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Qualidade de vida e resiliência em mulheres com pós-operatório de cancro de mama : impacto de um programa de atividades de Mindfulness
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Resumo(s)
O cancro de mama é doença crônica e degenerativa, cuja evolução pode provocar danos físicos, psicológicos, sociais e familiares. A maior resolubilidade no tratamento tanto clínico, como cirúrgico da doença faz com que a sobrevida das pacientes aumente sensivelmente, sendo crescente a preocupação com as respostas terapêuticas no domínio da reabilitação dessas mulheres. As intervenções baseadas em práticas de mindfulness tem vindo a ser reportada. Este estudo analisou as implicações biopsicossociais e o impacto de práticas de mindfulness associado à fisioterapia convencional no tocante a aspetos funcionais e psicossociais de mulheres em reabilitação do pós-operatório de mastectomia por cancro de mama. Este estudo, quasi-experimental controlado, de caráter misto (quantitativo e qualitativo) decorreu entre março e julho de 2019, em Fortaleza, Ceará, Brasil, envolveu 20 mulheres expostas a um protocolo de intervenção fisioterápica convencional de 10 ou 20 sessões (grupo de controle) comparando-as com 20 mulheres expostas a um protocolo de intervenção fisioterápica convencional adicionando um protocolo de 10 ou 20 sessões de práticas de mindfulness (grupo experimental). A avaliação envolveu três momentos, antes da intervenção, após 10 sessões e após as 20 sessões nos grupos de controle e experimental mediante medidas de caracterização sociodemográfica, e impacto biopsicossocial, goniometria, dor, força, perimetria, cortisol, avaliação da vida diária, qualidade de vida, mindfulness, resiliência, sintomas psicológicos. Os resultados validaram a hipótese principal, observando-se diferenças estatisticamente significativas na qualidade de vida e resiliência no grupo experimental. A limitação do estudo reside no desenho traçado, não sendo possível generalizar os resultados. Ponto forte do estudo é o impacto observado nas variáveis em estudo, quando se complementam práticas de mindfulness à fisioterapia convencional.
Breast cancer is a chronic and degenerative disease, the evolution of which can cause physical, psychological, social and family damage. The greater resolvability in the clinical and surgical treatment of the disease causes the survival of patients to increase significantly, and a growing concern about the therapeutic responses in the field of rehabilitation of these women. Interventions based on mindfulness practices have been reported. This study analyzed the biopsychosocial implications and the impact of mindfulness practices associated with conventional physiotherapy regarding functional and psychosocial aspects of women undergoing postoperative rehabilitation of mastectomy for breast cancer. This mixed (quantitative and qualitative) controlled quasi-experimental study took place between March and July 2019 in Fortaleza, Ceará, Brazil, and involved 20 women exposed to a conventional physical therapy intervention protocol of 10 or 20 sessions (control group) comparing them with 20 women exposed to a conventional physical therapy intervention protocol adding a protocol of 10 or 20 sessions of mindfulness practices (experimental group). The evaluation involved three moments, before the intervention, after 10 sessions and after 20 sessions in the control and experimental groups through measures of sociodemographic characterization, and biopsychosocial impact, goniometry, pain, strength, perimetry, cortisol, evaluation of daily life, quality of life, mindfulness, resilience, psychological symptoms. The results validated the main hypothesis, observing statistically significant differences in quality of life and resilience in the experimental group. The limitation of the study lies in the design outlined, and it is not possible to generalize the results. A strong point of the study is the impact observed in the variables under study when mindfulness practices are complemented to conventional physical therapy.
Breast cancer is a chronic and degenerative disease, the evolution of which can cause physical, psychological, social and family damage. The greater resolvability in the clinical and surgical treatment of the disease causes the survival of patients to increase significantly, and a growing concern about the therapeutic responses in the field of rehabilitation of these women. Interventions based on mindfulness practices have been reported. This study analyzed the biopsychosocial implications and the impact of mindfulness practices associated with conventional physiotherapy regarding functional and psychosocial aspects of women undergoing postoperative rehabilitation of mastectomy for breast cancer. This mixed (quantitative and qualitative) controlled quasi-experimental study took place between March and July 2019 in Fortaleza, Ceará, Brazil, and involved 20 women exposed to a conventional physical therapy intervention protocol of 10 or 20 sessions (control group) comparing them with 20 women exposed to a conventional physical therapy intervention protocol adding a protocol of 10 or 20 sessions of mindfulness practices (experimental group). The evaluation involved three moments, before the intervention, after 10 sessions and after 20 sessions in the control and experimental groups through measures of sociodemographic characterization, and biopsychosocial impact, goniometry, pain, strength, perimetry, cortisol, evaluation of daily life, quality of life, mindfulness, resilience, psychological symptoms. The results validated the main hypothesis, observing statistically significant differences in quality of life and resilience in the experimental group. The limitation of the study lies in the design outlined, and it is not possible to generalize the results. A strong point of the study is the impact observed in the variables under study when mindfulness practices are complemented to conventional physical therapy.
Descrição
Palavras-chave
Cancro de Mama Pós-operatório Fisioterapia Mindfulness Qualidade de Vida Resiliência Breast cancer Post-operative Physical therapy Mindfulness Quality of life Resilience