PERCEPTION AND COPING OF PATIENTS UNDERGOING RADIOTHERAPY FOR CERVICAL CANCER
Main Article Content
Abstract
This study aims to understand the psychosocial impacts of radiotherapy on patients with cervical cancer, contributing to the planning of actions to improve their quality of life. A descriptive and qualitative field study was conducted with patients who completed the radiotherapy protocol and returned for clinical follow-up at the Hospital do Câncer II – RJ / INCA. Between September 2019 and February 2020, 17 patients were interviewed, aged between 33 and 85 years, excluding 7 for not meeting the criteria. The study revealed that the diagnosis and radiotherapy treatment of cervical cancer have a significant impact on the lives of women and their families, with varied experiences and perceptions among the patients. The research highlighted the importance of psychological and familial support in dealing with the consequences of the disease and treatment. Additionally, faith and spirituality play a crucial role in emotions and coping with the disease. Therefore, it is essential that strategies to improve these women’s quality of life include adequate psychological support and the involvement of qualified professionals.
Keywords:
Psychosocial Impact, Cervical Cancer, Radiotherapy.
Article Details
How to Cite
PADILHA, Cátia Martins leite et al.
PERCEPTION AND COPING OF PATIENTS UNDERGOING RADIOTHERAPY FOR CERVICAL CANCER.
Medical Research Archives, [S.l.], v. 12, n. 9, sep. 2024.
ISSN 2375-1924.
Available at: <https://esmed.org/MRA/mra/article/view/5851>. Date accessed: 21 dec. 2024.
doi: https://doi.org/10.18103/mra.v12i9.5851.
Section
Research Articles
The Medical Research Archives grants authors the right to publish and reproduce the unrevised contribution in whole or in part at any time and in any form for any scholarly non-commercial purpose with the condition that all publications of the contribution include a full citation to the journal as published by the Medical Research Archives.
References
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6. Stanley MA. Epithelial Cell Responses to Infection with Human Papillomavirus. Clin Microbiol Rev. 2012 Apr;25(2):215–222. PMCID: PMC3346303
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8. Padilha CML, Araújo Junior MLC, Souza SAL de. Cytopathologic evaluation of patients submitted to radiotherapy for uterine cervix cancer. Rev Assoc Médica Bras. 2017 Apr;63(4):379–385.
9. Rezende CN, Abreu DMX de, Lopes ÉAS, Santos A de F, Machado ATG da M. Pregnancy, cervical cancer and beast cancer as markers of primary care coordination. Interface - Comun Saúde Educ. UNESP; 2022 Jul 13;26:e220060.
10. Padilha CML, Araújo Junior MLC, Souza SAL de. Cytopathologic evaluation of patients submitted to radiotherapy for uterine cervix cancer. Rev Assoc Médica Bras. 2017 Apr;63(4):379–385.
11. Freitas VCAD, Nicolau AIO, Lima TM, Pinheiro AKB. Cytopathology of the uterine cervix and sample suitability: a randomized controlled clinical trial. Acta Paul Enferm. 2023 Apr 24;36:e APE00972.
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13. Pimentel NBL, Modesto FC, Lima VCGS, Oliveira AM de, Andrade KBS de, Fuly P dos SC, Santos MSC dos. Repercussões psicossociais do tratamento radioterápico para o câncer do colo uterino: uma abordagem qualitativa. Cogitare Enferm. Universidade Federal do Paraná; 2023 Feb 6;28:e 83874.
14. CML Padilha, Diré GD, Padilha Filh LG. Analysis of Actinic Effect after Radiotherapy in the Uterine Col Carcinomas. J Am Sci [Internet]. 2005;1(1). Available from: http://www.americanscience.org
15. Correia RA, Bonfim CVD, Ferreira DKDS, Furtado BMASM, Costa HVVD, Feitosa KMA, Santos SLD. Quality of life after treatment for cervical cancer. Esc Anna Nery [Internet]. 2018 Nov 8 [cited 2024 Aug 8];22(4). Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1414-81452018000400225&lng=en&tlng=en
16. Ye S, Yang J, Cao D, Lang J, Shen K. A systematic review of quality of life and sexual function of patients with cervical cancer after treatment. Int J Gynecol Cancer Off J Int Gynecol Cancer Soc. 2014 Sep;24(7):1146–1157. PMID: 25033255
17. Owen JE, Klapow JC, Hicken B, Tucker DC. Psychosocial interventions for cancer: review and analysis using a three-tiered outcomes model. Psychooncology. 2001;10(3):218–230. PMID: 11351374
18. Machado LCDS, Guimarães IMDO, Leão LCDS, Silva GG, Camargo Júnior EB. Anxiety and depression in cancer patients: association with clinical aspects and adherence to oncological treatment. Cogitare Enferm. 2024;29:e92059.
