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      Vivir con cáncer: una experiencia de cambios profundos provocados por la quimioterapia Translated title: Living with Cancer: An Experience of Profound Changes Brought on by Chemotherapy Translated title: Viver com câncer: uma experiência de mudanças profundas provocadas pela quimioterapia

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          Abstract

          Objetivo: develar las experiencias de mujeres chilenas con cáncer en tratamiento con quimioterapia. Materiales y método: estudio de investigación cualitativa fenomenológica según el pensamiento filosófico de Martín Heidegger. Se entrevistaron en profundidad a 10 mujeres entre 45 y 64 años, con diferentes diagnósticos de cáncer en tratamiento con quimioterapia. El análisis se realizó basado en el método de Streubert y Carpenter, triangulando con un investigador experto. Resultados: la experiencia de vivir con cáncer y con quimioterapia significa estar "viviendo con un tratamiento que provoca cambios profundos en la vida de las mujeres", siendo esta una categoría comprensiva esencial del estudio que contiene cuatro unidades de significados: 1) cambios en todas las dimensiones del "ser" de las mujeres tanto a nivel corporal como emocional y espiritual; 2) cambios en el "ser-sí-misma": antes y durante la quimioterapia; 3) cambios de "ser" en el mundo; 4) cambios en la familia. Conclusiones: la comprensión en profundidad de lo vivido por las mujeres de este estudio confirma lo publicado en la literatura, y se constituye en un saber comprensivo que puede servir de guía para realizar cuidados de enfermería oncológicos humanos y personalizados basados en las necesidades de cada persona.

          Translated abstract

          Objective: To show the experiences of Chilean women with cancer who are undergoing chemotherapy. Materials and methods: This is a phenomenological qualitative study developed pursuant to the philosophical thinking of Martin Heidegger. In-depth interviews were conducted with 10 women between 45 and 64 years of age who have been diagnosed with different types of cancer and are undergoing chemotherapy. The analysis was based on the Streubert-Carpenter method and triangulated by a practiced researcher. Results: The experience of living with cancer and chemotherapy means "living with a treatment that causes profound changes in women's lives," this being an essential, comprehensive category of the study that contains four units of meaning: 1) changes in all the dimensions of "being" a woman; that is, at the corporal, emotional and spiritual level, 2) changes in "being oneself" before and during chemotherapy, 3) changes to "being" in the world, and 4) changes in the family. Conclusions: An in-depth understanding of the experiences of the women in this study confirms the reports in literature and constitutes a comprehensive body of knowledge that can serve as a guide to humane and tailored cancer nursing care based on each person's needs.

          Translated abstract

          Objetivo: revelar as experiências de mulheres chilenas com câncer em tratamento com quimioterapia. Materiais e método: estudo de pesquisa qualitativa fenomenológica segundo o pensamento filosófico de Martín Heidegger. Entrevistaram-se em profundidade 10 mulheres entre 45 e 64 anos, com diferentes diagnósticos de câncer em tratamento com quimioterapia. A análise foi realizada com base no método de Streubert e Carpenter, e triangulada com um pesquisador especialista. Resultados: a experiência de viver com câncer e com quimioterapia significa estar "vivendo com um tratamento que provoca mudanças profundas na vida das mulheres", e esta é uma categoria compreensiva essencial do estudo que contém quatro unidades de significados: 1) mudanças em todas as dimensões do "ser" das mulheres, tanto corporal quanto emocional e espiritualmente; 2) mudanças no "ser-si-mesma": antes e durante a quimioterapia; 3) mudanças de "ser" no mundo; 4) mudanças na família. Conclusões: a compreensão em profundidade do vivido pelas mulheres deste estudo confirma o publicado na literatura e constitui-se em um saber compreensivo que pode servir de guia para realizar cuidados de enfermagem oncológicos humanos e personalizados baseados nas necessidades de cada pessoa.

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          Coping with breast cancer in newly diagnosed Iranian women.

