Dimensiones que conforman el constructo de calidad de vida en pacientes con cáncer

Autores/as

  • Ricardo Sánchez Instituto Nacional de Cancerología
  • Fabio Sierra Instituto Nacional de Cancerología
  • Claudia Ibáñez Instituto Nacional de Cancerología

Palabras clave:

Calidad de vida, evaluación en salud, salud, neoplasias

Resumen

Objetivo: En el presente trabajo se evaluaron los componentes del constructo “Calidad de vida” a partir de la respuesta dada por 707 pacientes a la pregunta: Para usted, ¿qué es calidad de vida? Los pacientes tenían diagnóstico de cáncer de cuello uterino, colorrectal o de próstata.
Métodos: Se efectuó un análisis lexicográfico para ubicar las respuestas características utilizando como criterio el valor test.
Resultados: Se encontró que hay ocho dimensiones subyacentes: espiritualidad, familia, sistema de salud, social, funcional, síntomas, componente económico y componente emocional. Dichas dimensiones son representadas de manera diferente según el sexo o el diagnóstico del paciente.
Conclusiones: Se destaca la importancia de considerar las dimensiones de espiritualidad y sistema de salud para efectuar una medición más válida y confiable de la calidad de vida de los pacientes.

Biografía del autor/a

Ricardo Sánchez, Instituto Nacional de Cancerología

Grupo de Investigación Clínica, Instituto Nacional de Cancerología, D. C., Colombia
Universidad Nacional de Colombia, Bogotá, D. C., Colombia

Fabio Sierra, Instituto Nacional de Cancerología

Grupo de Investigación Clínica, Instituto Nacional de Cancerología, D. C., Colombia

Claudia Ibáñez, Instituto Nacional de Cancerología

Grupo de Investigación Clínica, Instituto Nacional de Cancerología, D. C., Colombia

Referencias bibliográficas

Surbone A, Baider L. The spiritual dimension of cancer care. Crit Rev Oncol Hematol. 2011;73:228-35.

https://doi.org/10.1016/j.critrevonc.2009.03.011

Chochinov HM, Cann BJ. Interventions to enhance the spiritual aspects of dying. J Palliat Med. 2005;(8 Suppl 1):S103-15.

https://doi.org/10.1089/jpm.2005.8.s-103

Winkelman WD, Lauderdale K, Balboni MJ, et al. The relationship of spiritual concerns to the quality of life of advanced cancer patients: preliminary findings. J Palliat Med. 2011;14:1022-8.

https://doi.org/10.1089/jpm.2010.0536

Wachholtz AB, Pearce MJ. Does spirituality as a coping mechanism help or hinder coping with chronic pain? Curr Pain Headache Rep. 2009;13:127-32.

https://doi.org/10.1007/s11916-009-0022-0

Vespa A, Jacobsen PB, Spazzafumo L, et al. Evaluation of intrapsychic factors, coping styles, and spirituality of patients affected by tumors. Psychooncology. 2011;20:5-11.

https://doi.org/10.1002/pon.1719

Selman LE, Higginson IJ, Agupio G, et al. Quality of life among patients receiving palliative care in South Africa and Uganda: a multi-centred study. Health Qual Life Outcomes. 2011;9:21.

https://doi.org/10.1186/1477-7525-9-21

John LD. Self-care strategies used by patients with lung cancer to promote quality of life. Oncol Nurs Forum. 2010;37:339-47.

https://doi.org/10.1188/10.ONF.339-347

Delgado-Guay MO, Hui D, Parsons HA, et al. Spirituality, religiosity, and spiritual pain in advanced cancer patients. J Pain Symptom Manage. 2011;41:986-94.

https://doi.org/10.1016/j.jpainsymman.2010.09.017

Vallurupalli M, Lauderdale K, Balboni MJ, et al. The role of spirituality and religious coping in the quality of life of patients with advanced cancer receiving palliative radiation therapy. J Support Oncol. 2012;10:81-7.

https://doi.org/10.1016/j.suponc.2011.09.003

Romero C, Friedman LC, Kalidas M, et al. Self-forgiveness, spirituality, and psychological adjustment in women with breast cancer. J Behav Med. 2006;29:29-36.

https://doi.org/10.1007/s10865-005-9038-z

Friedman LC, Barber CR, Chang J, et al. Self-blame, self- forgiveness, and spirituality in breast cancer survivors in a public sector setting. J Cancer Educ. 2010;25:343-8. 12. Purnell JQ, Andersen BL, Wilmot JP. Religious practice and spirituality in the psychological adjustment of survivors of breast cancer. Couns Values. 2009;53:165.

https://doi.org/10.1002/j.2161-007X.2009.tb00123.x

Lim JW, Yi J. The effects of religiosity, spirituality, and social support on quality of life: a comparison between Korean American and Korean breast and gynecologic cancer survivors. Oncol Nurs Forum. 2009;36:699-708. 14. Surbone A. The information to the cancer patient: psy- chosocial and spiritual implications. Support Care Cancer. 1993;1:89-91.

