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Complica??es e intercorrências associadas ao edema de bra?o nos três primeiros meses pós mastectomia
Panobianco, Marislei Sanches;Mamede, Marli Villela;
Revista Latino-Americana de Enfermagem , 2002, DOI: 10.1590/S0104-11692002000400012
Abstract: this study aimed at identifying complications, intercurrences and the appearance of edema following breast cancer surgery as well as factors that could predispose to arm lymphedema on the operated side. it is a descriptive and prospective study based on a quantitative approach. the subjects consisted of 17 women submitted to unilateral mastectomy in a university hospital. data were collected by means of a weekly post-operative follow-up of each patient for a period of three months. edema was detected in 11 women, nine of wich were in mild level and two in moderate level. it must be emphasized that even mild-level edema could become severe if not treated appropriately. among the women with edema, complications, intercurrences and other variables were observed. the results revealed the importance of nursing follow-up during the mastectomy post-operative period as well as the need for better staff training for patient guidance aiming at edema prevention.
Complica es e intercorrências associadas ao edema de bra o nos três primeiros meses pós mastectomia
Panobianco Marislei Sanches,Mamede Marli Villela
Revista Latino-Americana de Enfermagem , 2002,
Abstract: Este estudo buscou identificar complica es, intercorrências e aparecimento de edema pós cirurgia por cancer de mama, e fatores que poderiam estar predispondo ao linfedema do bra o do lado operado. é um estudo descritivo, prospectivo e de abordagem quantitativa. A popula o constou de 17 mulheres submetidas à cirurgia unilateral por cancer de mama, em um hospital-escola. A coleta de dados deu-se por meio do acompanhamento semanal dos sujeitos, nos três meses pós-cirurgia. O edema apareceu em 11 mulheres, sendo, em nove, de grau leve, e, em duas de grau moderado. é importante lembrar que o edema leve poderá tornar-se grave se n o tratado, devidamente. Observou-se, entre as mulheres com edema, complica es, intercorrências, e outras variáveis. Os resultados revelam a importancia do acompanhamento de enfermagem no pós-operatório, e a necessidade de um melhor preparo dos profissionais para a orienta o de pacientes, com o objetivo de prevenir o linfedema.
Nursing care according to women in abortion situations
Mariutti, Mariana Gondim;Almeida, Ana Maria de;Panobianco, Marislei Sanches;
Revista Latino-Americana de Enfermagem , 2007, DOI: 10.1590/S0104-11692007000100004
Abstract: this qualitative study aimed to understand how women having an abortion experience the nursing care they receive. the statements of 13 hospitalized women were analyzed through content analysis. the central category "nursing care experienced in situations of abortion" was constituted from 4 subcategories: care centered in physical needs; fear of judgment in abortion situations; legal aspects defining care; the need for support in abortion situations. these women identified nursing care as based on physical aspects, without contemplating their individuality and specificities. results indicated the need to create an environment that stimulates listening, helping these women to elaborate their feelings and allowing professionals to behave closer to these women's reality, in order to reduce their own desires and conflicts and contemplate the integrality of care.
Ocorrência de neutropenia em mulheres com cancer de mama durante tratamento quimioterápico
Gozzo, Thaís de Oliveira;Nascimento, Talita Garcia do;Panobianco, Marislei Sanches;Almeida, Ana Maria de;
Acta Paulista de Enfermagem , 2011, DOI: 10.1590/S0103-21002011000600014
Abstract: objective: to analyze the occurrence of neutropenia induced by drugs used in chemotherapy treatment for women with breast cancer. methods: retrospective study, with assessment of 72 records, between 2003-2006. results: of the 558 cycles of chemotherapy performed, there were 152 adverse events registered in adjuvant and neoadjuvant therapy periods, totaling 43 cases of haematological toxicity. regarding the occurrence of neutropenia, 43% had at least one episode during treatment. hypothesis tests to compare the mean values of white blood cells from women who did or did not present with neutropenia pointed to statistically significant values in cycles two and three of neoadjuvant therapy and in cycles two, three and four in the adjuvant therapy. conclusion: neutropenia in both the adjuvant and neoadjuvant therapy occurred beginning with the second cycle and was maintained during treatment, and was statistically significant when compared women who had to those who did not have this occurrence.
