Profile of patients with malignant tumor wounds attended at a university hospital: a descriptive study
DOI:
https://doi.org/10.33448/rsd-v9i8.6825Keywords:
Oncology nursing; Wounds and injuries; Palliative care.Abstract
Objective: To characterize the clinical and sociodemographic profile of patients with malignant tumor wounds treated at a university hospital. Methodology: This is a descriptive study with a quantitative approach carried out at Hospital Universitário Antonio Pedro between 2014 and 2016. A semi-structured form was applied to record clinical and sociodemographic data from medical records for document analysis and during follow-up of medical consultations. nursing, being analyzed by the average of central tendency. Results: The sample consisted of 13 patients, (76.92%) being female and (23.08%) male, aged between 29 and 75 years, with an average of 59 years. Most were in palliative care (53.83%) with a predominance of Karnofsky Performance Status of 40% (23.08%). Breast cancer was present in (53.85%) of the sample, with etiology of infiltrating ductal carcinoma (46.15%). The lesions were predominantly located in the breast (53.85%), of the malignant ulcerative wound type (53.85%) in stage III (46.15%), with development after tumor resection surgery (30.77%) and spontaneously (30.77%). The following symptoms were recorded: pain (92.30%), exudate (84.62%), bleeding (53.85%) and odor (38.46%), with a predominance of the use of the following wound cover products: mineral oil (69.23%) and Metronidazole (23.08%). Conclusion: Breast cancer and female patients have a higher prevalence of malignant tumor wounds and symptoms. Understanding the profile of patients with these injuries supports care actions tailored to the demands of this clientele.
References
Aguiar, R., & Silva G. (2014). Os cuidados de enfermagem em feridas neoplásicas na assistência paliativa. Revista Hospital Universitário Pedro Ernesto. 11(2), 82-88.
Alexander S. (2009). Malignant fungating wounds: epidemiology, aetiology, presentation and assessment. Journal of wound care, 18(7), 273–280.
Alexander S. (2009). Malignant fungating wounds: key symptoms and psychosocial issues. Journal of wound care, 18(8), 325–329.
Beretta, L., Santos, M., