Assessment of fatigue, anxiety, depression and quality of life of women during radiotherapy

Authors

DOI:

https://doi.org/10.33448/rsd-v11i8.30606

Keywords:

Anxiety; Depression; Quality of Life; Genital Neoplasms, Female; Fatigue; Breast neoplasms.

Abstract

Objective: to identify the presence of fatigue, anxiety, depression and the health-related quality of life domains most affected in women during radiotherapy treatment. Methodology: a descriptive longitudinal study, carried out with women with gynecological and breast cancer undergoing radiotherapy at a university hospital. Data were collected from September/2018 to October/2019. The following were used: Piper Fatigue Scales, Hospital Anxiety and Depression Scale and Quality of Life Questionnaire-Core-30. Results: 13 women participated, predominantly over 40 years old and with cervical cancer. Regarding treatment, most underwent chemotherapy and cancer-related surgery, and most women underwent total mastectomy. Fatigue was reported by 15.4%; there was a significant increase in sensory fatigue between the times. The women were considered without anxiety and depression, even with an increase in the mean scores over time. The quality of life and its domains obtained satisfactory results between the times, while the role performance obtained a regular result. Loss of appetite, pain, nausea and vomiting, dyspnea and diarrhea were the most reported symptoms. Conclusion: despite the increase in the average scores of fatigue, anxiety and depression, they are considered of mild intensity. The quality of life had a drop in the average scores and the most reported symptoms were loss of appetite, pain, nausea and vomiting, dyspnea and diarrhea. Such complaints and symptoms require proper management, which is possible through holistic and humanized care.

References

ALMasri, H. & Rimawi O. (2020). Assessment of Depression and Anxiety in Breast Cancer Patients Undergoing Radiotherapy in Palestine. SN Compr Clin Med, 2(12), 2787-2791. doi: https://doi.org/10.1007/s42399-020-00635-z

Bahia, J. C., Lima, C. M., de Oliveira, M. M., Guimarães, J. V., de Oliveira Santos, M., & de Faria Mota, D. D. C. (2019). Fadiga em mulheres com câncer de mama submetidas à radioterapia. Revista Brasileira de Cancerologia, 65(2). doi: https://doi.org/10.32635/2176-9745.RBC.2019v65n2.89

Borges, J. A., Quintão, M. M. P., Chermont, S. S., Mendonça Filho, H. T. F. D., & Mesquita, E. T. (2018). Fadiga: um sintoma complexo e seu impacto no câncer e na insuficiência cardíaca. International Journal of Cardiovascular Sciences, 31, 433-442. doi: 10.5935/2359-4802.20180027

Botega, N. J., Bio, M. R., Zomignani, M. A., Garcia Jr, C., & Pereira, W. A. (1995). Transtornos do humor em enfermaria de clínica médica e validação de escala de medida (HAD) de ansiedade e depressão. Revista de saude publica, 29, 359-363. doi: https://doi.org/10.1590/S0034-89101995000500004

Brabo, E. P., Paschoal, M. E. M., Biasoli, I., Nogueira, F. E., Gomes, M. C. B., Gomes, I. P., Martins, L. C. A., & Spector, N. (2006). Versão brasileira do módulo de câncer de pulmão QLQ-LC13 da European Organization for Research and Treatment of Cancer: relatório preliminar de confiabilidade e validade. Quality of Life Research, 15 (9), 1519-1524. doi: https://doi.org/10.1007/s11136-006-0009-9

Brasil. Ministério da Saúde. (2019). Instituto Nacional de Câncer José Alencar Gomes da Silva. Coordenação de Prevenção e Vigilância. Estimativa 2020: incidência de câncer no Brasil. Rio de Janeiro. INCA. 2019. https://www.inca.gov.br/publicacoes/livros/estimativa-2020-incidencia-de-cancer-no-brasil

Carvalho, N. A. L., Figueiredo, M. D. L. F., Vieira, C. P. B., Carvalho, J. S. S., Luz, M. H. B. A., Nogueira, L. T., Ulbrich, A. Z., Júnior, F. J. G. S. & Monteiro, C. F. S. (2016). Quality of life and depressive signs and symptoms of the elderly women with breast cancer. International Archives of Medicine, 9. 10.3823/2055

Coelho, J. C. C., Pestana, M. E., & Trevizan, F. B. (2019). Sintomas de ansiedade e depressão em pacientes oncológicos atendidos por equipe de psicologia. Revista InterCiência-IMES Catanduva, 1(2), 45-45. https://www.fafica.br/revista/index.php/interciencia/article/view/75

Dias, M., de Melo Mantovan, S. G., Zomkowski, K., Roussenq, S. C., Benetti, M., Sperandio, F. F., Kilian, C., & de Souza Tavares, M. G. S. (2021). Perfil Epidemiológico das Mulheres com Câncer Ginecológico: um estudo multicasos, no Sul do Brasil. Brazilian Journal of Development, 7(4), 37025-37035. doi: https://doi.org/10.34117/bjdv7n4-254

