Buscar en
Revista Colombiana de Cancerología
Toda la web
Inicio Revista Colombiana de Cancerología Dimensiones que conforman el constructo de calidad de vida en pacientes con cán...
Información de la revista
Vol. 16. Núm. 2.
Páginas 100-109 (Enero 2012)
Compartir
Compartir
Descargar PDF
Más opciones de artículo
Vol. 16. Núm. 2.
Páginas 100-109 (Enero 2012)
Acceso a texto completo
Dimensiones que conforman el constructo de calidad de vida en pacientes con cáncer
Dimensions of Quality of Life Construct for Cancer Patients
Visitas
2303
Ricardo Sánchez1,2,
Autor para correspondencia
rsanchezpe@unal.edu.co

Correspondencia Ricardo Sánchez, Instituto Nacional de Cancerología, Avenida 1a No. 9-85, Bogotá, D. C., Colombia. Teléfono: 334 1997.
, Fabio Sierra1, Claudia Ibáñez1
1 Grupo de Investigación Clínica, Instituto Nacional de Cancerología, D. C., Colombia
2 Universidad Nacional de Colombia, Bogotá, D. C., Colombia
Este artículo ha recibido
Información del artículo
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.

Palabras clave:
Calidad de vida
evaluación en salud
salud
neoplasias
Abstract
Objective

To evaluate the components which constitute a ‘quality of life’ construct based upon answers given by 707 patients to the question: ¨In your opinion, what makes up quality of life? ¨. Participating patients had been diagnosed with cervical, colorectal or prostate cancer.

Methods

Lexicographic analysis was used to locate characteristic responses based upon the values test.

Results

Eight underlying dimensions were pinpointed: spirituality, family, health care system, social structure, functional ability, symptoms, economic factors, and coping with emotions. Each dimension is represented differently according to gender or patient's diagnosis.

Conclusions

Emphasis should be given to the importance of spirituality and the health care system in order to carry out a more valid and precise measure of patients' quality of life criteria.

