Publication: Indefensión aprendida como determinante de la salud en mujeres sobrevivientes de cáncer de mama
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2016-05-17
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Universidad Complutense de Madrid
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Abstract
Los avances en la detección temprana y los tratamientos para el cáncer han aumentado la probabilidad de sobrevivir a esta enfermedad. Según el Registro Central de Cáncer de Puerto Rico, se estiman 61,928 sobrevivientes de cáncer para enero del 2010. De entre los distintos tipos de cáncer entre las mujeres en Puerto Rico, el cáncer de mama es el de mayor incidencia, prevalencia y mortalidad pero también el de más sobrevivencia. El tratamiento del cáncer, como el de todas las enfermedades crónicas, usualmente es prolongado. Además, el tratamiento produce secuelas que se manifiestan a lo largo de la vida del sobreviviente. Es por esto que las personas con diagnóstico de cáncer requieren de un mayor autocuidado posterior al diagnóstico. El autocuidado de la salud se ha definido como las decisiones, las actitudes y las prácticas que las personas asumen para cuidar su salud. Según múltiples estudios, el autocuidado de salud incluyendo factores como el cumplimiento con el plan de seguimiento, afectan las tasas de mortalidad en los individuos. A pesar del aumento en la sobrevivencia, las tasas de mortalidad tienden a ser más altas entre los sobrevivientes oncológicos, especialmente en minorías étnicas en los Estados Unidos. Más aun, el considerar el cáncer como un agente estresor, implica que las mujeres asuman unas prácticas de autocuidado como forma de afrontamiento...
The advances in early detection and cancer treatments have increased the probability of cancer survival thus turning cancer into a chronic disease. Cancer has a prolonged course of treatment and this treatment may cause secondary and long-term effects that are manifested throughout the life of the survivor. According to the Puerto Rico Central Cancer Registry, by January 2010, there were 61,928 cancer survivors in Puerto Rico. In Puerto Rico, breast cancer has the highest incidence, prevalence and mortality, and also the highest level of survivorship among cancers in women. The increasing number of women in Puerto Rico who become cancer survivors require lengthy medical and self-care after diagnosis. Self-care is defined as the decisions, attitudes and practices that people make toward their health. According to multiple studies, health self-care (including factors such as compliance with the cancer follow plan) reduces mortality rates in individuals. Despite improvements in cancer survival, mortality rates tend to be higher among cancer survivors, especially between ethnic minorities in the United States. Moreover, cancer is a psycho emotional stressor and survivors require adequate self-care practices to help them cope. This self-care should improve health outcomes associated with treatment and post-treatment of cancer. However, few studies analyze the relationship and possible influence of psycho-emotional factors such as learned helplessness with self-care for the patient or survivor of chronic diseases...
The advances in early detection and cancer treatments have increased the probability of cancer survival thus turning cancer into a chronic disease. Cancer has a prolonged course of treatment and this treatment may cause secondary and long-term effects that are manifested throughout the life of the survivor. According to the Puerto Rico Central Cancer Registry, by January 2010, there were 61,928 cancer survivors in Puerto Rico. In Puerto Rico, breast cancer has the highest incidence, prevalence and mortality, and also the highest level of survivorship among cancers in women. The increasing number of women in Puerto Rico who become cancer survivors require lengthy medical and self-care after diagnosis. Self-care is defined as the decisions, attitudes and practices that people make toward their health. According to multiple studies, health self-care (including factors such as compliance with the cancer follow plan) reduces mortality rates in individuals. Despite improvements in cancer survival, mortality rates tend to be higher among cancer survivors, especially between ethnic minorities in the United States. Moreover, cancer is a psycho emotional stressor and survivors require adequate self-care practices to help them cope. This self-care should improve health outcomes associated with treatment and post-treatment of cancer. However, few studies analyze the relationship and possible influence of psycho-emotional factors such as learned helplessness with self-care for the patient or survivor of chronic diseases...
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Tesis inédita de la Universidad Complutense de Madrid, Facultad de Psicología, leída el 17-12-2015