iGestSaúde: self-efficacy and quality of life in cancer patients, supported in the self-management of symptoms associated with chemotherapy
DOI:
https://doi.org/10.31877/on.2024.49.04Keywords:
Chemotherapy, Self Efficacy, Quality of Life, Self-Management, Oncology NursingAbstract
Introduction: Chemotherapy treatment can cause a set of adverse symptoms, with negative implications for the cancer patient´s well-being and quality of life, which can be minimized with-nurse-led interventions focused on promoting the self-management of these symptoms.
Objective: To assess the perception of self-efficacy and quality of life in cancer patients undergoing chemotherapy, supported in person and via telephone in the self-management of chemotherapy symptoms.
Method: This was a descriptive-correlational and longitudinal study with 51 cancer patients, followed up at three time points during the first month of chemotherapy treatment.
Results and discussion: The results indicate a good perception of self-efficacy and QoL throughout the first month of chemotherapy. Nausea and vomiting were the most harmful symptoms, especially in the first phase. The results also suggest that the guidelines for monitoring and self-management of symptoms given by nurses may have been positive for adaptation to chemotherapy.
Downloads
References
Brianna, Lee SH. Chemotherapy: how to reduce its adverse effects while maintaining the potency? Med Oncol [Internet]. 2023;40(3):1–13. Available from: https://doi.org/10.1007/ s12032-023-01954-6
Silveira FM, Wysocki AD, Mendez RDR, Pena SB, Santos EM dos, Malaguti-Toffano S, et al.. Impacto do tratamento quimioterápico na qualidade de vida de pacientes oncológicos. Acta paul enferm [Internet]. 2021;34:eAPE00583. Available from: https://doi.org/10.37689/acta-ape/2021AO00583
Nho JH, Reul Kim S, Nam JH. Symptom clustering and quality of life in patients with ovarian cancer undergoing chemotherapy. Eur J Oncol Nurs [Internet]. 2017;30:8–14. Available from: https://doi.org/10.1016/j.ejon.2017.07.007
Lorig KR, Holman H. Self-management education: history, definition, outcomes, and mechanisms. Ann Behav Med. 2003 Aug;26(1):1-7. doi: 10.1207/S15324796ABM2601_01. PMID: 12867348.
Gomes NC, Santos CS, Jesus MM, Henriques A. Eficácia das intervenções de enfermagem na recuperação pós-operatória de pessoas com cancro gástrico: revisão sistemática literatura. Revista de Enfermagem Referência [Internet]. 2016;IV(11):111-119. Recuperado de: https://www.redalyc. org/articulo.oa?id=38824957000
Huang FF, Yang Q, Wang AN, Zhang JP. Psychometric properties and performance of existing self-efficacy instruments in cancer populations: a systematic review. Health Qual Life Outcomes. 2018 Dec 27;16(1):241. doi: 10.1186/s12955-018-1066-9.
Huang Q, Wu F, Zhang W, Stinson J, Yang Y, Yuan C. Risk factors for low self-care self-efficacy in cancer survivors: Application of latent profile analysis. Nurs Open. 2022 May;9(3):1805-1814. doi: 10.1002/nop2.926. Epub 2021 May 18. PMID: 34003608; PMCID: PMC8994965.
Almeida A, Martins T, Lima L. Patient-Reported Outcomes in Sarcoma: A scoping review. Eur J Oncol Nurs. 2021 Feb;50:101897. doi: 10.1016/j.ejon.2021.101897. Epub 2021 Jan 12. PMID: 33476977.
Lewandowska A, Rudzki G, Lewandowski T, Próchnicki M, Rudzki S, Laskowska B, Brudniak J. Quality of Life of Cancer Patients Treated with Chemotherapy. Int J Environ Res Public Health. 2020 Sep 23;17(19):6938. doi: 10.3390/ ijerph17196938.
Ramasubbu SK, Pasricha RK, Nath UK, Rawat VS, Das B. Quality of life and factors affecting it in adult cancer patients undergoing cancer chemotherapy in a tertiary care hospital. Cancer Rep (Hoboken). 2021 Apr;4(2):e1312. doi: 10.1002/ cnr2.1312. Epub 2020 Dec 9. PMID: 33295136; PMCID: PMC8451381.
