scholarly journals Factors related to the recovery of functional capacity in women with breast cancer: systematic review (Factores relacionados con la recuperación de la capacidad funcional en mujeres con cáncer de mama: revisión sistemática)

2021 ◽  
Vol 16 (48) ◽  

The objective of this review was to consolidate the available evidence about the factors related to the recovery of functional capacity (FC) in women with breast cancer, based the PRISMA declaration criteria. The quality of the studies was assessed using the New Castle Ottawa and JADAD scales. 11 studies were included: seven experimental and four cohort follow-ups. Psychological, clinical, and treatment factors related to FC recovery, were identified. However, some results come from studies with low methodological quality. Additionally, the findings are not comparable because they were evaluated using different instruments. In conclusion, the recovery of FC to require considering individual and interventions factors, as psychological well-being and early rehabilitation. Is necessary to standardize the instruments to evaluate FC in women with breast cancer, and to increase the quality of the research about this topic. === El objetivo de esta revisión fue consolidar la evidencia disponible sobre los factores relacionados con la recuperación de la capacidad funcional (CF) en mujeres con cáncer de mama de acuerdo a los criterios de la declaración de PRISMA. La calidad de los estudios se evaluó utilizando las escalas New Castle Ottawa y JADAD. Se incluyeron 11 estudios: 7 experimentales y 4 seguimientos de cohortes. Identificamos factores psicológicos, clínicos y de tratamiento relacionados con la recuperación de CF, sin embargo, algunos resultados provienen de estudios con baja calidad metodológica. Además, los resultados no son comparables, porque fueron evaluados utilizando diferentes instrumentos. En conclusión, la recuperación de la FC requiere considerar factores individuales y de intervención, como el bienestar psicológico y la rehabilitación temprana, pero es necesario estandarizar los instrumentos para evaluar la CF en mujeres con cáncer de mama y aumentar la calidad de la investigación sobre este tema.

2020 ◽  
Vol 14 (2) ◽  
pp. 153-158 ◽  
Author(s):  
Fernanda Panage Moura ◽  
Amer Cavalheiro Hamdan

ABSTRACT. Subjective Well-Being (SWB) is determined by the degree of satisfaction with one's own life and the intensity/frequency with which we experience negative and positive emotions. Current studies indicate that SWB is beneficial for health. Objective: The aim of this systematic review was to analyze the methodological quality of published articles on SWB in people with Alzheimer’s disease (AD). Methods: The keywords “Well-Being” and “Alzheimer” were used. Inclusion criteria were a) articles with a sample of the elderly population; b) empirical articles; c) articles published between 2014 and 2019. Analysis of the selected articles was performed using the Downs and Black Checklist. Results: 13 articles were selected for further analysis. The results showed that only one of the articles reached a high methodological quality level. The other articles had an average level, ranging from 46% to 67%, of total protocol compliance. Conclusion: The studies analyzed had a medium level of methodological quality. It is important to improve the methodological quality of studies on SWB in people with AD.


2020 ◽  
Vol 19 ◽  
pp. 153473542095988
Author(s):  
Meagan O’Neill ◽  
Dominic Samaroo ◽  
Christian Lopez ◽  
George Tomlinson ◽  
Daniel Santa Mina ◽  
...  

Background: Women with breast cancer (BC) are living longer with debilitating side effects such as cancer-related fatigue (CRF) that affect overall well-being. Yoga promotes health, well-being and may be beneficial in reducing CRF. Although there have been previous systematic reviews and meta-analyses, the effects of yoga on CRF and quality of life (QOL) remain unclear, particularly in comparison with other types of physical activity (PA). Our objective is to carry out a systematic review and meta-analysis of the effects of yoga on CRF and QOL in women with BC. Methods: Electronic databases were searched (MEDLINE, Embase Classic+Embase and EMB Reviews, Cochrane Central CT) from inception to May 2018. Randomized controlled trials were included if they were full text, in English, included a yoga intervention, a comparator (including non-PA usual care or alternate PA intervention), and reported on CRF or QOL. Effects of yoga were pooled using standardized mean difference (SMD) via a random effects model. Results: Of the 2468 records retrieved, 24 trials were included; 18 studies compared yoga to a non-PA comparator and 6 to a PA comparator. Yoga demonstrated statistically significant improvements in CRF over non-PA (SMD −0.30 [−0.51; −0.08]) but not PA (SMD −0.17 [−0.50; 0.17]) comparators. Additionally, yoga demonstrated statistically significant improvements in QOL over non-PA (SMD −0.27 [−0.46; −0.07]) but not PA (SMD 0.04 [−0.22; +0.31]) comparators. Discussion: This meta-analysis found that yoga provides small to medium improvements in CRF and QOL compared to non-PA, but not in comparison to other PA interventions.