https://doi.org/10.1007/BF00366901

Pearce MJ, Coan AD, Herndon JE, et al. Unmet spiritual care needs impact emotional and spiritual well-being in advanced cancer patients. Support Care Cancer. 2011. [En prensa]. 16. Hui D, de la Cruz M, Thorney S, et al. The frequency and correlates of spiritual distress among patients with advanced cancer admitted to an acute palliative care unit. Am J Hosp Palliat Care. 2011;28:264-70.

https://doi.org/10.1177/1049909110385917

Selman L, Siegert R, Harding R, et al. A psychometric evaluation of measures of spirituality validated in culturally diverse palliative care populations. J Pain Symptom Manage. 2011;42:604-22.

https://doi.org/10.1016/j.jpainsymman.2011.01.015

Albers G, Echteld MA, de Vet HC, et al. Content and spiritual items of quality-of-life instruments appropriate for use in palliative care: a review. J Pain Symptom Manage. 2010;40:290-300.

https://doi.org/10.1016/j.jpainsymman.2009.12.012

Sánchez-Pedraza R, Ballesteros MP, Anzola JD. [The concept of quality of life in women suffering from cancer]. Rev Salud Pública (Bogotá). 2010;12:889-902. [Artículo en español].

https://doi.org/10.1590/S0124-00642010000600002

Tabachnick BG, Fidell LS. Using multivariate statistics. 5th ed. Boston: Pearson/Allyn & Bacon; 2007.

World Health Organization (WHO). Division of mental health and prevention of substance abuse. WHOQOL: measuring quality of life. Geneva: WHO; 1997.

Cella DF, Tulsky DS, Gray G, et al. The Functional as- sessment of cancer therapy scale: development and valida- tion of the general measure. J Clin Oncol. 1993;11:570-9.

https://doi.org/10.1200/JCO.1993.11.3.570

FACIT. Functional assessment of chronic illness therapy [internet]. 2010 [citado: 27 de noviembre de 2010]. Dis- ponible en: http://www.facit.org/.

Aaronson NK, Ahmedzai S, Bergman B, et al. The European Organization for Research and Treatment of Cancer QLQ-C30: a quality-of-life instrument for use in international clinical trials in oncology. J Natl Cancer Inst. 1993;85:365-76.

https://doi.org/10.1093/jnci/85.5.365

Peterman AH, Fitchett G, Brady MJ, et al. Measuring spiritual well-being in people with cancer: the functional assessment of chronic illness therapy--Spiritual Well-being Scale (FACIT-Sp). Ann Behav Med. 2002;24:49-58.

https://doi.org/10.1207/S15324796ABM2401_06

Dapueto JJ, Servente L, Francolino C, et al. Determinants of quality of life in patients with cancer. Cancer. 2005;103:1072-81.

https://doi.org/10.1002/cncr.20870

Whitford HS, Olver IN, Peterson MJ. Spirituality as a core domain in the assessment of quality of life in oncology. Psycho-Oncology. 2008;17:1121-8.

https://doi.org/10.1002/pon.1322

O'Mahony S, Goulet JL, Payne R. Psychosocial distress in patients treated for cancer pain: a prospective observational study. J Opioid Manag. 2010;6:211-22.

https://doi.org/10.5055/jom.2010.0019

Lissoni P, Messina G, Parolini D, et al. A spiritual approach in the treatment of cancer: relation between faith score and response to chemotherapy in advanced non-small cell lung cancer patients. In Vivo. 2008;22:577-81.

Field MJ, Cassel CK, Institute of Medicine (U.S.). Committee on Care at the End of Life. Approaching death : improving care at the end of life. Washington: National Academy Press; 1997.

Sulmasy DP. A biopsychosocial-spiritual model for the care of patients at the end of life. Gerontologist. 2002;42:24-33.

https://doi.org/10.1093/geront/42.suppl_3.24

Breitbart W. Spirituality and meaning in supportive care: spirituality- and meaning-centered group psychotherapy interventions in advanced cancer. Support Care Cancer. 2002;10:272-80.

https://doi.org/10.1007/s005200100289

Breitbart W, Gibson C, Poppito S, et al. Psychotherapeu- tic interventions at the end of life: a focus on meaning and spirituality. Can J Psychiatry. 2004;49:366-72.

https://doi.org/10.1177/070674370404900605

Cómo citar

[1]
Sánchez, R. et al. 2012. Dimensiones que conforman el constructo de calidad de vida en pacientes con cáncer. Revista Colombiana de Cancerología. 16, 2 (jun. 2012), 100–109.

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Publicado

01-06-2012

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Artículos de investigación/originales