Sawada Namie Okino, Nicolussi Adriana Cristina, de Paula Juliana Maria, Garcia-Caro Maria Paz, Marti-Garcia Celia, Cruz-Quintana Francisco
Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil.
Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, SP, Brazil.
Rev Lat Am Enfermagem. 2016;24:e2688. doi: 10.1590/1518-8345.0564.2688. Epub 2016 May 17.
characterize the scientific production of Brazil and Spain in regard to methodological aspects and aspects of health-related quality of life experienced by cancer patients receiving chemotherapy in both countries.
integrative literature review was conducted using the following databases: CINAHL, MEDLINE, SCOPUS and CUIDEN and the electronic libraries PubMed and SciELO, conducted in September 2013.
a total of 28 papers met the inclusion criteria. The synthesis of knowledge was presented in three categories of analysis: assessment of quality of life in different types of cancer; sociodemographic factors that influenced quality of life; and type of cancer and interventions that improve quality of life. Chemotherapy affects health-related quality of life and the most important factors were: age, sex, chemotherapy protocol, type of surgery, stage of the disease, educational level, and emotional intelligence. Complementary therapies such as acupuncture, guided visualization, prayers and exercise were positive and reduced side effects.
the results showed a poor level of evidence, since 86% of the studies were cross-sectional descriptive studies; the instrument most frequently used to measure health-related quality of life was EORTC QLQ C-30 and more studies were conducted in Brazil than in Spain.
从方法学方面以及两国接受化疗的癌症患者所经历的健康相关生活质量方面,描述巴西和西班牙的科研成果。
2013年9月,使用以下数据库进行综合文献综述:护理学与健康领域数据库(CINAHL)、医学索引数据库(MEDLINE)、Scopus数据库、护理及卫生领域文献数据库(CUIDEN)以及电子图书馆PubMed和科学电子图书馆在线(SciELO)。
共有28篇论文符合纳入标准。知识综合呈现于三类分析中:不同类型癌症的生活质量评估;影响生活质量的社会人口学因素;癌症类型及改善生活质量的干预措施。化疗会影响健康相关生活质量,最重要的因素包括:年龄、性别、化疗方案、手术类型、疾病阶段、教育水平和情商。针灸、引导式想象、祈祷和锻炼等辅助疗法效果良好且能减轻副作用。
结果显示证据水平较低,因为86%的研究为横断面描述性研究;最常用于测量健康相关生活质量的工具是欧洲癌症研究与治疗组织生活质量核心问卷(EORTC QLQ C-30),且巴西开展的研究比西班牙更多。