Abordagem ao cão e gato com câncer: qual a visão do seu tutor?
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Data
2017-10-20
Autores
Ferreira, Marília Gabriele Prado Albuquerque [UNESP]
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Editor
Universidade Estadual Paulista (Unesp)
Resumo
À medida que se estreitam os laços entre cães, gatos e seres humanos, e consequentemente aumentam os cuidados dedicados a eles, observa-se que as espécies canina e felina estão apresentando uma maior expectativa de vida. Concomitantemente, observa-se que doenças associadas à longevidade, como o câncer, tem se tornado cada vez mais frequentes. Diante do fato de que atualmente os animais de companhia têm desempenhado papéis de membros da família, é natural que seus tutores temam a ocorrência de distúrbios neoplásicos e, experimentem sensações de medo, angústia, ansiedade entre outras, tanto no momento da confirmação do diagnóstico de câncer quanto no momento da indicação do tratamento, especialmente se a quimioterapia antineoplásica fizer parte do protocolo terapêutico preconizado. Neste estudo, tutores de pacientes com câncer responderam a dois questionários, de avaliação psicológica padronizados (HADS e BRUMS), bem como outros dois questionários para avaliação de suas percepções com relação ao diagnóstico e tratamento do câncer. As entrevistas foram feitas em 2 momentos: (1) antes do início da terapia e (2) ao longo do tratamento. O objetivo desta pesquisa foi avaliar o perfil psicológico e as percepções dos tutores de pacientes com câncer com relação ao diagnóstico e tratamento de seu pet. Dos 103 tutores que participaram deste estudo, 92% descreveram seu cão/gato como membro da família. Esperança (93%), tristeza (77%) e medo (73%) foram os principais sentimentos relatados no momento do diagnóstico. Em 55% dos casos, estes afirmaram sentir esperança com relação à terapia e 65% deles descreveram os efeitos adversos como seus maiores medos frente ao tratamento. Apenas 31% dos efeitos adversos esperados foram efetivamente observados e 78% dos tutores reportaram qualidade de vida boa/excelente durante a tratamento. O mesmo foi considerado benéfico por 82% dos tutores avaliados e 89% sentiam-se felizes por tê-lo feito. Antes do tratamento 54% dos tutores apresentavam sinais de ansiedade. Contudo, apenas 28% dos mesmos ainda os descreviam ao longo do tratamento, havendo associação da redução da ansiedade com a menor ocorrência de efeitos adversos bem como com a melhora da qualidade de vida dos pacientes durante o tratamento. Constatou-se que a receptividade por parte dos tutores, frente ao tratamento instituído neste pacientes, foi positiva, visto que inicialmente, a maioria dos entrevistados descreveram sinais de ansiedade, principalmente relacionados a expectativa dos efeitos adversos, bem como a queda da qualidade de vida durante o tratamento. Sendo o sofrimento do pet diante dos efeitos adversos e a perda do mesmo em decorrência da terapia, os principais medos apontados pelos tutores entrevistados na presente pesquisa.
As the bonds between dogs, cats and humans become tighter, and therefore the care towards pets, we may observe that these species have shown longer life spans. Concurrently, we have observed that illnesses related to longevity, such as cancer, have become more frequent. Given that, nowadays, pets often play the role of family members, it is natural that their owners fear the occurrence of neoplastic diseases and suffer from fear, anxiety and similar feelings both at the diagnosis and during the early stages of the treatment, specially if antineoplastic chemotherapy is part of the recommended therapeutic protocol. Owners of cancer patients answered two standardized psychological questionnaires (HADS and BRUMS), as well as two other questionnaires to assess their perceptions regarding the diagnosis and treatment of cancer. The interviews happened in two moments (1) before the beginning of the therapy and, (2) in the middle of the treatment. The goals of this study were to evaluate the psychological profile and perceptions of tutors of cancer patients regarding the diagnosis and treatment of their pet. 103 clients participated in this survey, 92% described their dog/cat as a family member. Hope (93%), sadness (77%) and fear (73%) were the main feelings reported at the time of diagnosis. In 55% of the cases, they stated they were feeling hopeful about the therapy and 65% of them described the adverse effects as their greatest fears. Only 31% of expected adverse effects were observed and 78% of those owners reported good/excellent quality of life during the treatment. It was considered beneficial by 82% of the evaluated owners and 89% were feeling happy for choose it. Before the treatment 54% of these clients had signs of anxiety. In contrast, only 28% of those still described them during the treatment. There was an association between the reduction of anxiety signs and the lower occurrence of adverse effects, as well as the improvement of patients' quality of life during treatment. In conclusion, there was a positive balance according to the tutors regarding the treatment of their dog cat. Initially, most of these described signs of anxiety, mainly related to the expectation of adverse effects, as well as the decrease of the quality of life during the treatment. The pet's suffering due to adverse effects and the lost of him/her due to the therapy, were the main fears highlighted by the tutors interviewed in the present survey.
As the bonds between dogs, cats and humans become tighter, and therefore the care towards pets, we may observe that these species have shown longer life spans. Concurrently, we have observed that illnesses related to longevity, such as cancer, have become more frequent. Given that, nowadays, pets often play the role of family members, it is natural that their owners fear the occurrence of neoplastic diseases and suffer from fear, anxiety and similar feelings both at the diagnosis and during the early stages of the treatment, specially if antineoplastic chemotherapy is part of the recommended therapeutic protocol. Owners of cancer patients answered two standardized psychological questionnaires (HADS and BRUMS), as well as two other questionnaires to assess their perceptions regarding the diagnosis and treatment of cancer. The interviews happened in two moments (1) before the beginning of the therapy and, (2) in the middle of the treatment. The goals of this study were to evaluate the psychological profile and perceptions of tutors of cancer patients regarding the diagnosis and treatment of their pet. 103 clients participated in this survey, 92% described their dog/cat as a family member. Hope (93%), sadness (77%) and fear (73%) were the main feelings reported at the time of diagnosis. In 55% of the cases, they stated they were feeling hopeful about the therapy and 65% of them described the adverse effects as their greatest fears. Only 31% of expected adverse effects were observed and 78% of those owners reported good/excellent quality of life during the treatment. It was considered beneficial by 82% of the evaluated owners and 89% were feeling happy for choose it. Before the treatment 54% of these clients had signs of anxiety. In contrast, only 28% of those still described them during the treatment. There was an association between the reduction of anxiety signs and the lower occurrence of adverse effects, as well as the improvement of patients' quality of life during treatment. In conclusion, there was a positive balance according to the tutors regarding the treatment of their dog cat. Initially, most of these described signs of anxiety, mainly related to the expectation of adverse effects, as well as the decrease of the quality of life during the treatment. The pet's suffering due to adverse effects and the lost of him/her due to the therapy, were the main fears highlighted by the tutors interviewed in the present survey.
Descrição
Palavras-chave
Ansiedade, Depressão, Saúde mental, HADS, BRUMS, Quimioterapia antineoplásica, Anxiety, Depression, Dental health, Antineoplastic chemotherapy