19. Silva JDDS, Almeida VCD, Corrêa EA. The Private World in the ICU: Analysis of the Hospitalization of Oncology Patientes. Psicol Ciênc E Prof. 2023;43:e255152.
20. Universidade de Lisboa. Faculdade de Psicologia de Ciências da Educação 295, Redondo PAA. A ansiedade em familiares cuidadores de doentes oncológicos : programa de intervenção cognitiva-comportamental. 2009 [cited 2024 Aug 8]; Available from: https://bdlb.bn.gov.br/acervo/handle/20.500.12156.3/190100
21. Pedrosa BRV, Martins WLL, Almeida HCR de, Kozmhinsky VM da R, Sabino M de FP de A, Oliveira KMM de. Parents’ knowledge about the oral health care of oncological children. RGO - Rev Gaúcha Odontol. Faculdade São Leopoldo Mandic; 2019 Apr 25;67:e2019008.
22. Trindade LF, Kolankiewicz ACB, Bandeira LR, Rodrigues CD, Zeitoune RCG, Loro MM. Praxis of family health teams in caring for cancer patients. Acta Paul Enferm. 2021 Nov 5;34:eAPE03054.
23. Schiavon AB, Muniz RM, Azevedo NA de, Cardoso DH, Matos MR, Arrieira ICO. Profissional da saúde frente a situação de ter um familiar em cuidados paliativos por câncer. Rev Gaúcha Enferm. Universidade Federal do Rio Grande do Sul. Escola de Enfermagem; 2016 Apr 12;37:e55080.
24. Sena EL da S, Carvalho PAL de, Reis HFT, Rocha MB. Family members’ perceptions on care given to people with advanced cancer stage. Texto Contexto - Enferm. Universidade Federal de Santa Catarina, Programa de Pós Graduação em Enfermagem; 2011 Dec;20:774–781.
25. Mozzato AR, Grzybovski D. Content Analysis as a Qualitative Data Analysis Technique in the Field of Administration: Potential and Challenges. RAC - Rev Adm Contemp. Associação Nacional de Pós-Graduação e Pesquisa em Administração; 2011;15(4):731–747.
26. Queiroz MDS. O desafio do conhecimento: pesquisa qualitativa em saúde. Cad Saúde Pública. 1992 Sep;8(3):342–344.
27. Mendes RM, Miskulin RGS. Content analysis as a methodology. Cad Pesqui. 2017 Jul;47(165): 1044–1066.
28. Santos TO dos, Pereira LP, Silveira DT. Implementation of health information systems: a systematic review. Fundação Oswaldo Cruz. Instituto de Comunicação e Informação Científica e Tecnológica em Saúde.; 2017 [cited 2023 Jun 19]; Available from: https://www.arca.fiocruz.br/handle/icict/22735
29. Vidal MLB. Late adverse effects subsequent to radiotherapy for cervical cancer in the bladder, rectum and sexual function. 2008;94–94.
30. Farinhas G, Wendling M, Lovato Dellazzana-Zanon L. Impacto psicológico do diagnóstico de câncer na família: um estudo de caso a partir da percepção do cuidador. 2013 Dec 1;17:111–129.
31. Almeida LHRBD, Pereira YBADS, Oliveira TAD. Radiotherapy: perception of women with cervical-uterine cancer. Rev Bras Enferm. 2008 Aug;61(4): 482–487.
32. Menezes ETT, Rodrigues RDS, Pontes L da S, Dias GA da S, Latorre GFS, Nunes EFC. Physiotherapeutic evaluation of pelvic floor dysfunctions resulting from cervical cancer treatment. Fisioter Bras. 2017;f: 189-I: 196.
33. Oliveira MSD, Fernandes AFC, Galvão MTG. Women living the experience of illness in the presence of cervical-uterine cancer. Acta Paul Enferm. 2005 Jun;18(2):150–155.