Percep??o da vulnerabilidade entre mulheres com diagnóstico avan?ado do cancer do colo do útero
Pimentel, Angela Vieira;Panobianco, Marislei Sanches;Almeida, Ana Maria de;Oliveira, Iácara Santos Barbosa;
Texto & Contexto - Enfermagem , 2011, DOI: 10.1590/S0104-07072011000200006
Abstract: this descriptive qualitative study aimed to comprehend perceptions of vulnerability to disease among women diagnosed with advanced cervical cancer. twelve women who were receiving outpatient hospital care in treating advanced cervical cancer participated in the study. data was collected through interviews and analyzed via content analysis. the results highlight two themes: perceiving oneself as vulnerable in discovering the disease; and perceiving oneself vulnerable in carrying out treatment. factors related to the client, health care professionals, and services rendered, among others have made women susceptible to health problems and damage relating to cervical cancer, exacerbating their vulnerability to the disease. it is necessary to overcome deficiencies in care model and the humanization of treatment, the degree of commitment, as well as the quality of institutions, resources, management and monitoring programs towards preventing and detecting cervical cancer within different levels of care.
Dermatological Toxicity in Women With Breast Cancer Undergoing Chemotherapy Treatment
Gozzo, Thais de Oliveira;Panobianco, Marislei Sanches;Clapis, Maria José;Almeida, Ana Maria de;
Revista Latino-Americana de Enfermagem , 2010, DOI: 10.1590/S0104-11692010000400004
Abstract: this study aimed to analyze the occurrence of skin toxicity caused by drugs used in the protocol of neoadjuvant and adjuvant chemotherapy among women with breast cancer. patient records of 72 women who were subject to this therapy between 2003 and 2006 were assessed. of the 558 cycles of chemotherapy, 152 adverse events were registered. there were 37 registrations of dermatological toxicity, of those, 20 were extravasations that affected 17 women. nine reports of hardened local injury, local fibrosis, pain, and hyperemia were registered during neoadjuvancy. in adjuvancy, among the 11 extravasations registered there were reports of hardened local injury, fibrosis and local pain. lack of follow-up records for both periods was observed. registration of the events and reports by the nursing team are essential to monitor the sites of venous puncture during the chemotherapy treatment, besides measuring and making a photographic record of the site.
Percep o da vulnerabilidade entre mulheres com diagnóstico avan ado do cancer do colo do útero
Angela Vieira Pimentel,Marislei Sanches Panobianco,Ana Maria de Almeida,Iácara Santos Barbosa Oliveira
Texto & Contexto - Enfermagem , 2011,
Abstract: Este estudio descriptivo y cualitativo tuvo como objetivo comprender la percepción de la vulnerabilidad a la enfermedad, entre las mujeres diagnosticadas con cáncer cervical avanzado, tomando como referencia la vulnerabilidad. Participaron doce mujeres que recibían atención ambulatoria hospitalaria para el tratamiento del cáncer cervico uterino avanzado. La recolección de los datos se hizo a través de entrevistas y se analizaron mediante el análisis de contenido. Los resultados destacan dos temas: Percepción de su vulnerabilidad al descubrir la enfermedad, y percepción de su vulnerabilidad al realizar el tratamiento. Factores relacionados con el cliente, los servicios, los profesionales, entre otros, han hecho que las mujeres sean susceptibles a los problemas de salud y da os relacionados con el cáncer cervico uterino, lo que agrava su vulnerabilidad a las enfermedades. Es necesario superar las deficiencias en el modelo de tratamiento para el cuidado y la integridad personal, el grado de compromiso y calidad de las instituciones, recursos, programas de gestión y control para prevenir y detectar el cáncer del cuello uterino, en los diferentes niveles de atención.
