Pacientes em processo diagnóstico de câncer de cabeça e pescoço: aspectos psicológicos, percepções e expectativas

Autor: Graner, Karen Mendes [UNESP]
Jazyk: portugalština
Rok vydání: 2013
Předmět:
Zdroj: AlephRepositório Institucional da UNESPUniversidade Estadual PaulistaUNESP.
Druh dokumentu: masterThesis
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O presente estudo identificou características sociodemográficas, da saúde física e mental, percepções e expectativas ao atendimento e diagnóstico de pacientes com suspeita de câncer de cabeça e pescoço. Avaliou-se 49 pacientes de dois centros de diagnóstico oral. O delineamento constou de dois Momentos: pré-biópsia (M1) e pósdiagnóstico (M2). No M1, investigaram-se dados sociodemográficos, apoio social e estilo de vida (questionário), sintomas ansiosos (Inventário de Ansiedade Traço- Estado, IDATE), depressivos (Inventário de Depressão de Beck, BDI) e uso de álcool (Alcohol Use Disorders Identification Test, AUDIT); motivo da consulta, sentimentos, percepção do problema e expectativas sobre diagnóstico e atendimento (entrevista). No M2, reavaliaram-se sintomas ansiosos (IDATE-Estado) e depressivos (BDI), percepções e sentimentos ao diagnóstico, enfrentamento, expectativas e a satisfação com o atendimento (entrevista) dos 29 pacientes com diagnóstico de câncer. As respostas às entrevistas foram categorizadas. Utilizou-se de análises descritivas e bivariadas (chi-quadrado ou exato de Fisher, Goodman e Wilcoxon – p
This study aimed to describe the sociodemographic characteristics, lifestyle, and physical and mental health status of patients with head and neck cancer, as well as identify their perceptions and expectations regarding care and diagnosis. 49 patients were evaluated before and after diagnosis communication as they were submitted to biopsies in two diagnostic oral centers. Before the diagnosis (moment 1), the sociodemographic and lifestyle variables were evaluated using a questionnaire and validated instruments to assess anxiety (State - Trait Anxiety Inventory, STAI), depression (Beck Depression Inventory, BDI) and alcohol abuse (Alcohol Use Disorders Identification Test, AUDIT); reason for examination, feelings, perception of the problem, and expectations were investigated through a structured interview. After cancer diagnosis (moment 2), 29 patients had some aspects reassessed: anxiety, depression levels, perceptions, feelings about the disease, and expectations towards medical and dental care. Were also investigated coping and satisfaction with the service received from dentists. Data collected during the interviews were categorized and a descriptive and bivariate analysis (Qui-square, fisher, Goodman and Wilcoson – p
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