Quality of life assessment of patients undergoing palliative chemotherapy.

Ana Amélia Belmiro, Dirce Guilhem
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Abstract

Background: Palliative chemotherapy uses systemic antineoplastic agents to treat an incurable malignancy. The results of cancer treatment need to be measured in terms of what physical and psychological limitations it brings to the patient. Therefore, there is a need to evaluate and establish the impact of the disease and its treatment on the patient's quality of life.

Objective: To evaluate the quality of life of cancer patients undergoing palliative antineoplastic chemotherapy.

Method: A cross-sectional study with quali-quantitative unfolding. Three research instruments were applied: sociodemographic and clinical data; European Organization for Research and Treatment of Cancer quality of life questionnaire (EORTC QLQ-C30); interview script with predefined open questions.

Results: The quality of life of the participants was considered good. Fatigue and financial difficulty were the main factors that interfered in daily activities. Three analytical categories emerged from the content analysis of the interviews: communication between the health team and the patient; patient's perception of their health/disease; concerns vs prospects.

Conclusion: The evaluation of quality of life for people who are at the end of life needs to balance technological and therapeutic advances, alongside aspects such as the perspective of these patients and the context of their lives.

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姑息性化疗患者的生活质量评估。
背景:姑息性化疗使用全身抗肿瘤药物来治疗无法治愈的恶性肿瘤。癌症治疗的结果需要根据它给患者带来的身体和心理限制来衡量。因此,有必要评估和确定该疾病及其治疗对患者生活质量的影响。目的:评价癌症姑息性抗肿瘤化疗患者的生活质量。方法:采用quali定量展开法进行横断面研究。应用了三种研究工具:社会人口统计和临床数据;欧洲癌症研究与治疗组织生活质量问卷(EORTC QLQ-C30);带有预定义开放式问题的面试脚本。结果:参与者的生活质量被认为是良好的。疲劳和经济困难是干扰日常活动的主要因素。访谈的内容分析产生了三个分析类别:卫生团队与患者之间的沟通;患者对其健康/疾病的认知;关注与前景。结论:评估生命末期患者的生活质量需要平衡技术和治疗进展,以及这些患者的视角和生活背景等方面。
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