e retira o gozo de uma vida satisfatória até o fim. Assim, o presente estudo
pretende avaliar se o CPT e a dignidade se relacionam e se ter cuidados paliativos influencia a
percepção do CPT e da dignidade do doente.
Método: A amostra contou com 210 participantes (M=65,89; DP=12,19), com doença
oncológica metastática paliativa, sem cuidados paliativos (n=128) e com cuidados paliativos
(n=82), assistidos no Hospital dos Capuchos. Para a mensuração dos constructos, foram
utilizados o Inventário de Crescimento Pós-Traumático (ICPT) e o Inventário de Dignidade do
Paciente (PDI).
Resultados: Os resultados evidenciam uma relação significativamente positiva entre o CPT e a
dignidade F(1,208)=11,581; p≤0,001). A evidência de CPT é independentemente de receberem
ou não cuidados paliativos, sendo que o CPT não é influenciado pelos cuidados paliativos
F(1,204) = 1,867; p= 0,173, contrastando com a dignidade que foi mais evidente nos doentes
com cuidados paliativos (t208)=-3,379; p=0,001), contudo os cuidados paliativos influenciam o
sentimento de dignidade do doente oncológico metastático F(1,204)=10,915; p=0,001.
Conclusão: A presente investigação produz evidências importantes de que o CPT embora se
relacione com a dignidade, não é mais percecionado pelo facto de os doentes terem cuidados
paliativos. Ter cuidados paliativos aumenta a perceção de dignidade, contudo a dignidade não
influencia a perceção do CPT. Propõe-se que em estudos futuros sejam i
Objective: Metastatic cancer disease has a strong impact on an individual's life. It is downloaded as being traumatic and threatening to physical and psychological integrity, demanding individual responses from the patient. In the literature, there is an increase in evidence of the perception of changes in one or more areas of life as a result of the positive individual effort confronting a traumatic situation - Post-Traumatic Growth (PTG), facilitating the psychosocial adjustment to the disease and alleviating the intensity of suffering. The heightened global suffering threatens dignity and deprives the enjoyment of a satisfying life to the end. Thus, the present study assesses whether PTG and dignity are related and whether palliative care influences the perception of PTG and the patient's dignity. Method: The sample consisted of 210 participants (M=65.89; SD=12.19), with palliative metastatic cancer, without palliative care (n=128) and with palliative care (n=82), assisted at Hospital dos Capuchos. To measure the constructs, the Post-Traumatic Growth Inventory (PTGI) and the Patient Dignity Inventory (PDI) were used. Results: The results show a significantly positive relationship between PTG and dignity F(1.208)=11.581; p≤0.001). Evidence of PTG is independent of whether or not they receive palliative care, and PTG is not influenced by palliative care F(1.204)= 1.867; p= 0.173, contrasting with the dignity that was more evident in patients with palliative care(t208)=-3.379; p=0.001), and palliative care influence the feeling of dignity of metastatic cancer patients F(1.204)=10.915; p=0.001 Conclusion: The present investigation produces important evidence that the PTG, although related to dignity, is no longer perceived due to the fact that patients have palliative care. Having palliative care increases the perception of dignity, however dignity does not influence the perception of the PTG. It is proposed that in future studies other variables such as core beliefs and stress are included for a better understanding of the model.
Objective: Metastatic cancer disease has a strong impact on an individual's life. It is downloaded as being traumatic and threatening to physical and psychological integrity, demanding individual responses from the patient. In the literature, there is an increase in evidence of the perception of changes in one or more areas of life as a result of the positive individual effort confronting a traumatic situation - Post-Traumatic Growth (PTG), facilitating the psychosocial adjustment to the disease and alleviating the intensity of suffering. The heightened global suffering threatens dignity and deprives the enjoyment of a satisfying life to the end. Thus, the present study assesses whether PTG and dignity are related and whether palliative care influences the perception of PTG and the patient's dignity. Method: The sample consisted of 210 participants (M=65.89; SD=12.19), with palliative metastatic cancer, without palliative care (n=128) and with palliative care (n=82), assisted at Hospital dos Capuchos. To measure the constructs, the Post-Traumatic Growth Inventory (PTGI) and the Patient Dignity Inventory (PDI) were used. Results: The results show a significantly positive relationship between PTG and dignity F(1.208)=11.581; p≤0.001). Evidence of PTG is independent of whether or not they receive palliative care, and PTG is not influenced by palliative care F(1.204)= 1.867; p= 0.173, contrasting with the dignity that was more evident in patients with palliative care(t208)=-3.379; p=0.001), and palliative care influence the feeling of dignity of metastatic cancer patients F(1.204)=10.915; p=0.001 Conclusion: The present investigation produces important evidence that the PTG, although related to dignity, is no longer perceived due to the fact that patients have palliative care. Having palliative care increases the perception of dignity, however dignity does not influence the perception of the PTG. It is proposed that in future studies other variables such as core beliefs and stress are included for a better understanding of the model.
Description
Dissertação de mestrado apresentada ao
ISPA – instituto Universitário para obtenção do
grau de Mestre na especialidade de Psicologia
Clínica.
Keywords
Cancro metastático Crescimento pós traumático Dignidade Cuidados paliativos Metastatic cancer Dignity Post-traumatic growth Palliative care