34. Araújo CRGD, Rosas AMMTF, Menezes HFD, Pinto ACS, Rodrigues BMRD. The phenomenon lived by women in nursing consultation in the gynecological brachytherapy. Texto Contexto - Enferm [Internet]. 2017 [cited 2024 Aug 8];26(2). Available from:
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0104-07072017000200335&lng=en&tlng=en
35. Silva RDND, Rosa LMD, Radünz V, Cesconetto D. Assessment and classification of vaginal stenosis in brachytherapy: instrument content validation for nurses. Texto Contexto - Enferm [Internet]. 2018 May 3 [cited 2024 Aug 8];27(2). Available from:
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0104-07072018000200314&lng=pt&tlng=pt
36. Blecha FP, Guedes MT dos S. Radiodermatitis treatment in cancer patients: support for nursing interventions. Rev Bras Cancerol. 2006 Jun 30;52 (2):151–163.
37. Barros DDO, Lopes RLM. Women with invasive cervical cancer: family support to help. Rev Bras Enferm. 2007 Jun;60(3):295–298.
38. Santos MCL, Pagliuca LMF, Fernandes AFC. Palliative care to the cancer patient: reflections according to Paterson and Zderad’s view. Rev Lat Am Enfermagem. Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo; 2007 Apr;15: 350–354.
39. Benites AC, Neme CMB, Santos MAD. Significance of spirituality for patients with cancer receiving palliative care. Estud Psicol Camp. 2017 Jun;34(2):269–279.
40. Carvalho MM. Psico-oncologia: história, características e desafios. Psicol USP. Instituto de Psicologia da Universidade de São Paulo; 2002;13: 151–166.
41. Neme CMB, Lipp MEN. Psychological stress and coping in women with and without cancer. Psicol Teor E Pesqui. 2010 Sep;26(3):475–483.
42. Guerrero GP, Zago MMF, Sawada NO, Pinto MH. Relationship between spirituality and cancer: patient’s perspective. Rev Bras Enferm. Associação Brasileira de Enfermagem; 2011 Feb; 64:53–59.
43. Mundt AJ, Lujan AE, Rotmensch J, Waggoner SE, Yamada SD, Fleming G, Roeske JC. Intensity-modulated whole pelvic radiotherapy in women with gynecologic malignancies. Int J Radiat Oncol Biol Phys. 2002 Apr 1;52(5):1330–1337. PMID: 11955746
44. Lopes VAS, Ribeiro JM. Limiting and facilitating factors for cervical cancer control: a literature review. Ciênc Saúde Coletiva. 2019 Sep; 24(9):3431–3442.
2. Medrado L, Lopes RM. Historical connections between cervical cancer screening policies and professional education in cytopathology in Brazil. Trab Educ e Saúde. 2023;21:e00969206.
3. Silva VCED, Zago MMF. The cancer diagnosis disclosure for the patient and healthcare professionals. Rev Bras Enferm. 2005 Aug;58(4):476–480.
4. Thuler LCS, Aguiar SSD, Bergmann A. Determinants of diagnosis in advanced stages of cervical cancer in Brazil. Rev Bras Ginecol e Obstetrícia. 2014 Jun;36(6):237–243.
5. Vieira YP, Viero VDSF, Vargas BL, Nunes GO, Machado KP, Neves RG, Saes MDO. Trends and inequalities in self-reported cervical cancer screening in Brazilian capitals from 2011 to 2020. Cad Saúde Pública. 2022;38(9):e00272921.
6. Stanley MA. Epithelial Cell Responses to Infection with Human Papillomavirus. Clin Microbiol Rev. 2012 Apr;25(2):215–222. PMCID: PMC3346303
7. Padilha CML, Filho LGP, Ferreira R da P, Souza SAL de. Analysis of the Clinical-Epidemiological Profile and Cytopathological Follow-Up of Women with Cervical Cancer Undergoing Radiotherapy. Med Res Arch [Internet]. 2023 Oct 25 [cited 2024 Aug 8];11(10). Available from: https://esmed.org/MRA/mra/article/view/4569
8. Padilha CML, Araújo Junior MLC, Souza SAL de. Cytopathologic evaluation of patients submitted to radiotherapy for uterine cervix cancer. Rev Assoc Médica Bras. 2017 Apr;63(4):379–385.
9. Rezende CN, Abreu DMX de, Lopes ÉAS, Santos A de F, Machado ATG da M. Pregnancy, cervical cancer and beast cancer as markers of primary care coordination. Interface - Comun Saúde Educ. UNESP; 2022 Jul 13;26:e220060.
