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      Itinerário percorrido pelas mulheres na descoberta do câncer Translated title: Camino recorrido por las mujeres en la descubierta del cáncer Translated title: The journey experienced by women through a cancer diagnosis

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          Abstract

          Este estudo se propõe a desvelar o itinerário vivenciado pelas mulheres no processo de descoberta do diagnóstico de câncer. Como estratégia teórico-metodológica, foram utilizados o Interacionismo Simbólico e a Grounded Theory. Foram informantes do estudo 20 indivíduos 10 mulheres portadoras de câncer e seus respectivos familiares significantes. Os resultados mostram desde o momento em que elas vivenciam as primeiras percepções sobre a alteração fisiológica em seu corpo, passando pela busca de ajuda profissional, até o recebimento do diagnóstico de câncer. O itinerário apresentado permite conhecer aspectos da realidade experienciada anteriormente ao recebimento do diagnóstico e ressalta a importância de os profissionais valorizarem mais as queixas das pessoas que os procuram, percebendo que se esta procura aconteceu é porque a pessoa está preocupada. Esta atitude pode favorecer a identificação precoce do problema e, por conseguinte, garantir melhor prognóstico e qualidade de vida.

          Translated abstract

          Este estudio propone revelar el camino vivido por las mujeres en el proceso de descubierta del diagnóstico de cáncer. Como estrategia teórico-metodológica fueron utilizados el Interaccionismo Simbólico y la Grounded Theory. Fueron investigados durante el estudio 20 individuos 10 mujeres portadoras de cáncer y sus respectivos familiares próximos. Los resultados muestran desde el momento en que ellas notan las primeras diferencias sobre la alteración fisiológica en su cuerpo, pasando por la búsqueda de ayuda profesional hasta el recibimiento del diagnóstico de cáncer. El camino presentado permite conocer aspectos de la realidad vivida anteriormente al recibimiento del diagnóstico y resalta la importancia de que los profesionales valoren más las quejas de las personas que los buscan, percibiendo que si esta búsqueda ocurrió es porque la persona está preocupada. Esta actitud puede facilitar la identificación precoz del problema y, por consiguiente, garantizar un mejor pronóstico y una mejor calidad de vida.

          Translated abstract

          This study intends to reveal the journey experienced by women in the process of facing a cancer diagnosis. Symbolic Interactionism and Grounded Theory were used as theoretical-methodological strategies. Twenty individuals took part in the study - 10 female cancer bearers and their respective significant others. The results are described starting from the moment they experience their first perceptions of the physiologic changes in their bodies, through the search for professional help, to the acknowledgement of a cancer diagnosis. The given itinerary presents aspects of the patients' reality prior to the diagnosis, and emphasizes the importance of professionals giving more credence to the complaints of patients who seek them if the patient made an appointment, it is because that person is concerned. This attitude can promote the early identification of the problem, and consequently guarantee a better prognosis and quality of life.

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          O viver em família e sua interface com a saúde e a doença

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            The Discovery of Grounded Theory: Strategies for Qualitative Research

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              Psychiatric disorder in women with early stage and advanced breast cancer: a comparative analysis.

              To assess psychosocial morbidity in women with breast cancer and to compare the differential rates between women with early stage and advanced disease. In this report, 303 women with early stage breast cancer, psychiatrically assessed at baseline (as part of a study of cognitive-existential group therapy during adjuvant chemotherapy), are compared with 200 women with advanced breast cancer (similarly assessed in a trial of supportive-expressive group therapy). A structured psychiatric interview plus self-report measures were used to assess psychiatric morbidity, quality of life and cognitive attitude to cancer. The early stage patients, whose mean age was 46 years, were on average 3 months post-surgery and had an overall prevalence of DSM-IV psychiatric diagnosis of 45%. The metastatic patients, whose mean age was 51 years, were on average 63 months post-primary diagnosis and had an overall prevalence of DSM-IV diagnosis of 42%; the difference between the two rates was not statistically significant. Of women with early stage breast cancer, 36.7% had mood disorders, 9.6% suffering from major depression and 27.1% from minor depression. In the metastatic sample 31% had mood disorders, 6.5% having major depression and 24.5% with minor depression. Anxiety disorders were present in 8.6% of the early stage group and 6% of women with advanced disease. Fatigue, a past history of depression, and cognitive attitudes of helplessness, hopelessness or resignation were significantly associated with depression in both groups. The women from the metastatic sample were significantly less distressed by hair loss but more dissatisfied with body image, and had higher rates of lymphoedema and hot flushes than the early stage women. The rates of psychosocial distress are high, and similar, across patients with both early and advanced stage breast cancer, although the illness related causes of distress are different. These data present a challenge to clinical services to provide a comprehensive range of support services to ameliorate this distress.
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                Author and article information

                Journal
                ean
                Escola Anna Nery
                Esc. Anna Nery
                Universidade Federal do Rio de Janeiro (, RJ, Brazil )
                1414-8145
                2177-9465
                September 2009
                : 13
                : 3
                : 558-566
                Affiliations
                [02] orgnameUniversidade Estadual de Maringá orgdiv1Departamento de Enfermagem
                [01] orgnameUniversidade Estadual de Maringá
                Article
                S1414-81452009000300015 S1414-8145(09)01300315
                10.1590/S1414-81452009000300015
                fa6d3220-adfe-4ce8-8131-eb02ab333903

                This work is licensed under a Creative Commons Attribution 4.0 International License.

                History
                : 20 June 2008
                : 01 May 2009
                : 18 March 2009
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 20, Pages: 9
                Product

                SciELO Revista de Enfermagem

                Categories
                Pesquisa

                Women,Diagnóstico,Enfermería oncológica,Neoplasias,Mulheres,Família,Enfermagem Oncológica,Neoplasms,Family,Diagnosis,Oncology nursing,Mujeres,Familia

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