Key words:
Quality of life
outcome educational measurement (health care)
health
neoplasm
El Texto completo está disponible en PDF
Referencias
[1.]
A. Surbone, L. Baider.
The spiritual dimension of cancer care.
Crit Rev Oncol Hematol, 73 (2011), pp. 228-235
[2.]
H.M. Chochinov, B.J. Cann.
Interventions to enhance the spiritual aspects of dying.
J Palliat Med, (2005), pp. S103-S115
[3.]
W.D. Winkelman, K. Lauderdale, M.J. Balboni, et al.
The relationship of spiritual concerns to the quality of life of advanced cancer patients: preliminary findings.
J Palliat Med, 14 (2011), pp. 1022-1028
[4.]
A.B. Wachholtz, M.J. Pearce.
Does spirituality as a coping mechanism help or hinder coping with chronic pain?.
Curr Pain Headache Rep, 13 (2009), pp. 127-132
[5.]
A. Vespa, P.B. Jacobsen, L. Spazzafumo, et al.
Evaluation of intrapsychic factors, coping styles, and spirituality of patients affected by tumors.
Psychooncology, 20 (2011), pp. 5-11
[6.]
L.E. Selman, I.J. Higginson, G. Agupio, et al.
Quality of life among patients receiving palliative care in South Africa and Uganda: a multi-centred study.
Health Qual Life Outcomes, 9 (2011), pp. 21
[7.]
L.D. John.
Self-care strategies used by patients with lung cancer to promote quality of life.
Oncol Nurs Forum, 37 (2010), pp. 339-347
[8.]
M.O. Delgado-Guay, D. Hui, H.A. Parsons, et al.
Spirituality, religiosity, and spiritual pain in advanced cancer patients.
J Pain Symptom Manage, 41 (2011), pp. 986-994
[9.]
M. Vallurupalli, K. Lauderdale, M.J. Balboni, 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, 10 (2012), pp. 81-87
[10.]
C. Romero, L.C. Friedman, M. Kalidas, et al.
Self-forgiveness, spirituality, and psychological adjustment in women with breast cancer.
J Behav Med, 29 (2006), pp. 29-36
[11.]
L.C. Friedman, C.R. Barber, J. Chang, et al.
Self-blame, selfforgiveness, and spirituality in breast cancer survivors in a public sector setting.
J Cancer Educ, 25 (2010), pp. 343-348
[12.]
J.Q. Purnell, B.L. Andersen, J.P. Wilmot.
Religious practice and spirituality in the psychological adjustment of survivors of breast cancer.
Couns Values, 53 (2009), pp. 165
[13.]
J.W. Lim, J. Yi.
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, 36 (2009), pp. 699-708
[14.]
A. Surbone.
The information to the cancer patient: psychosocial and spiritual implications.
Support Care Cancer, 1 (1993), pp. 89-91
[15.]
M.J. Pearce, A.D. Coan, J.E. Herndon, et al.
Unmet spiritual care needs impact emotional and spiritual well-being in advanced cancer patients.
Support Care Cancer, (2011),
[16.]
D. Hui, M. de la Cruz, S. Thorney, 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, 28 (2011), pp. 264-270
[17.]
L. Selman, R. Siegert, R. Harding, et al.
A psychometric evaluation of measures of spirituality validated in culturally diverse palliative care populations.
J Pain Symptom Manage, 42 (2011), pp. 604-622
[18.]
G. Albers, M.A. Echteld, H.C. de Vet, et al.
Content and spiritual items of quality-of-life instruments appropriate for use in palliative care: a review.
J Pain Symptom Manage, 40 (2010), pp. 290-300
[19.]
R. Sánchez-Pedraza, M.P. Ballesteros, J.D. Anzola.
[The concept of quality of life in women suffering from cancer].
Rev Salud Pública (Bogotá), 12 (2010), pp. 889-902
[20.]
B.G. Tabachnick, L.S. Fidell.
Using multivariate statistics.
5th, Pearson/Allyn & Bacon, (2007),
[21.]
World Health Organization (WHO).
Division of mental health and prevention of substance abuse. WHOQOL: measuring quality of life.
WHO, (1997),
[22.]
D.F. Cella, D.S. Tulsky, G. Gray, et al.
The Functional assessment of cancer therapy scale: development and validation of the general measure.
J Clin Oncol, 11 (1993), pp. 570-579
[23.]
FACIT. Functional assessment of chronic illness therapy [internet]. 2010 [citado: 27 de noviembre de 2010]. Disponible en: http://www.facit.org/
[24.]
N.K. Aaronson, S. Ahmedzai, B. Bergman, 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, 85 (1993), pp. 365-376
[25.]
A.H. Peterman, G. Fitchett, M.J. Brady, 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, 24 (2002), pp. 49-58
[26.]
J.J. Dapueto, L. Servente, C. Francolino, et al.
Determinants of quality of life in patients with cancer.
Cancer, 103 (2005), pp. 1072-1081
[27.]
H.S. Whitford, I.N. Olver, M.J. Peterson.
Spirituality as a core domain in the assessment of quality of life in oncology.
Psycho-Oncology, 17 (2008), pp. 1121-1128
[28.]
S. O’Mahony, J.L. Goulet, R. Payne.
Psychosocial distress in patients treated for cancer pain: a prospective observational study.
J Opioid Manag, 6 (2010), pp. 211-222
[29.]
P. Lissoni, G. Messina, D. Parolini, 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, 22 (2008), pp. 577-581
[30.]
M.J. Field, C.K. Cassel.
Institute of Medicine (U.S.). Committee on Care at the End of Life. Approaching death : improving care at the end of life.
National Academy Press, (1997),
[31.]
D.P. Sulmasy.
A biopsychosocial-spiritual model for the care of patients at the end of life.
Gerontologist, 42 (2002), pp. 24-33
[32.]
W. Breitbart.
Spirituality and meaning in supportive care: spirituality- and meaning-centered group psychotherapy interventions in advanced cancer.
Support Care Cancer, 10 (2002), pp. 272-280
[33.]
W. Breitbart, C. Gibson, S. Poppito, et al.
Psychotherapeutic interventions at the end of life: a focus on meaning and spirituality.
Can J Psychiatry, 49 (2004), pp. 366-372
Copyright © 2012. Instituto Nacional de Cancerología
Opciones de artículo
Herramientas