Socio-demographic and clinical profile of patients treated in an outpatient palliative chemotherapy clinic in Belo Horizonte

Authors

  • Raissa Silva Souza Universidade Federal de Minas Gerais – UFMG, Escola de Enfermagem, Programa de Pós-Graduação em Enfermagem. Belo Horizonte, MG – Brasil; Bolsista do Programa Capes/Reuni; Especialista em Enfermagem Hospitalar Terapia Intensiva/UFMG.
  • Delma Aurélia da Silva Simão Universidade Federal de Minas Gerais – UFMG, Escola de Enfermagem, Programa de Pós-Graduação em Enfermagem. Belo Horizonte, MG – Brasil; Bolsista do Programa Capes/Reuni, Especialista em Enfermagem Hospitalar – Oncologia/UFMG.
  • Elenice Dias Ribeiro de Paula Lima Universidade Federal de Minas Gerais – UFMG, Escola de Enfermagem, Núcleo de Estudos e Pesquisas em Cuidado e Desenvolvimento Humano. Belo Horizonte, MG – Brasil. Doutora em Research and Theory Development, New York University.

DOI:

https://doi.org/10.5935/2316-9389.2012.v16.50336

Keywords:

Palliative Care, Oncology Nursing, Ambulatory Care

Abstract

This study aimed at identifying the socio-demographic and clinical profile of patients treated in an outpatient palliative chemotherapy unit in Belo Horizonte. It is a descriptive study using a quantitative approach. Data were collected through interviews with 70 patients who underwent palliative chemotherapy between October 2010 and February 2011. Data were entered into the SPSS program and analysed using descriptive statistics. The study was approved by the Research Ethics Committee under report nº. 0388.0.203.000-10 from 15/09/2010. The research subjects gave their informed consent to participation in the research. The subjects were mostly female; their average age was 56 years, with a low education level, and a low income. The main primary sites of cancer were: breast (n = 31; 44.3%), and gastrointestinal tract (n = 21; 30%). The majority had only one metastasis (61.4%), the main organs affected were liver, bone and lungs. 70% of the sample presented a stable functional capacity. As to the occurrence of symptoms, all areas had a low to moderate scoring. The occurrence of symptoms score showed an overall median age of 16.50 (M = 17.09; SD = 10.05). The intensity of stress-related symptoms score obtained median of 5.5 (M = 8.91, SD = 9.07). The experience of symptoms had a median score of 23.5 points (M = 26, SD = 17.96). The predominant profile was patients with good functional capacity and relatively good ADL index score. A small percentage of patients presented their functional capacity affected, and they would benefit greatly from palliative home care.

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References

1. Ministério do Planejamento, Orcamento e Gestao (BR). Instituto Brasileiro de Geografia e Estatistica – IBGE. Projecao da populacao do Brasil por sexo e idade 1980-2050. Brasilia: MPOG; 2008.

2. Ministério da Saude (BR). Instituto Nacional de Cancer. A Situacao do Cancer no Brasil. Rio de Janeiro: INCA; 2006.

3. World Health Organization. International Society of Nurses in Cancer Care (UK). A core curriculum for palliative nursing. International Council of Nurses, United Kingdom; 2002.

4. Ministério da Saude (BR). Instituto Nacional de Cancer. Estimativa 2010: incidencia de cancer no Brasil. Rio de Janeiro: INCA; 2009.

5. Bonassa EMA, Santana TR. Enfermagem em terapeutica oncologica. 3a ed. Sao Paulo: Editora Atheneu; 2005.

6. Ministério da Saude (BR). Instituto Nacional do Cancer. O que e o cancer. [Citado em 2011 mar. 23]. Disponivel em: <http://www.inca.gov.br/conteudo_view.asp?id=322>.

7. Weinberg RA. A biologia do cancer. Porto Alegre: Artmed; 2008. 728p.

8. Bakitas M, Lyons DK, Hegel MT, et al. Effects of a palliative care intervention on clinical outcomes in patients with advanced cancer. The Project ENABLE II Randomized ControlledTrial. JAMA. 2009. 302(7):741-9.

