Publication: Efecto de variables sociodemográficas y clínicas en la calidad de vida y los síntomas de ansiedad y depresión en los pacientes con cáncer de próstata
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2019-07-05
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Universidad Complutense de Madrid
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Abstract
Objetivo: Comprobar las diferencias en la calidad de vida y los síntomas de ansiedad y depresión de los pacientes con cáncer de próstata según diferentes variables sociodemográficas y clínicas. Método: Entre 2015-2016, 176 hombres con cáncer de próstata seleccionados aleatoriamente, que habían recibido tratamientos locales, hormonales o combinados, fueron evaluados mediante entrevista y los cuestionarios EORTC QLQ-C30, EORTC QLQ-PR25, EORTC QLQINFO25, BAI y BDI-II. Resultados: La calidad de vida estaba más deteriorada en la escala física, de rol, social y sexual en el grupo de riesgo avanzado y/o en los tratamientos sistémicos u hormonales. La prostatectomía era la que producía más problemas urinarios y los tratamientos combinados mayor sintomatología hormonal. Los hombres más informados presentaban menos problemas urinarios, mejor puntuación global de salud y mejor funcionamiento de rol y social. Los hombres con tratamientos sistémicos y los que habían recibido peor información padecían mayores niveles de ansiedad y depresión. Conclusiones: En general, la calidad de vida y el estado emocional fueron satisfactorios. Los hombres en grupo de riesgo avanzado o con tratamientos hormonal presentaron mayor déficit de calidad de vida y aquellos que recibieron tratamientos sistémicos una mayor sintomatología de ansiedad o depresión. A pesar de que los hombres mejor informados tienen mejor calidad de vida y menos problemas de ansiedad y depresión, hay poca o ninguna información en las diferentes áreas. Recomendaciones clínicas: Es necesario evaluar e implantar tratamientos específicos dirigidos a los hombres más vulnerables. En esta población todos los hombres podrían beneficiarse de programas sobre educación y terapia sexual, además de otros dirigidos a mejorar el funcionamiento urinario y sexual. Por último, convendría implantar un sistema de entrenamiento sobre habilidades en la información al personal sanitario y la elaboración de información escrita sobre aspectos comunes en el proceso del cáncer de próstata.
Objective: To determine the differences in the quality of life, and the symptoms of anxiety and depression in patients with prostate cancer according to different sociodemographic and clinical variables. Method: Between 2015-2016, 176 men with prostate cancer, selected at random, who had received local treatments, hormonal or combined, were evaluated through interview and the questionnaires EORTC QLQ-C30, EORTC QLQ-PR25, EORTC QLQ-INFO25, BAI and BDI-II. Results: The quality of life was more damaged in the physical, role, social and sexual scale in the advanced risk group and/or in the systemic or hormonal treatments. The prostatectomy was producing more urinary problems, and the combined treatments more hormonal symptoms. The most informed men had less urinary problems, better overall health results, and better role and social functioning. Men with systemic treatments, and those who had received worse information had higher levels of anxiety and depression. Conclusions: In general, the quality of life and the emotional state were satisfactory. Men in advanced risk group or with hormonal treatments presented higher deficit of quality of life, and those who received systemic treatments increased symptoms of anxiety or depression. Despite the fact that men who were better informed have a better quality of life and less anxiety and depression problems, there is little or no information on the different areas. Clinical recommendations: It is necessary to evaluate and implement specific treatments aimed at the most vulnerable men. In this population all men could benefit from programs on education and sexual therapy, in addition to other aimed at improving sexual and urinary function. Finally, it would be advisable to introduce a system to train the sanitary personnel on information skills, and the development of written information on common aspects in the process of prostate cancer.
Objective: To determine the differences in the quality of life, and the symptoms of anxiety and depression in patients with prostate cancer according to different sociodemographic and clinical variables. Method: Between 2015-2016, 176 men with prostate cancer, selected at random, who had received local treatments, hormonal or combined, were evaluated through interview and the questionnaires EORTC QLQ-C30, EORTC QLQ-PR25, EORTC QLQ-INFO25, BAI and BDI-II. Results: The quality of life was more damaged in the physical, role, social and sexual scale in the advanced risk group and/or in the systemic or hormonal treatments. The prostatectomy was producing more urinary problems, and the combined treatments more hormonal symptoms. The most informed men had less urinary problems, better overall health results, and better role and social functioning. Men with systemic treatments, and those who had received worse information had higher levels of anxiety and depression. Conclusions: In general, the quality of life and the emotional state were satisfactory. Men in advanced risk group or with hormonal treatments presented higher deficit of quality of life, and those who received systemic treatments increased symptoms of anxiety or depression. Despite the fact that men who were better informed have a better quality of life and less anxiety and depression problems, there is little or no information on the different areas. Clinical recommendations: It is necessary to evaluate and implement specific treatments aimed at the most vulnerable men. In this population all men could benefit from programs on education and sexual therapy, in addition to other aimed at improving sexual and urinary function. Finally, it would be advisable to introduce a system to train the sanitary personnel on information skills, and the development of written information on common aspects in the process of prostate cancer.
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Tesis de la Universidad Complutense de Madrid, Facultad de Psicología, leída el 31/01/2018