Avaliação da qualidade de vida e aspectos psicológicos em pacientes com doença trofoblástica gestacional
Loading...
Date
Authors
Advisor
Rudge, Marilza Vieira Cunha 
Maestá, Izildinha
Coadvisor
Graduate program
Ginecologia, Obstetrícia e Mastologia - FMB
Undergraduate course
Journal Title
Journal ISSN
Volume Title
Publisher
Universidade Estadual Paulista (Unesp)
Type
Master's thesis
Access right
Acesso aberto
Abstract
Abstract (portuguese)
Clicar acesso eletrônico abaixo.
Abstract (english)
Objective: to assess quality of life and psychological aspects in patients with gestational trophoblastic disease (GTD). Methods: This cross-sectional self-report study was carried out among 54 women treated at Botucatu Trophoblastic Diseases Center, São Paulo, Brazil. Validated questionnaires were used to assess quality of life (QoL) (WHOQOL-bref), symptoms of depression (Beck Depression Inventory-BDI) and anxiety (State-Trait Anxiety Inventory –STAI). Results: Most patients rated overall QoL as good (44.44%), and were satisfied with their health status (42.59%). However, these findings did not reach statistical significance. Mean QoL domain score was the highest for psychological health (53.86 ± 21.46), and the lowest for social relationships (65.74 ± 22.41). BDI mean was 15.81 ± 11.15, indicating dysphoria. STAI means were 46 ± 6.46 for trait-anxiety, and 43.72 ± 4.23 for state-anxiety, both evidencing medium-high anxiety. Among patients who were employed, the environment domain mean was the highest (p=0.024). The presence of children prior to disease onset resulted in the lowest means for physical health (p=0,041) and environment (p=0.045). The patients desiring to have children showed significantly higher means for physical health (p=0.004), psychological health (p=0.021) and environment (p=0.003). The need for chemotherapy to achieve complete response had no significant influence on QoL. Conclusion: This study evidenced the psychological impact on GTD patients. This information suggests that specialized care centers should provide psychological interventions during the treatment and follow-up of GTD patients... (Complete abstract click electronic access below)
Description
Keywords
Gravidez - Complicações - Aspectos psicológicos, Placenta - Doenças, Gestational trophoblastic disease
Language
Portuguese
Citation
FERREIRA, Érika Goulart Veloso. Avaliação da qualidade de vida e aspectos psicológicos em pacientes com doença trofoblástica gestacional. 2008. 47 f. Dissertação (mestrado) - Universidade Estadual Paulista, Faculdade de Medicina de Botucatu, 2008.