2021 ◽  
Vol 12 ◽  
Author(s):  
Yasuhiro Kotera ◽  
William Van Gordon

Self-compassion, sharing some commonalities with positive psychology 2.0 approaches, is associated with better mental health outcomes in diverse populations, including workers. Due to the COVID-19 pandemic, there is heightened awareness of the importance of self-care for fostering mental health at work. However, evidence regarding the applications of self-compassion interventions in work-related contexts has not been systematically reviewed to date. Therefore, this systematic review aimed to synthesize and evaluate the utility of self-compassion interventions targeting work-related well-being, as well as assess the methodological quality of relevant studies. Eligible articles were identified from research databases including ProQuest, PsycINFO, Science Direct, and Google Scholar. The quality of non-randomized trials and randomized controlled trials was assessed using the Newcastle-Ottawa Scale and the Quality Assessment Table, respectively. The literature search yielded 3,387 titles from which ten studies met the inclusion criteria. All ten studies reported promising effects of self-compassion training for work-related well-being. The methodological quality of these studies was medium. All ten studies recruited workers in a caring field and were mostly conducted in Western countries. The Self-Compassion Scale or its short-form was used in almost all instances. Findings indicate that self-compassion training can improve self-compassion and other work-related well-being outcomes in working populations. However, in general, there is need for greater methodological quality in work-related self-compassion intervention studies to advance understanding regarding the applications and limitations of this technique in work contexts. Furthermore, future studies should focus on a broader range of employee groups, including non-caring professions as well as individuals working in non-Western countries.


2021 ◽  
Vol 6 (1) ◽  
pp. 59-64
Author(s):  
Shila B. Amarsheda ◽  
Anjali R Bhise

Objectives: Cancer treatment related fatigue is a common and distressing symptom among breast cancer patients. With a greater longevity promote by advances in therapeutics & early diagnosis, interest has shifted to the assessment of quality of life (QOL). The concept of functional capacity has been used extensively in disability and rehabilitation research as an indicator of an individual’s ability to engage in physical activity. The aim of this study was to find the association of fatigue, QOL and functional capacity in post-operative breast cancer patients receiving adjuvant therapy.Materials and Methods: A total 30 participants who were receiving third cycle of chemotherapy were recruited from the Cancer Hospital. Facet fatigue questionnaire, FACT B questionnaire and 6-minute walk test (6MWT) were used for the assessment purpose of fatigue, QOL and functional capacity, respectively. Results: The Spearman’s correlation confirmed that the fatigue is strongly associated with subscale score of Fact B and very strongly associated with total score of fact B, Fact G and TOI. There was moderate association between the fatigue and functional capacity. There were above average values in total and subscale scores of QOL but among all the subscale scores of QOL, breast cancer subscale score was having lower value compared to others and social well being score was higher. Conclusion: Fatigue is having strong association with quality of life and moderate effect with functional capacity in these patients. Specific breast cancer related health is having more association among other quality of life aspects and social well being is least affected.    


2018 ◽  
Vol 32 (4) ◽  
pp. 815-837 ◽  
Author(s):  
Bernadette Groebe ◽  
Julia Strupp ◽  
Yvonne Eisenmann ◽  
Holger Schmidt ◽  
Anna Schlomann ◽  
...  

Background: At the end of life, anxious attitudes concerning the dying process are common in patients in Palliative Care. Measurement tools can identify vulnerabilities, resources and the need for subsequent treatment to relieve suffering and support well-being. Aim: To systematically review available tools measuring attitudes towards dying, their operationalization, the method of measurement and the methodological quality including generalizability to different contexts. Design: Systematic review according to the PRISMA Statement. Methodological quality of tools assessed by standardized review criteria. Data sources: MEDLINE, PsycINFO, PsyndexTests and the Health and Psychosocial Instruments were searched from their inception to April 2017. Results: A total of 94 identified studies reported the development and/or validation of 44 tools. Of these, 37 were questionnaires and 7 alternative measurement methods (e.g. projective measures). In 34 of 37 questionnaires, the emotional evaluation (e.g. anxiety) towards dying is measured. Dying is operationalized in general items ( n = 20), in several specific aspects of dying ( n = 34) and as dying of others ( n = 14). Methodological quality of tools was reported inconsistently. Nine tools reported good internal consistency. Of 37 tools, 4 were validated in a clinical sample (e.g. terminal cancer; Huntington disease), indicating questionable generalizability to clinical contexts for most tools. Conclusion: Many tools exist to measure attitudes towards the dying process using different endpoints. This overview can serve as decision framework on which tool to apply in which contexts. For clinical application, only few tools were available. Further validation of existing tools and potential alternative methods in various populations is needed.


