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与接受放射治疗的女性生活质量相关的因素。

Factors associated with the quality of life of women undergoing radiotherapy.

机构信息

Universidade Federal do Pará (UFPA), Faculdade de Enfermagem. Belém, Pará, Brasil.

Universidade Federal do Pará (UFPA), Complexo Hospitalar Universitário. Belém, Pará, Brasil.

出版信息

Rev Gaucha Enferm. 2024 Feb 12;45:e20230062. doi: 10.1590/1983-1447.2024.20230062.en. eCollection 2024.

DOI:10.1590/1983-1447.2024.20230062.en
PMID:38359280
Abstract

OBJECTIVE

To evaluate the skin characteristics and quality of life of patients with breast cancer undergoing radiotherapy.

METHOD

Cross-sectional study conducted with 60 women. The classification scales of skin changes resulting from exposure to ionizing radiation (RTOG) and the validated versions in Portuguese of those that classified skin types (Fitzpatrick), symptoms (RISRAS) and quality of life (DLQI) were applied. in the period between December 2021 and October 2022. For data analysis, Fisher's Exact Test, Chi-Square and Asymptotic General Independence Test were used.

RESULTS

100% of patients had skin irritation. As the treatment progressed and the radiodermatitis appeared or worsened, there was a tendency for the intensity of signs and symptoms to increase, such as: sensitivity, discomfort or pain, itching, burning and heat, dry and wet desquamation, which may have impacted the quality of life and reflected in other aspects, such as: shopping activities or outings (p=0.0020), social activities or leisure activities (p=0.0420).

CONCLUSION

Radiodermatitis is a common condition that affects women with breast cancer undergoing radiotherapy, skin characteristics and quality of life of patients affected during this treatment.

摘要

目的

评估接受放疗的乳腺癌患者的皮肤特征和生活质量。

方法

横断面研究纳入 60 名女性。应用皮肤对电离辐射变化分类量表(RTOG)和已验证的皮肤类型(Fitzpatrick)、症状(RISRAS)和生活质量(DLQI)的葡萄牙语版本对皮肤变化进行分类。研究于 2021 年 12 月至 2022 年 10 月期间进行。数据分析采用 Fisher 精确检验、卡方检验和渐近独立性检验。

结果

100%的患者出现皮肤刺激。随着治疗的进展和放射性皮炎的出现或恶化,体征和症状的强度呈增加趋势,如:敏感性、不适或疼痛、瘙痒、烧灼感和热感、干燥和湿润脱皮,这可能影响了生活质量,并在其他方面反映出来,如:购物活动或外出(p=0.0020)、社交活动或休闲活动(p=0.0420)。

结论

放射性皮炎是接受放疗的乳腺癌女性常见的疾病,会影响患者在治疗过程中的皮肤特征和生活质量。

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