Qualidade de vida em pacientes portadores de melanoma cutâneo submetidos a biópsia de linfonodo sentinela
Arquivos
Data
2003
Autores
Coto, Selma de Jesus Dias 
Orientadores
Oliveira Filho, Renato Santos de
Tipo
Dissertação de mestrado
Título da Revista
ISSN da Revista
Título de Volume
Resumo
Durante as ultimas decadas, a percepcao do paciente em relacao a sua doenca bem como monitoracao da qualidade de vida tem sido amplamente valorizadas pelos profissionais e pesquisadores da area Saúde. A biopsia de linfonodo sentinela trouxe um grande avanco na abordagem dos pacientes portadores de melanoma localizado. 0 objetivo deste estudo foi avaliar a qualidade de vida de pacientes portadores de melanoma cutaneo submetidos a biopsia de linfonodo sentinela. Para tanto, participaram 26 pacientes portadores de melanoma cutaneo com proposta de realizar a biopsia de linfonodo sentinela, com idade variando de 35 a 83 anos, atendidos no Ambulatorio do Setor de Tumores da Disciplina de Cirurgia Plastica da Escola Paulista de Medicina da Universidade Federal de São Paulo. 0 instrumento utilizado foi o questionario Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36), instrumento generico de avaliacao de qualidade de vida, cuja versao para o portugues foi desenvolvida e validada, apos um processo de traducao e adaptacao cultural. 0 questionario foi aplicado por meio de entrevista, em tres periodos: a.) por ocasiao do esclarecimento do diagnostico e explicacao sobre a biopsia de linfonodo sentinela; b.) por ocasiao do recebimento do resultado do exame histopatologico do linfonodo sentinela, cerca de dois meses apos a biopsia de linfonodo sentinela; c.) seis meses apos a biopsia de linfonodo sentinela. Para analise dos dados socio-demograficos e das dimensoes que constituem o SF-36, foi utilizada a analise descritiva com medidas-resumo e, para estudar como se comportaram os aspectos avaliados da qualidade de vida nos periodos em estudo foi aplicada a analise de variancia em blocos, completada pelo metodo de Bonferroni. Os resultados demonstraram alteracoes positivas significantes nas dimensoes aspectos fisicos, dor e Saúde mental. A analise dos dados nao demonstrou impacto negativo na qualidade de vida dos pacientes submetidos a biopsia de linfonodo sentinela. Novos estudos com casuistica maior permitirao conclusoes mais precisas
During the last decades, patient's perception regarding their diseases as well as monitoring of the quality of life have been widely valorized by health professionals and researchers. The sentinel lymph node biopsy has brought a great advance in the approach of localized melanoma patients. The aim of this study was to evaluate the quality of life in cutaneous melanoma patients submitted to sentinel lymph node biopsy. Twenty-six cutaneous melanoma patients supposed to undergo lymph node biopsy, ranged in age from 35 to 83 years old, attended in the Tumors Ambulatory of the Discipline of Plastic Surgery at the Paulista Medical School at the Federal University of São Paulo. The instrument used was the Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36) questionnaire, a generic instrument of evaluation of quality of life, whose version for Brazilian-Portuguese was developed and validated, after a translation and cultural adaptation process. The questionnaire was applied by means of interviews at three periods: a) during explanation about diagnosis and sentinel lymph node biopsy; b) when receiving lymph node histopathological exam results, approximately two months after the sentinel lymph node biopsy; c) six months after the sentinel lymph node biopsy. For socio-demographic data analysis and for the dimensions that constitute SF-36, descriptive analysis with summary measure and randomized complete blocks analysis were used, complemented by the Bonferroni method to study the behavior of the evaluated aspects of quality of life throughout time. The results showed significant positive alterations in the rolephysical, pain and mental health dimensions. The data analysis didn't demonstrate that the sentinel lymph node biopsy causes negative impact on the quality of life of the evaluated patients. Further studies based on greater sample size will allow conclusions with more accuracy.
During the last decades, patient's perception regarding their diseases as well as monitoring of the quality of life have been widely valorized by health professionals and researchers. The sentinel lymph node biopsy has brought a great advance in the approach of localized melanoma patients. The aim of this study was to evaluate the quality of life in cutaneous melanoma patients submitted to sentinel lymph node biopsy. Twenty-six cutaneous melanoma patients supposed to undergo lymph node biopsy, ranged in age from 35 to 83 years old, attended in the Tumors Ambulatory of the Discipline of Plastic Surgery at the Paulista Medical School at the Federal University of São Paulo. The instrument used was the Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36) questionnaire, a generic instrument of evaluation of quality of life, whose version for Brazilian-Portuguese was developed and validated, after a translation and cultural adaptation process. The questionnaire was applied by means of interviews at three periods: a) during explanation about diagnosis and sentinel lymph node biopsy; b) when receiving lymph node histopathological exam results, approximately two months after the sentinel lymph node biopsy; c) six months after the sentinel lymph node biopsy. For socio-demographic data analysis and for the dimensions that constitute SF-36, descriptive analysis with summary measure and randomized complete blocks analysis were used, complemented by the Bonferroni method to study the behavior of the evaluated aspects of quality of life throughout time. The results showed significant positive alterations in the rolephysical, pain and mental health dimensions. The data analysis didn't demonstrate that the sentinel lymph node biopsy causes negative impact on the quality of life of the evaluated patients. Further studies based on greater sample size will allow conclusions with more accuracy.
Descrição
Citação
COTO, Selma de Jesus Dias. Qualidade de vida em pacientes portadores de melanomacutâneo submetidos a biópsia de linfonodo sentinela. 2003. 88 f. Dissertação (Mestrado) - Escola Paulista de Medicina, Universidade Federal de São Paulo. São Paulo, 2003.