Magalhães B. Autogestão dos sintomas associados ao tratamento da quimioterapia na pessoa com doença oncológica. [Tese de Doutoramento]. Universidad de Jaén; 2020. Repositório Científico de Acesso Aberto. Available from: http://ruja.ujaen.es/bitstream/10953/1061/1/Tesis PhD.pdf
Richard A, Shea K. Delineation of self-care and associated concepts. J Nurs Scholarsh. 2011 Sep;43(3):255-64. doi: 10.1111/j.1547-5069.2011.01404.x. Epub 2011 Jul 25. PMID: 21884371.
Magalhães B, Fernandes C, Martinez-Galiano JM, Santos C. Exploring the use of Mobile applications by cancer patients undergoing chemotherapy: A scoping review. Int J Med Inform. 2020 Dec;144:104293. doi: 10.1016/j. ijmedinf.2020.104293. Epub 2020 Oct 6. PMID: 33091832.
Fernandes CS, Magalhães B, Santos C,Galiano JM. IGestSaúde a mobile application for the self-management of symptoms associated with chemotherapy treatment: Development protocol. Nursing Practice Today. 2021;8(2):146-54.
Magalhães, B., Fernandes, C, Santos, C., Lima, L., Martínez- Galiano, J. Autogestão das complicações associadas ao tratamento de quimioterapia: uma scoping review. J Health NPEPS. 2019, 4 (2), 370-404. doi: http://dx.doi. org/10.30681/252610103722.
Fernandes, C. S., Magalhães, B. M. B. S., Santos, C. B. & Galiano, J. M. M. A caminhada como intervenção durante a quimioterapia: revisão integrativa. Rev Enferm Ref. 2018 IV (17), 119-130. Retirado de http://dx.doi.org/10.12707/ RIV17068.
U.S. Department of Health and Human Services. Common Terminology Criteria for Adverse Events (CTCAE) v.5.0. Cancer Ther Eval Progr [Internet]. 2017;155. Available from: https://ctep.cancer.gov/protocoldevelopment/electronic_applications/docs/ctcae_v5_quick_reference_5x7.pdf
Sousa C, Magalhães B, Rafael M, Fernandes C, Santos C. IGestsaúde – A Autogestão Dos Sintomas Na Pessoa Em Tratamento De Quimioterapia: Um Estudo De Consensos. Onco.news. 2021;(43):38–49. http://dx.doi.org/10.31877/ on.2021.43.04.
Moretto IG, Contim CLV, Santo FH do E. Acompanhamento por telefone como intervenção de enfermagem a pacientes em quimioterapia ambulatorial: revisão integrativa TT - Seguimiento por teléfono como intervención de enfermería en pacientes en quimioterapia ambulatorial: revisión integrativa TT -. Rev Gaúch Enferm [Internet]. 2019;40:e20190039–e20190039. Disponível em:
http:// www.revenf.bvs.br/scielo.php?script=sci_arttext&%0Apid =S1983-14472019000100507
Kwok C, Degen C, Moradi N, Stacey D. Nurse-led telehealth interventions for symptom management in patients with cancer receiving systemic or radiation therapy: a systematic review and meta-analysis. Support Care Cancer [Internet]. 2022;30(9):7119–32.
Disponível em: https://doi. org/10.1007/s00520-022-07052-z
Sbicigo JB, Teixeira MAP, Dias ACG, Dell’Aglio DD. Propriedades Psicométricas da Escala de Autoeficácia Geral Percebida (EAGP). Psico [Internet]. 16o de julho de 2012 [citado 10o de maio de 2024];43(2).
Disponível em: https:// revistaseletronicas.pucrs.br/ojs/index.php/revistapsico/ article/view/11691
Souza ME. Validação da Escala de Autoeficácia Geral Percebida. Rev Univ Rural Sér Ciências Humanas. 2014;26(1–2):12–7.
Ribeiro JLP, Pinto C, Santos C. Validation study of the portuguese version of the QLC-C30-V.3. Psicol Saúde Doenças. 2008;9(1):89–102.