          This paper reports a study exploring how Iranian women coped with newly diagnosed breast cancer and provides a foundation for cultural-based care. Although research has indicated that coping strategies are associated with adaptation to breast cancer, and despite the number of women with newly diagnosed breast cancer increasing each year, there is no information on how Iranian women cope with breast cancer when compared with women of other cultures. In this qualitative study, 19 women with newly diagnosed breast cancer were interviewed during the period May-September 2004 about coping with their disease. Interviews were analysed using a content analysis method. The main themes emerging from this qualitative study included coping using a religious approach (acceptance of disease as God's will; spiritual fighting), thinking about the disease (positive thinking: positive suggestion, hope, intentional forgetfulness; negative thinking: hopelessness, fear, impaired body image), accepting the fact of the disease (active acceptance; passive acceptance), social and cultural factors and finally finding support from significant others. Understanding how Iranian women cope with diagnosis of breast cancer is important to nurses involved in the process of healing. The majority of strategies used by Iranian women were positive, and religious faith played a major role in this. The findings of the study can be used to design a nursing approach to improve successful coping in Iranian women suffering from breast cancer, and can provide nurses and other healthcare professionals with deeper understanding of these women as they face this diagnosis.
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            Emotional distress in cancer patients: the Edinburgh Cancer Centre symptom study

            To: (1) estimate the prevalence of clinically significant emotional distress in patients attending a cancer outpatient department and (2) determine the associations between distress and demographic and clinical variables, we conducted a survey of outpatients attending selected clinics of a regional cancer centre in Edinburgh, UK. Patients completed the Hospital Anxiety and Depression Scale (HADS) on touch-screen computers and the scores were linked to clinical variables on the hospital database. Nearly one quarter of the cancer outpatients 674 out of 3071 (22%; 95% confidence interval (CI) 20–23%) met our criterion for clinically significant emotional distress (total HADS score 15 or more). Univariate analysis identified the following statistically significant associations: age <65, female gender, cancer type and extent of disease. Multivariate analysis indicated that age <65 (odds ratio 1.41; 95% CI 1.18–1.69), female gender (odds ratio 1.58; 95% CI 1.31–1.92) and active disease (odds ratio 1.72; 95% CI 1.43–2.05) but not cancer diagnosis, were the independent predictors of clinically significant emotional distress. Services to treat distress in cancer patients should be organised to target patients by characteristics other than their cancer diagnosis.
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              Prevalence of psychological distress and use of support services by cancer patients at Sydney hospitals.

              The study aimed to estimate the prevalence of anxiety and depression within a cross section of cancer patients in the Sydney region, and to assess the use of and degree of satisfaction with available support services. A survey was conducted at oncology outpatient departments of four Sydney hospitals. Participants completed the Hospital Anxiety and Depression Scale (HADS) and a questionnaire seeking information on their use of patient support services, as well as demographic and clinical information. A total of 504 valid questionnaires were returned. Using a cut-off score of 11 on the HADS, the prevalence of clinically significant anxiety and depression was 11.5% and 7.1% respectively; 17% of patients had received individual counselling while 6.5% had attended support groups. The majority of patients who had attended counselling or support groups reported them to have been 'extremely' or 'reasonably' helpful (86% and 83% respectively). Of the patients who were experiencing clinically significant anxiety or depression, 75% had not received any counselling or psychological treatment. The main factors which predicted clinically significant anxiety or depression were: restricted activity levels, advanced disease, a non-English-speaking background and being female. While the prevalence of clinically significant anxiety or depression detected by the HADS was reasonably low, a substantial number of possible cases were identified. The majority of affected patients were not accessing counselling or psychological treatment. Systematic screening of oncology patients at hospital entry might enable more immediate identification of clinically affected patients, who could then be referred for further testing or psychological treatment.
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                Author and article information

                Contributors
                Role: ND
                Role: ND
                Journal
                aqui
                Aquichán
                Aquichán
                Universidad de La Sabana (Bogotá )
                1657-5997
                March 2014
                : 14
                : 1
                : 20-31
                Affiliations
                [1 ] Pontificia Universidad Católica de Chile Chile
                [2 ] Pontificia Universidad Católica de Chile Chile
                Article
                S1657-59972014000100003
                10.5294/aqui.2014.14.1.2
                df52dbd8-0ed7-471a-bcd9-7c19cb027135

                http://creativecommons.org/licenses/by/4.0/

                History
                Product

                SciELO Colombia

                Self URI (journal page): http://www.scielo.org.co/scielo.php?script=sci_serial&pid=1657-5997&lng=en
                Categories
                NURSING

                Nursing
                Drug therapy,women's health,neoplasms,medical oncology,nursing,Quimioterapia,saúde da mulher,neoplasias,oncologia,enfermagem,salud de la mujer,oncología médica,enfermería

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