2018 ◽  
Vol 26 ◽  
pp. e17948
Author(s):  
Laís De Andrade Martins Cordeiro ◽  
Denismar Alves Nogueira ◽  
Clícia Valim Côrtes Gradim

Objetivo: avaliar a qualidade de vida de mulheres com neoplasia mamária e em quimioterapia adjuvante. Método: estudo descritivo, transversal e quantitativo desenvolvido com 25 mulheres em tratamento em uma Unidade de Assistência de Alta Complexidade em Oncologia de uma cidade do Brasil, por meio do questionário Functional Assessment of Cancer Therapy – Breast plus Arm Morbidity (FACTB +4). Pesquisa aprovada no Comitê de Ética em Pesquisa da Universidade Federal de Alfenas (UNIFAL-MG), por meio do Protocolo: 208/2011. Resultados: verificaram- se, em âmbito geral, bons resultados de qualidade de vida nos domínios e para o FACT B Total. Encontraram-se menores médias de escores nos domínios preocupações adicionais com o câncer de mama (22,68±4,96/36) e bem-estar funcional (16,92±4,60/28). Conclusão: destaca-se a necessidade de cuidados referentes às modificações da imagem corporal, ao estresse sobre a doença e anseios de um familiar vir a ter câncer.ABSTRACTObjective: to evaluate the quality of life of women with breast cancer in adjuvant chemotherapy. Method: this descriptive, quantitative, cross-sectional study examined 25 women undergoing treatment at a High Complexity Oncology Unit in a Brazilian city, in 2012, using the Functional Assessment of Cancer Therapy - Breast plus Arm Morbidity (FACT B +4) questionnaire. The study was approved by the research ethics committee of Alfenas Federal University (UNIFAL-MG), under Protocol 208/2011. Results: by and large, good quality of life was found in the domains and for Total FACT B. Lower mean scores were observed in the additional concerns with breast cancer (22.68 ± 4.96/36) and functional well-being (16.92 ± 4.60/28) domains. Conclusion: the findings highlighted the need for care relating to changes in body image, disease-related stress and anxiety that a family member may come to have cancer.RESUMENObjetivo: evaluar la calidad de vida de mujeres con neoplasia mamaria y en quimioterapia adyuvante. Método: estudio descriptivo, transversal y cuantitativo desarrollado junto a 25 mujeres en tratamiento en una Unidad de Asistencia de Alta Complejidad en Oncología de una ciudad de Brasil, en 2012; por medio del cuestionario Functional Assessment of Cancer Therapy - Breast plus Arm Morbidity (FACTB +4). Investigación aprobada en el Comité de Ética en Investigación de la Universidad Federal de Alfenas (UNIFAL-MG), a través del Protocolo: 208/2011. Resultados: se verificaron, en general, buenos resultados de calidad de vida en los dominios y para el FACT B Total. Se encontraron menores promedios de escores en los dominios ‘preocupaciones adicionales con el cáncer de mama (22,68/36) y bienestar funcional (16,92/28)’. Conclusión: se destaca la necesidad de cuidados referentes a las modificaciones de la imagen corporal, al estrés sobre la enfermedad y preocupaciones con la posibilidad de que un familiar vaya a tener cáncer.


Retos ◽  
2021 ◽  
Vol 44 ◽  
pp. 136-145
Author(s):  
Cristian González García

El cáncer de mama es uno de los más extendidos y proliferativo a nivel mundial. Esto provoca un gran impacto en el gasto sanitario. Aunque se sabe que el ejercicio físico mejora diferentes aspectos relacionados con el cáncer, hoy en día se desconoce qué tipo de entrenamiento o intensidad es mejor para esto. El propósito de esta revisión sistemática fue conocer los efectos fisiológicos, cognitivos y económicos que aporta el HIIT a este tipo de pacientes. La búsqueda se realizó en las bases de datos PubMed, Web of Science, MEDLINE y Scopus, a partir de los descriptores “cancer, high intensity interval training y breast”. De los 78 obtenidos inicialmente, 32 cumplieron todos los criterios de inclusión. Los estudios analizados se centran principalmente en añadir un programa HIIT al tratamiento de personas que padece, han padecido o tiene algo riesgo de padecerlo viendo efectos positivos a nivel de capacidades físicas, cognitivo y financiero. Este método es seguro y factible, y conlleva un aumento de la calidad de vida de estos pacientes. Además, puede mejorar las capacidades físicas, su calidad de vida, se reducen las tasas de finalización del tratamiento, hospitalización y gasto sanitario. Estos efectos beneficiosos deben ser tenidos en cuenta por los profesionales del ámbito médico, fisioterapeutas y profesionales en el deporte en cuanto a su implementación en estos pacientes. Summary. Breast cancer is one of the most widespread and proliferative cancers worldwide. This has a great impact on healthcare spending. Although it is known that physical exercise improves different aspects related to cancer, it is currently unknown what type of training or intensity is best for this. The prupose of this systematic review was to find out the physiological, cognitive and economic effects of HIIT for this type of patient. The search was carried out in the databases PubMed, Web of Science, MEDLINE and Scopus, using the descriptors "cancer, high intensity interval training and breast". Of the 78 initially obtained, 32 met all the inclusion criteria. The studies analysed focus mainly on adding a HIIT programme to the treatment of people who suffer, have suffered or are at risk of suffering from cancer, seeing the positive effects on physical, cognitive and financial capacities. This method is safe and feasible, and leads to an increase in the quality of life of these patients. In addition, it can improve physical abilities and quality of life, reduce treatment completion rates, hospitalization and healthcare costs. Its implementation in cancer patients should be taken into account by professionals in the medical field, as well as physiotherapists and sports professionals, given its benefits.