9. Rodrigues IG. Cuidados paliativos: analise de conceito [dissertacao]. Ribeirao Preto: Universidade de Sao Paulo, Escola de Enfermagem de Ribeirao Preto; 2004. 231p.

10. Biblioteca Virtual em Saude. Pesquisa via descritores DeCS/MeSH. 2011. [Citado em 2011 mar. 23]. Disponivel em: <http://decs.bvs.br/cgibin/wxis1660.exe/decsserver/>.

11. Kurashima AY, Moscatello ELM. Paciente fora de possibilidade terapeutica. In: Mohallem AGC, Rodrigues AB. Enfermagem Oncologica. Barueri: Manole; 2007. p. 371-85.

12. Sepulveda C, Marlin A, Yoshida T, Ullrich A. Palliative care: the world health organization’s global perspective. J Pain Symptom Manage. 2002; 24(2):91-6.

13. Hui D, Elsayem A, Cruz M, et al. Availability and integration of palliative care at US Cancer Centers. JAMA. 2010; 303(11):1054-61.

14. Morosini Mvgc, Corbo Ada. organizadores. Modelos de atencao e a saude da familia. Rio de Janeiro: EPSJV/Fiocruz; 2007. p. 27-41

15. National Consensus Project For Quality Palliative Care. Clinical Practice Guidelines for Quality Palliative Care. 2th ed. United States of America; 2009 [Cited 2010 Fev. 20]. Available from: <http://www.nationalconsensusproject.org>.

16. Carvalho MWA, Araujo AA, Nobrega MML. Diagnostico de enfermagem pata pacientes com toxicidade hematologica pos-quimioterapia antineoplasica com base na CIPE. Rev Enferm UFPE On Line. 2009; 3(4):12-9.

17. Araujo MMT. Quando “uma palavra de carinho conforta mais que um medicamento”: necessidades e expectativas de pacientes sob cuidados paliativos [dissertacao]. Sao Paulo: Escola de enfermagem da Universidade de Sao Paulo; 2006.

18. Sun V. Palliative chemotherapy and clinical trials in advanced cancer: the nurses role. In: Ferrell BR,Coyle N. Textbook of Palliative Nursing. England: Oxford University Press;2006.

19. Temel J, Greer JA, Muzikansky A, et al. Early palliative care for patients with metastatic non–small-cell lung cancer New England. J Med. 2010; (363):733-42.

20. Kaasa S, Loge H. Quality of life in palliative care: principles and practice. Palliat Med. 2003;. (17):11-20.

21. Frager G, Collins JJ. Symptoms in life-threatening illness: overview and assessment. In: Goldman A, Hain R, Liben S, editors. Oxford textbook of palliative care for children. Oxford: Oxford University Press; 2006.

22. Pimenta CAM, Mota DDC, Cruz ADLM. Dor e cuidados paliativos: enfermagem, medicina e psicologia. Barueri, Sao Paulo: Manole; 2006. 498 p.

23. Maciel MGS, Rodrigues LF, Naylor C, et al. Criterios de qualidade para os cuidados paliativos no Brasil. Rio de Janeiro: Diagraphic; 2006. 62 p.

24. Watson J. Watson’s theory of human caring and subjective living experience: carative fators/caritas processes as a disciplinary guide to the professional nursing practice. Texto Contexto Enferm. 2007;16(1):129-35.

25. Simoni M, Santos ML. Consideracoes sobre cuidado paliativo e trabalho hospitalar: uma abordagem plural sobre o processo de trabalho de enfermagem. Psicol USP. 2003; 14(2):169-94.

26. Dal Pai D, Lautert L. Suporte humanizado em Pronto Socorro: um desafio para a enfermagem. Rev Bras Enferm.2005; 58(2):231-9.

27. Johnston M, Mattar L. Introduction to the Palliative Care Performance Scale (v. 2): A tool for understanding transitions at the end of life; 2006.

28. Regional Palliative Care Program Guidelines (US). Palliative Performance Scale - version 2 (PPSv2); 2001. [Citado em 2011 maio 15]. Disponivel em: http://www.palliative.org/PC/ClinicalInfo/AssessmentTools/3C9%20Palliative%20Performance%20Scale%20version 202%20%28PPSv2%291%20with%20updateLogoJan%2014%202010.pdf>.