Merluzzi TV, Pustejovsky JE, Philip EJ, Sohl SJ, Berendsen M, Salsman JM. Interventions to enhance self-efficacy in cancer patients: A meta-analysis of randomized controlled trials. Psychooncology. 2019 Sep;28(9):1781-1790. doi: 10.1002/ pon.5148. Epub 2019 Jul 9. PMID: 31206917; PMCID: PMC6731146.
Salvetti M de G, Machado CSP, Donato SCT, Silva AM da. Prevalence of symptoms and quality of life of cancer patients. Rev Bras Enferm [Internet]. 2020;73(2):e20180287.
Available from: https://doi.org/10.1590/0034-7167-2018-0287
Moreira DP, Simino GPR, Reis IA, Santos MADC, Cherchiglia ML. Quality of life of patients with cancer undergoing chemotherapy in hospitals in Belo Horizonte, Minas Gerais State, Brazil: does individual characteristics matter? Cad Saude Publica. 2021 Sep 15;37(8):e00002220.
doi: 10.1590/0102-311X00002220. PMID: 34550177.
M.A. D, B.R. H, G.H. L. Management of chemotherapy-induced neutropenia: Measuring quality, cost, and value. JNCCN J Natl Compr Cancer Netw [Internet]. 2015;13(1):e1–7. Available from: http://www.embase.com/search/results?subaction=vie wrecord&from=export&id=L601627146
Calixto-Lima, L., Andrade, M. E., Gomes, A. P., Geller, M. & Siqueira-Batista, R. Dietetic management in gastrointestinal complications from antimalignant chemotherapy. Nutricion Hospitalaria. 2012, 27 (1), 65-75. doi: 10.1590/S0212-16112012000100008 Disponível em: http://search. ebscohost.com/login.aspx?direct=true&db=mnh&AN=225663 05&lang=pt-br&site=ehost-live.
Berger MJ, Ettinger DS, Aston J, Barbour S, Bergsbaken J, Bierman PJ, Brandt D, Dolan DE, Ellis G, Kim EJ, Kirkegaard S, Kloth DD, Lagman R, Lim D, Loprinzi C, Ma CX, Maurer V, Michaud LB, Nabell LM, Noonan K, Roeland E, Rugo HS, Schwartzberg LS, Scullion B, Timoney J, Todaro B, Urba SG, Shead DA, Hughes M. NCCN Guidelines Insights: Antiemesis, Version 2.2017. J Natl Compr Canc Netw. 2017 Jul;15(7):883- 893. doi: 10.6004/jnccn.2017.0117. PMID: 28687576.
Azevedo PR de, Sousa MM de, Souza NF de, Oliveira SH dos S. Health education shares in the context of chronic diseases: integrative review / Ações de educação em saúde no contexto das doenças crônicas: revisão integrativa. Rev. Pesqui. (Univ. Fed. Estado Rio J., Online) [Internet]. 9o de janeiro de 2018 [citado 10o de maio de 2024];10(1):260-7. Disponível em: https://seer.unirio.br/cuidadofundamental/article/view/5013
Magalhaes B, Fernandes C, Santos C, Galiano JM. iGestSaúde: Application for self-management of symptoms during chemotherapy treatment. Ann Oncol [Internet]. 2019;30(October):v821.
Disponível em: https://doi. org/10.1093/annonc/mdz272.018
Santos C, Lima L. Autogestão na doença oncológica: Contributos para as intervenções de enfermagem. In: Magalhães B, Galvão A, eds. Cuidar em oncologia. Lisboa: Euromédice; 2022. p. 105-120.
Cloß K, Verket M, Müller-Wieland D, Marx N, Schuett K, Jost E, Crysandt M, Beier F, Brümmendorf TH, Kobbe G, Brandts J, Jacobsen M. Application of wearables for remote monitoring of oncology patients: A scoping review. Digit Health. 2024 Mar 5;10:20552076241233998. doi: 10.1177/20552076241233998. PMID: 38481796; PMCID: PMC10933580.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Lígia Lima, Bruno Magalhães, Carla Fernandes, Carla Sousa, Carla Rafael, Célia Santos
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
(CINAHL Ultimate database)