10. Padilha CML, Araújo Junior MLC, Souza SAL de. Cytopathologic evaluation of patients submitted to radiotherapy for uterine cervix cancer. Rev Assoc Médica Bras. 2017 Apr;63(4):379–385.
11. Freitas VCAD, Nicolau AIO, Lima TM, Pinheiro AKB. Cytopathology of the uterine cervix and sample suitability: a randomized controlled clinical trial. Acta Paul Enferm. 2023 Apr 24;36:e APE00972.
12. Silva GAE, Alcantara LLDM, Tomazelli JG, Ribeiro CM, Girianelli VR, Santos ÉC, Claro IB, Almeida PFD, Lima LDD. Assessment of cervical cancer control actions in Brazil and regions based on data recorded in the Unified Health System. Cad Saúde Pública. 2022;38(7):e00041722.
13. Pimentel NBL, Modesto FC, Lima VCGS, Oliveira AM de, Andrade KBS de, Fuly P dos SC, Santos MSC dos. Repercussões psicossociais do tratamento radioterápico para o câncer do colo uterino: uma abordagem qualitativa. Cogitare Enferm. Universidade Federal do Paraná; 2023 Feb 6;28:e 83874.
14. CML Padilha, Diré GD, Padilha Filh LG. Analysis of Actinic Effect after Radiotherapy in the Uterine Col Carcinomas. J Am Sci [Internet]. 2005;1(1). Available from: http://www.americanscience.org
15. Correia RA, Bonfim CVD, Ferreira DKDS, Furtado BMASM, Costa HVVD, Feitosa KMA, Santos SLD. Quality of life after treatment for cervical cancer. Esc Anna Nery [Internet]. 2018 Nov 8 [cited 2024 Aug 8];22(4). Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1414-81452018000400225&lng=en&tlng=en
16. Ye S, Yang J, Cao D, Lang J, Shen K. A systematic review of quality of life and sexual function of patients with cervical cancer after treatment. Int J Gynecol Cancer Off J Int Gynecol Cancer Soc. 2014 Sep;24(7):1146–1157. PMID: 25033255
17. Owen JE, Klapow JC, Hicken B, Tucker DC. Psychosocial interventions for cancer: review and analysis using a three-tiered outcomes model. Psychooncology. 2001;10(3):218–230. PMID: 11351374
18. Machado LCDS, Guimarães IMDO, Leão LCDS, Silva GG, Camargo Júnior EB. Anxiety and depression in cancer patients: association with clinical aspects and adherence to oncological treatment. Cogitare Enferm. 2024;29:e92059.
19. Silva JDDS, Almeida VCD, Corrêa EA. The Private World in the ICU: Analysis of the Hospitalization of Oncology Patientes. Psicol Ciênc E Prof. 2023;43:e255152.
20. Universidade de Lisboa. Faculdade de Psicologia de Ciências da Educação 295, Redondo PAA. A ansiedade em familiares cuidadores de doentes oncológicos : programa de intervenção cognitiva-comportamental. 2009 [cited 2024 Aug 8]; Available from: https://bdlb.bn.gov.br/acervo/handle/20.500.12156.3/190100
21. Pedrosa BRV, Martins WLL, Almeida HCR de, Kozmhinsky VM da R, Sabino M de FP de A, Oliveira KMM de. Parents’ knowledge about the oral health care of oncological children. RGO - Rev Gaúcha Odontol. Faculdade São Leopoldo Mandic; 2019 Apr 25;67:e2019008.
22. Trindade LF, Kolankiewicz ACB, Bandeira LR, Rodrigues CD, Zeitoune RCG, Loro MM. Praxis of family health teams in caring for cancer patients. Acta Paul Enferm. 2021 Nov 5;34:eAPE03054.
23. Schiavon AB, Muniz RM, Azevedo NA de, Cardoso DH, Matos MR, Arrieira ICO. Profissional da saúde frente a situação de ter um familiar em cuidados paliativos por câncer. Rev Gaúcha Enferm. Universidade Federal do Rio Grande do Sul. Escola de Enfermagem; 2016 Apr 12;37:e55080.
24. Sena EL da S, Carvalho PAL de, Reis HFT, Rocha MB. Family members’ perceptions on care given to people with advanced cancer stage. Texto Contexto - Enferm. Universidade Federal de Santa Catarina, Programa de Pós Graduação em Enfermagem; 2011 Dec;20:774–781.
25. Mozzato AR, Grzybovski D. Content Analysis as a Qualitative Data Analysis Technique in the Field of Administration: Potential and Challenges. RAC - Rev Adm Contemp. Associação Nacional de Pós-Graduação e Pesquisa em Administração; 2011;15(4):731–747.