29. ANCP / Victoria Hospice Society. Sao Paulo: Academia Nacional de Cuidados Paliativos. [Citado em 2011 maio 15]. Disponivel em: <http://www.paliativo.org.br/noticias/tag/palliative-performance-scale/>.

30. Palliative Performance Scale (PPSv2). Medical Care of the Dying. 4th ed. Victoria Hospice Society; 2006.

31. Fu MR, McDaniel RW, Rhodes VA. Measuring symptom occurrence and symptom distress: development of the Symptom Distress Index. J Adv Nurs. 2007; 59(6):623-34.

32. Prado IS. Experiencia de sintomas em homens com cancer: sintomas relacionados a estresse e qualidade de vida [dissertacao]. Belo Horizonte: Escola de Enfermagem da Universidade Federal de Minas Gerias; 2010.

33. Brasil. Ministerio do Planejamento Orcamento e Gestao. Sinopse do censo demografico 2010. Brasilia: Instituto Brasileiro de Geografia e

Estatistica. [Citado em: 2011 maio 15]. Disponivel em: <http://www.censo2010.ibge.gov.br/>.

34. Guerra MR, Gallo CVM, Mendonca GAS. Risco de cancer no Brasil: tendencias e estudos epidemiologicos mais recentes. Rev Bras Cancer. 2005; 51(3):227-34.

35. Marques CP, Pierantoni CR. Projeto de expansao da assistencia oncologica expande um novo modelo assistencial [dissertacao]. Rio de Janeiro: Instituto de Medicina Social da UERJ; 2002.

36. DiMatteo MR. Social support and patient adherence to medical treatment: a meta-analysis. Health Psychol . 2004; 23(2):207-18.

37. Yildirim Y, Kocabiyink S. A relacao entre suporte social e solidao em pacientes turcos com cancer. J Clin Nurs. 2010. 19(5-6): 832-9.

38. Santana JJRA, Zanin CR, Maniglia JV . Pacientes com cancer: enfrentamento, rede social e apoio social. Paideia. 2008; (18):371-84.

39. Gomes NS. Perfil das pacientes atendidas no projeto ‘Assistencia fisioterapeutica as pacientes pos-cirurgia do cancer de mama [dissertacao]. Belo Horizonte: Universidade Federal de Minas Gerais; 2007.

40. Albano JD, Ward E, Jemal A, et al. Cancer mortality in the United States by education level and race. Natl Cancer Inst. 2007; 99(18):1384-94.

41. Knight SJ, Latini DM, Hart SL, et al. Education predicts quality of life among men with prostate cancer cared for in the department of Veterans affairs. Cancer. 2007; 109(9):1769-76.

42. Anjos ACY, Zago MMF. A experiencia da terapeutica quimioterapica oncologica na visao do paciente. Rev Lat Am Enferm. 2006; 14(1):33-40.

43. Sao Paulo. Conselho Regional de Medicina. Manual Cremesp: cuidado. Sao Paulo: Conselho Regional de Medicina do Estado de Sao Paulo; 2008. 689 p.

44. Ministerio da Saude (BR). Instituto Nacional do Cancer: Cancer de figado. [Citado em 2011 maio 15]. Disponivel em: <http://www.inca.gov.br/conteudo_view.asp?id=330>.

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Published

2012-03-01

Issue

Vol. 16 No. 1 (2012)

Section

Research

License

Copyright (c) 2012 Reme: Revista Mineira de Enfermagem

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This work is licensed under a Creative Commons Attribution 4.0 International License.

How to Cite

1.
Souza RS, Simão DA da S, Lima EDR de P. Socio-demographic and clinical profile of patients treated in an outpatient palliative chemotherapy clinic in Belo Horizonte. REME Rev Min Enferm. [Internet]. 2012 Mar. 1 [cited 2026 Aug. 9];16(1). Available from: https://periodicos.ufmg.br/index.php/reme/article/view/50336

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