Qualidade de vida e desempenho de atividades cotidianas após tratamento das neoplasias mamárias Qualify of life and daily activities performance after breast cancer treatment
Leticia Meda Vendrusculo Fangel,Marislei Sanches Panobianco,Leonardo Martins Kebbe,Ana Maria de Almeida
Acta Paulista de Enfermagem , 2013,
Abstract: OBJETIVO: Avaliar a capacidade funcional, a qualidade de vida e a correla o entre essas variáveis, de mulheres com cancer mamário, que terminaram o tratamento oncológico há, no máximo, um ano. MéTODO: Estudo descritivo, exploratório, transversal e quantitativo por meio da aplica o de questionários: formulário com dados pessoais; índice de Katz e índice de Lawton para Capacidade Funcional; EORTC QLQ-C30 e EORCT QLQ-BR23 para Qualidade de Vida. RESULTADOS: Quanto à funcionalidade, este tratamento prejudicou a realiza o das Atividades Instrumentais de Vida Diária, o que compromete as atividades cotidianas destas mulheres. Houve, também, comprometimento nas fun es físicas e psicossociais, nas atividades de lazer e de participa o social, sendo que estas se correlacionaram com a piora da Qualidade de Vida. CONCLUS O: Evidenciou-se que as mulheres com cancer de mama vivenciam altera o na capacidade funcional, o que prejudica a realiza o de suas atividades cotidianas e sua participa o social, levando a um comprometimento na qualidade de vida. OBJECTIVE: Assess the Functional Capacity, Quality of Life and the correlation between these variables in women with breast cancer, who finished cancer treatment, there is at most one year. METHODS: A descriptive, exploratory, transversal and quantitative research the use of questionnaires: form with personal data; Katz Index and Index Lawton Functional Capacity; EORTC QLQ-C30 and QLQ-BR23 EORCT for Quality of Life. RESULTS: As for functionality, this treatment impaired the performance of the Instrumental Activities of Daily Living, which compromises everyday activities of these women. There was also involvement in physical and psychosocial functions, leisure activities and social participation, and these correlated with worsening of quality of life. CONCLUSION: It was found that women with breast cancer experience changes in functional capacity, which hinders the performance of their daily activities and social participation, leading to an impairment in quality of life.
Prevalência de depress o e fadiga em um grupo de mulheres com cancer de mama
Marislei Sanches Panobianco,Paola Alexandria Pinto de Magalh?es,Cristiane Regina Soares,Barbara Alexandre Lespinassi Sampaio
Revista Eletr?nica de Enfermagem , 2012,
Abstract: Estudo transversal cujo objetivo foi identificar e avaliar a ocorrência de sintomas depressivos e de fadiga entre mulheres com até um ano de tratamento com radioterapia e/ou quimioterapia para o cancer de mama. Utilizou-se um instrumento com dados sociodemográficos, clínicos e terapêuticos. Para a avalia o da depress o foi aplicado Inventário de Depress o de Beck (BDI) e para a fadiga o Fatigue Questionnarie. Incluímos 31 mulheres atendidas em um núcleo de reabilita o de mastectomizadas. Os resultados mostram que 87,1% das mulheres apresentaram cansa o nas pernas, como sintoma de mal-estar relacionado à fadiga consequente ao tratamento. Em rela o aos sintomas depressivos, 41,9% delas manifestaram sintomas entre leve e moderado. Os resultados apontam para a necessidade de abordagem e de condutas para o manejo dos sintomas depressivos e fadiga, além de auxiliar os profissionais da saúde a identificar as necessidades dos clientes e a desenvolver estratégias adequadas para o cuidado individualizado.
Análise da produ o científica nacional sobre a utiliza o de grupos na reabilita o de mastectomizadas
Edilaine Assun??o Caetano,Marislei Sanches Panobianco,Clícia Valim Cortês Gradim
Revista Eletr?nica de Enfermagem , 2012,
Abstract: Revis o integrativa da literatura que objetivou identificar as evidências disponíveis na literatura científica nacional sobre a temática de grupos de reabilita o para mulheres mastectomizadas O referencial teórico utilizado foi a Prática Baseada em Evidências, utilizando a quest o norteadora: qual a temática das publica es sobre grupos de reabilita o para mulheres com cancer de mama? As bases acessadas foram: LILACS, BDENF e MEDLINE, com os descritores controlados “mastectomia”, “grupos de autoajuda”, “enfermagem em reabilita o” ou “servi os de reabilita o”, sendo selecionados cinco estudos. Resultados evidenciaram que a inser o de mulheres com cancer de mama em grupos colabora substancialmente para sua reabilita o integral, ou seja, física, psíquica e social. Apesar de n o fornecer evidências científicas consideradas fortes, o estudo permitiu a identifica o de um conjunto de variáveis que auxiliar o na abordagem a esta clientela, melhorando assim a qualidade da assistência a mulheres mastectomizadas.
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