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Publication
Comparação do impacto dos fatores psicológicos na qualidade de vida de indivíduos com cancro não metastático e metastático
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Advisor(s)
Abstract(s)
Objetivo: O presente estudo teve como principal objetivo comparar o impacto dos
fatores psicológicos, nomeadamente, crescimento pós-traumático (CPT) e dignidade na
qualidade de vida (QdV) de doentes com cancro não-metastático e doentes com cancro
metastático.
Método: A amostra foi constituída por 431 pacientes, divididos no grupo de doentes
com cancro não-metastático (CnM; n = 210), acompanhados no Centro Hospitalar de
Setúbal e recrutados Online, e grupo de doentes com cancro metastático (CM; n = 221),
acompanhados no Hospital dos Capuchos. Para a mensuração dos construtos foram
utilizados o Inventário de Crescimento Pós-Traumático, o Inventário de Dignidade do
Paciente e o Questionário Breve de Qualidade de Vida.
Resultados: Os resultados evidenciaram que as variáveis CPT, dignidade e QdV
diferem significativamente entre os grupos, sendo que se verifica uma maior perceção
de QdV (M = 7,08; DP = 1,37) e de CPT (M = 92,65; DP = 19,69), no grupo CnM e
uma maior perceção de dignidade no grupo CM (M = 54,94; DP = 23,62).
Relativamente aos modelos explicativos da QdV, a dignidade, em particular, a Presença
de Sintomas e a Dependência são as principais variáveis preditoras em três dos cinco
domínios da QdV (i.e., Geral, Físico e Psicológico) tanto no grupo CnM, como no
grupo CM.
Conclusão: Contrariamente a investigações realizadas, o presente estudo salienta que
doentes com CnM apresentam uma menor perceção de dignidade, comparativamente
com o grupo CM. Evidencia-se, assim, a importância da preservação e melhoria do
sentimento de dignidade dos pacientes com doença não metastática e metastática.
Objective: The primary goal of this study was to compare the impact of psychological factors, specifically post-traumatic growth (PTG) and dignity, patients with nonmetastatic cancer and patients with metastatic cancer’s quality of life (QoL). Method: The sample was composed of 431 patients, divided into the group of patients with non-metastatic cancer (NMC; n = 210), followed-up at the Hospital Center of Setúbal and recruited online, and the group of patients with metastatic cancer (MC; n = 221), followed-up at the Hospital dos Capuchos. The Posttraumatic Growth Inventory, the Patient Dignity Inventory, and the Brief Quality of Life Questionnaire were used to measure the constructs. Results: The results show that PTG, dignity, and QoL variables differ significantly between the groups, with a higher perception of QoL (M = 7.08; SD = 1.37) and PTG (M = 92.65; SD = 19.69) in the NMC group and a higher perception of dignity in the MC group (M = 54.94; SD = 23.62). With regard to the explanatory models of QoL, in particular the Presence of Symptoms and Dependence, are the main predictor variables in three of the five domains of QoL (General, Physical, and Psychological) both in the MC group and in the NMC group. Conclusion: Contrary to previous studies, the present study highlights that patients with NMC have a lower perception of dignity, compared to the CM group. This highlights the importance of preserving and improving the sense of dignity of patients with non-metastatic and metastatic disease.
Objective: The primary goal of this study was to compare the impact of psychological factors, specifically post-traumatic growth (PTG) and dignity, patients with nonmetastatic cancer and patients with metastatic cancer’s quality of life (QoL). Method: The sample was composed of 431 patients, divided into the group of patients with non-metastatic cancer (NMC; n = 210), followed-up at the Hospital Center of Setúbal and recruited online, and the group of patients with metastatic cancer (MC; n = 221), followed-up at the Hospital dos Capuchos. The Posttraumatic Growth Inventory, the Patient Dignity Inventory, and the Brief Quality of Life Questionnaire were used to measure the constructs. Results: The results show that PTG, dignity, and QoL variables differ significantly between the groups, with a higher perception of QoL (M = 7.08; SD = 1.37) and PTG (M = 92.65; SD = 19.69) in the NMC group and a higher perception of dignity in the MC group (M = 54.94; SD = 23.62). With regard to the explanatory models of QoL, in particular the Presence of Symptoms and Dependence, are the main predictor variables in three of the five domains of QoL (General, Physical, and Psychological) both in the MC group and in the NMC group. Conclusion: Contrary to previous studies, the present study highlights that patients with NMC have a lower perception of dignity, compared to the CM group. This highlights the importance of preserving and improving the sense of dignity of patients with non-metastatic and metastatic disease.
Description
Dissertação de Mestrado apresentada no
ISPA – Instituto Universitário para obtenção de grau de
Mestre na especialidade de Psicologia da Saúde
Keywords
Cancro não-metastático Cancro metastático Qualidade de vida Crescimento pós-traumático Dignidade Non-metastatic cancer Metastatic cancer Quality of life Posttraumatic growth Dignity