26. Queiroz MDS. O desafio do conhecimento: pesquisa qualitativa em saúde. Cad Saúde Pública. 1992 Sep;8(3):342–344.
27. Mendes RM, Miskulin RGS. Content analysis as a methodology. Cad Pesqui. 2017 Jul;47(165): 1044–1066.
28. Santos TO dos, Pereira LP, Silveira DT. Implementation of health information systems: a systematic review. Fundação Oswaldo Cruz. Instituto de Comunicação e Informação Científica e Tecnológica em Saúde.; 2017 [cited 2023 Jun 19]; Available from: https://www.arca.fiocruz.br/handle/icict/22735
29. Vidal MLB. Late adverse effects subsequent to radiotherapy for cervical cancer in the bladder, rectum and sexual function. 2008;94–94.
30. Farinhas G, Wendling M, Lovato Dellazzana-Zanon L. Impacto psicológico do diagnóstico de câncer na família: um estudo de caso a partir da percepção do cuidador. 2013 Dec 1;17:111–129.
31. Almeida LHRBD, Pereira YBADS, Oliveira TAD. Radiotherapy: perception of women with cervical-uterine cancer. Rev Bras Enferm. 2008 Aug;61(4): 482–487.
32. Menezes ETT, Rodrigues RDS, Pontes L da S, Dias GA da S, Latorre GFS, Nunes EFC. Physiotherapeutic evaluation of pelvic floor dysfunctions resulting from cervical cancer treatment. Fisioter Bras. 2017;f: 189-I: 196.
33. Oliveira MSD, Fernandes AFC, Galvão MTG. Women living the experience of illness in the presence of cervical-uterine cancer. Acta Paul Enferm. 2005 Jun;18(2):150–155.
34. Araújo CRGD, Rosas AMMTF, Menezes HFD, Pinto ACS, Rodrigues BMRD. The phenomenon lived by women in nursing consultation in the gynecological brachytherapy. Texto Contexto - Enferm [Internet]. 2017 [cited 2024 Aug 8];26(2). Available from:
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0104-07072017000200335&lng=en&tlng=en
35. Silva RDND, Rosa LMD, Radünz V, Cesconetto D. Assessment and classification of vaginal stenosis in brachytherapy: instrument content validation for nurses. Texto Contexto - Enferm [Internet]. 2018 May 3 [cited 2024 Aug 8];27(2). Available from:
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0104-07072018000200314&lng=pt&tlng=pt
36. Blecha FP, Guedes MT dos S. Radiodermatitis treatment in cancer patients: support for nursing interventions. Rev Bras Cancerol. 2006 Jun 30;52 (2):151–163.
37. Barros DDO, Lopes RLM. Women with invasive cervical cancer: family support to help. Rev Bras Enferm. 2007 Jun;60(3):295–298.
38. Santos MCL, Pagliuca LMF, Fernandes AFC. Palliative care to the cancer patient: reflections according to Paterson and Zderad’s view. Rev Lat Am Enfermagem. Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo; 2007 Apr;15: 350–354.
39. Benites AC, Neme CMB, Santos MAD. Significance of spirituality for patients with cancer receiving palliative care. Estud Psicol Camp. 2017 Jun;34(2):269–279.
40. Carvalho MM. Psico-oncologia: história, características e desafios. Psicol USP. Instituto de Psicologia da Universidade de São Paulo; 2002;13: 151–166.
41. Neme CMB, Lipp MEN. Psychological stress and coping in women with and without cancer. Psicol Teor E Pesqui. 2010 Sep;26(3):475–483.
42. Guerrero GP, Zago MMF, Sawada NO, Pinto MH. Relationship between spirituality and cancer: patient’s perspective. Rev Bras Enferm. Associação Brasileira de Enfermagem; 2011 Feb; 64:53–59.
43. Mundt AJ, Lujan AE, Rotmensch J, Waggoner SE, Yamada SD, Fleming G, Roeske JC. Intensity-modulated whole pelvic radiotherapy in women with gynecologic malignancies. Int J Radiat Oncol Biol Phys. 2002 Apr 1;52(5):1330–1337. PMID: 11955746
44. Lopes VAS, Ribeiro JM. Limiting and facilitating factors for cervical cancer control: a literature review. Ciênc Saúde Coletiva. 2019 Sep; 24(9):3431–3442.