Sinski Kassiano Carlos, Ferreira Gabrielli de Souza, Machado Thaís Daniela Cavalaro Santos, Zamboni Yndaiá, Batista Juliana Hirt, Sawada Namie Okino, Pitilin Érica de Brito, Pedroso Andrey Oeiras, Dantas Rosana Aparecida Spadoti, Conceição Vander Monteiro da
Department of Nursing, Federal University of Fronteira Sul, Chapecó 89815-899, SC, Brazil.
Department of Oncology, West Regional Hospital, Chapecó 89812-505, SC, Brazil.
Healthcare (Basel). 2025 Sep 16;13(18):2317. doi: 10.3390/healthcare13182317.
: Cancer is one of the evils of the current era and is considered a global public health problem. This disease has repercussions for the lives of patients in several dimensions, namely, physical, emotional, and psychosocial. Thus, it is believed that elements such as resilience, symptomatology, and self-care are related, as the disease and its treatments can have repercussions that extend beyond the clinic. : We aimed to determine the relationship between symptom clusters and the mindful self-care of people with cancer in palliative care. : This is a cross-sectional study conducted with 125 palliative care patients diagnosed with malignant neoplasms. The research was carried out at a reference hospital in Brazil, located in the western region of the state of Santa Catarina, specializing in antineoplastic treatment. The data were collected between May and August 2023 from hospitalized patients. Three instruments were employed to obtain data: a sociodemographic and clinical data questionnaire, the Edmonton Symptom Assessment Scale (ESAS-BR), and the Mindful Self-Care Scale (MSCS). For data analysis, descriptive statistics were used to characterize the participants, Student's T-test was used for the other parametric tests, and variables with statistical evidence were selected for a linear regression model. : A statistically significant association was found between mindful self-care and symptoms of pain, tiredness, drowsiness, shortness of breath, depression, and malaise, with sleepiness being the only predictor of changes in this variable. : Mindful self-care influences patients' experience of symptoms, especially drowsiness, which predicts changes in self-care. Encouraging these practices reduces discomfort, enhances autonomy, and guides professionals in personalized care.
癌症是当今时代的罪恶之一，被视为一个全球公共卫生问题。这种疾病在多个维度上对患者的生活产生影响，即身体、情感和心理社会维度。因此，人们认为复原力、症状学和自我护理等因素是相关的，因为疾病及其治疗可能产生超出临床范围的影响。
我们旨在确定姑息治疗中癌症患者的症状群与正念自我护理之间的关系。
这是一项对125名被诊断患有恶性肿瘤的姑息治疗患者进行的横断面研究。该研究在巴西圣卡塔琳娜州西部地区的一家参考医院进行，该医院专门从事抗肿瘤治疗。数据于2023年5月至8月从住院患者中收集。使用了三种工具来获取数据：一份社会人口统计学和临床数据问卷、埃德蒙顿症状评估量表（ESAS-BR）和正念自我护理量表（MSCS）。对于数据分析，使用描述性统计来描述参与者的特征，使用学生t检验进行其他参数检验，并选择具有统计证据的变量用于线性回归模型。
发现正念自我护理与疼痛、疲劳、嗜睡、呼吸急促、抑郁和不适症状之间存在统计学上的显著关联，嗜睡是该变量变化的唯一预测因素。
正念自我护理会影响患者的症状体验，尤其是嗜睡，而嗜睡可预测自我护理的变化。鼓励这些做法可减轻不适、增强自主性，并为专业人员提供个性化护理指导。