10.2196/13245 ◽  
2019 ◽  
Vol 7 (8) ◽  
pp. e13245 ◽  
Author(s):  
Flávia Oliveira Almeida Marques Cruz ◽  
Ricardo Alencar Vilela ◽  
Elaine Barros Ferreira ◽  
Nilce Santos Melo ◽  
Paula Elaine Diniz Dos Reis

Background Cancer is a major cause of morbidity, disability, and mortality worldwide, and breast cancer is the most common cause of death in women. Different modalities of cancer treatment can have adverse effects that reduce the quality of life of patients and lead to treatment interruptions, if not managed properly. The use of mobile technologies has brought innovative possibilities for improving health care. Mobile apps can help individuals manage their own health and well-being and may also promote healthy lifestyles and information access. Objective The aim of this study was to identify available evidence on the use of mobile apps to provide information and facilitate communication regarding self-care management related to the adverse effects of toxicities owing to breast cancer therapy. Methods This systematic review includes studies which were identified using a search strategy adapted for each electronic database: CINAHL, Cochrane Library, LILACS, LIVIVO, PubMed, SCOPUS, and Web of Science. In addition, a gray literature search was performed using Google Scholar. All the electronic database searches were conducted on April 17, 2019. Two investigators independently reviewed the titles and abstracts of the studies identified and then read the full text of all selected papers. The quality of the included studies was analyzed by the Cochrane Collaboration Risk of Bias Tool and the Methodological Index for Non-Randomized Studies. Results A total of 9 studies which met the eligibility criteria—3 randomized clinical trials and 6 nonrandomized studies published in English from 2010 to 2018—were considered for this systematic review; 396 patients with breast cancer, as well as 40 experts in the medical and nursing fields, and 3 software engineers were included. Conclusions The evidence from the studies included in this systematic review is currently limited but suggests that mobile apps for women with breast cancer might be an acceptable information source that can improve patient well-being; they can also be used to report symptoms and adverse treatment-related effects and promote self-care. There is a need to test more evidence-based apps in future randomized clinical trials.


2018 ◽  
Author(s):  
Flávia Oliveira Almeida Marques Cruz ◽  
Ricardo Alencar Vilela ◽  
Elaine Barros Ferreira ◽  
Nilce Santos Melo ◽  
Paula Elaine Diniz Dos Reis

BACKGROUND Cancer is a major cause of morbidity, disability, and mortality worldwide, and breast cancer is the most common cause of death in women. Different modalities of cancer treatment can have adverse effects that reduce the quality of life of patients and lead to treatment interruptions, if not managed properly. The use of mobile technologies has brought innovative possibilities for improving health care. Mobile apps can help individuals manage their own health and well-being and may also promote healthy lifestyles and information access. OBJECTIVE The aim of this study was to identify available evidence on the use of mobile apps to provide information and facilitate communication regarding self-care management related to the adverse effects of toxicities owing to breast cancer therapy. METHODS This systematic review includes studies which were identified using a search strategy adapted for each electronic database: CINAHL, Cochrane Library, LILACS, LIVIVO, PubMed, SCOPUS, and Web of Science. In addition, a gray literature search was performed using Google Scholar. All the electronic database searches were conducted on April 17, 2019. Two investigators independently reviewed the titles and abstracts of the studies identified and then read the full text of all selected papers. The quality of the included studies was analyzed by the Cochrane Collaboration Risk of Bias Tool and the Methodological Index for Non-Randomized Studies. RESULTS A total of 9 studies which met the eligibility criteria—3 randomized clinical trials and 6 nonrandomized studies published in English from 2010 to 2018—were considered for this systematic review; 396 patients with breast cancer, as well as 40 experts in the medical and nursing fields, and 3 software engineers were included. CONCLUSIONS The evidence from the studies included in this systematic review is currently limited but suggests that mobile apps for women with breast cancer might be an acceptable information source that can improve patient well-being; they can also be used to report symptoms and adverse treatment-related effects and promote self-care. There is a need to test more evidence-based apps in future randomized clinical trials.


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