Dance circle and quality of life in womem with mastectomy : a pilot study / Dança circular e qualidade de vida em mulheres mastectomizadas : um estudo piloto

AUTOR(ES)
FONTE

IBICT - Instituto Brasileiro de Informação em Ciência e Tecnologia

DATA DE PUBLICAÇÃO

12/07/2011

RESUMO

Introduction: The woman with breast cancer lives deeply the suffering of the illness in a peculiar way, therefore the place where it is attacked the disease is a symbol of femininity, sexuality and aesthetic, being targeted of contemplation. With the mastectomy, many feelings and sufferings are unchained, modifying the quality of life. After surgery there is need for acceptance of the new body and adequacy in daily activities. Ahead of the severe consequences of the procedure of mutilation and sensitizing itself with the situation of these women, is proposed in this work an intervention program, who used the circular dance as a instrument for a possible modification in the bio-psycho-emotional state. Objective: To evaluate the quality of life of the mastectomies women of the group of study and of the group controlled before and after three months of intervention. Subjects and Methods: One is about a study of intervention with almost-experimental drawing, quantitative boarding (measure of the variable). The inclusion criteria had been: women submitted to the total or partial mastectomy, with mutilation of the breast; to have eighteen years or more; undergoing or not in chemotherapy and/or radiotherapy; to have three months of post operative or more; to have equal or lesser period that one year of the surgery; not to have metastases; not to present some incapacity to answer to the questionnaires. It was opted to the sampling of convenience, and the formation of two groups (control and of study). A questionnaire validated and translated in Brazil about quality of life (WHOQOL-brief) was applied the participants, before and after to the activities of dance, that it had duration of three months (twelve meeting). The group control also answered to the questionnaire before and after three months. The gotten results had passed for the analysis statistics of descriptive and comparative form intra group and between group, second test t (t of Student paired) and t of Student respectively. To evaluate the effect of the intervention were used the analysis of Generalized Linear Models with estimated through the Generalized Estimating Equations (GEE) and Analyses of Contrasts. Results: The sample consisted of 35 participants, with 11 in the dance group and 24 in the control group. In the comparison of the domains of the instrument WHOQOL-bref, between and within groups, before and after the intervention, observed in the intragroup analysis a significant difference (p<0,05), in the domains psychological (p=0,0018), physical (p=0,0006) and environmental (p=0,0297) of the group of study, showing that the intervention (dance move) caused an effect in these areas. Analysis of contrasts also revealed significant differences (p <0.05) in the group of dance just for the psychological domain (p=0,0001). It did not have differences in none of the domains in the control group. Conclusions: The results show that in the analysis between the groups (control and study) there was no significant differences between them. But in analyzing only the intervention group, there were differences, with emphasis on the psychological domain

ASSUNTO(S)

mastectomia qualidade de vida cancer da mama dança atividade física mastectomy quality of life breast cancer dance motor activity nursing

ACESSO AO ARTIGO

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