Lan, B., Jiang, S., Li, T., Sun, X., & Ma, F. (2020). Depression, anxiety, and their associated factors among Chinese early breast cancer in women under 35 years of age: A cross sectional study. Current Problems in Cancer, 44(5), 100558. doi: https://doi.org/10.1016/j.currproblcancer.2020.100558

LaRiviere, M. J., Chao, H. H., Doucette, A., Kegelman, T. P., Taunk, N. K., Freedman, G. M., & Vapiwala, N. (2020). Factors Associated With Fatigue in Patients with Breast Cancer Undergoing External Beam Radiation Therapy. Practical Radiation Oncology, 10(6), 409-422. doi: https://doi.org/10.1016/j.prro.2020.05.011

Mota, D. D., Pimenta, C. A., & Piper, B. F. (2009). Fatigue in Brazilian cancer patients, caregivers, and nursing students: a psychometric validation study of the Piper Fatigue Scale-Revised. Supportive care in cancer, 17(6), 645-652. doi: https://doi.org/10.1007/s00520-008-0518-x

Olivares-Taipe, P., Aguilar-Saenz, J., Adrianzen-Tantachuco, R., Revilla-López, J., Zavaleta-Pesantes, A., Martinez-Asmad, G., & Huapaya Cabrera, A. H. (2019). Calidad de vida en mujeres con cáncer de mama que acuden al Departamento de Oncología. Hospital Nacional Daniel Alcides Carrión. Callao-2018. Horizonte Médico (Lima), 19(4), 50-56. doi: http://dx.doi.org/10.24265/horizmed.2019.v19n4.07

Paula, J. M., & Sawada, N. O. (2015). Qualidade de vida relacionada à saúde de pacientes com câncer em tratamento radioterápico. Rev Rene, 16(1), 106-113. doi: 10.15253/2175-6783.2015000100014

Pereira, A. A. C., Passarin, N. P., Coimbra, J. H., Pacheco, G. G., & Rangel, M. P. (2020). Avaliação da Qualidade de Vida e Prevalência de Sintomas Depressivos em Pacientes Oncológicos Submetidos à Radioterapia. Revista Brasileira de Cancerologia, 66(1). doi: https://doi.org/10.32635/2176-9745.RBC.2020v66n1.775

Pfeiffer E. (1975). A short portable mental status questionnaire for the assessment of organic brain deficit in elderly patients. J Am Geriatr Soc, 23(10):433-41. Disponível em: https://pubmed.ncbi.nlm.nih.gov/1159263/

Polit, D. F. & Beck, C. T. (2018). Fundamentos de pesquisa em enfermagem: avaliação de evidências para a prática da enfermagem. Porto Alegre: Artmed.

Santos, A. L. A., Moura, J. F. P., Santos, C. A. D. A. L., Figueiroa, J. N., & Souza, A. I. (2012). Avaliação da qualidade de vida relacionada à saúde em pacientes com câncer do colo do útero em tratamento radioterápico. Revista Brasileira de Cancerologia, 58(3), 507-515. doi: https://doi.org/10.32635/2176-9745.RBC.2012v58n3.609

Shirali, E., Yarandi, F., Ghaemi, M., & Montazeri, A. (2020). Quality of life in patients with gynecological cancers: A web-based study. Asian Pacific Journal of Cancer Prevention: APJCP, 21(7), 1969. doi: 10.31557/APJCP.2020.21.7.1969

The World Health Organization (1995). Quality of Life Assessment (WHOQOL): position paper from the World Health Organization. Soc sci med., 41(10):1403-1409. doi: https://doi.org/10.1016/0277-9536(95)00112-K

Tsaras, K., Papathanasiou, I. V., Mitsi, D., Veneti, A., Kelesi, M., Zyga, S., & Fradelos, E. C. (2018). Assessment of depression and anxiety in breast cancer patients: prevalence and associated factors. Asian Pacific journal of cancer prevention: APJCP, 19(6), 1661. doi: 10.22034/APJCP.2018.19.6.1661

Velikova, G., Williams, L. J., Willis, S., Dixon, J. M., Loncaster, J., Hatton, M., Clarke, J., Kunkler, I. H., Russell, N. S. (2018). Quality of life after postmastectomy radiotherapy in patients with intermediate-risk breast cancer (SUPREMO): 2-year follow-up results of a randomised controlled trial. The Lancet Oncology, 19(11), 1516-1529. doi: http://dx.doi.org/10.1016/S1470-2045(18)30515-1

Published

15/06/2022

How to Cite

ISAAC, A. F. B. .; MIRANDA, L. F. .; GONÇALVES, M. C. .; GOMES, N. S. .; NICOLUSSI, A. C. Assessment of fatigue, anxiety, depression and quality of life of women during radiotherapy. Research, Society and Development, [S. l.], v. 11, n. 8, p. e18611830606, 2022. DOI: 10.33448/rsd-v11i8.30606. Disponível em: https://www.rsdjournal.org/index.php/rsd/article/view/30606. Acesso em: 25 apr. 2024.

Issue

Section

Health Sciences