Quality of life in patients with cancer of the head and neck
Qualidade de vida em pacientes com câncer na região de cabeça e pescoço
Angelo, Angelinne Ribeiro; Medeiros, Arnaldo Correia de; De Biase, Rita de Cássia Cavalcanti Gonçalves
Rev. odontol. UNESP, vol.39, n1, p.1-7, 2010
Abstract
Objective: Evaluate the quality of life (QOL) of patients with squamous cell carcinoma-SCC of the head and neck, treated at Hospital Napoleão Laureano (HNL), in the city of João Pessoa – PB. Material and method: The sample consisted of 41 patients, referred to PROMO (Multidisciplinary Dental Program applied to Oncology), during and after cancer treatment. UW-QOL quality of life questionnaires (4th version) were administered in the form of interview and the clinical and therapeutic demographic data of patients were collected from medical records. The quality of life domain of the questionnaire was correlated with the characteristics of patients through the Spearman correlation test (rs). Result: The location and stage of primary tumor showed correlation with the appearance, recreation, swallowing and anxiety domains. As for the stage and type of treatment, positive statistical correlations were found with the pain, saliva and anxiety. The stage of treatment and patients who had radiotherapy showed moderate correlation with the saliva domain. Chewing, saliva and speech were the most frequent complaints in the week preceding the interview. Conclusion: The chewing domain was the most affected, receiving the worse mean scores in relation to the characteristics of treated patients and despite the weaknesses in specific areas, in the overall assessment, most patients reported a quality of life between good and very good.
Keywords
Quality of life, head and neck neoplasms, UW-QOL.
Resumo
Objetivo: Avaliar a qualidade de vida (QV) de pacientes com carcinoma de células escamosas (CCE) na região de cabeça e pescoço atendidos no Hospital Napoleão Laureano – HNL, na cidade de João Pessoa – PB. Material e método: A amostra foi composta de 41 pacientes referidos ao Programa Multidisciplinar de Odontologia aplicado a Oncologia (PROMO), durante e após o tratamento oncológico. Os questionários de qualidade de vida da Universidade de Washington – UW-QOL (4ª Versão) foram aplicados na forma de entrevista e os dados demográficos, clínicos e terapêuticos dos pacientes foram coletados dos prontuários médicos. Os domínios de QV do questionário foram correlacionados com as características dos pacientes por meio do teste de correlação de Spearman (rs). Resultado: A localização e o estágio do tumor primário apresentaram correlação com os domínios aparência, recreação, deglutição e ansiedade. Quanto à fase e ao tipo de tratamento, correlações estatísticas foram encontradas com os domínios dor, saliva e ansiedade. A fase de tratamento e os pacientes submetidos à radioterapia apresentaram correlação moderada com o domínio saliva. Dificuldades com mastigação, saliva e fala foram as queixas mais frequentes na semana que antecedeu a entrevista. Conclusão: O domínio mastigação foi o mais afetado, recebendo as menores pontuações médias em relação às características dos pacientes avaliados, e, apesar das deficiências em domínios específicos, na avaliação global, a maioria dos pacientes relatou uma qualidade de vida entre boa e muito boa.
Palavras-chave
Qualidade de vida, neoplasmas de cabeça e pescoço, UW-QOL.
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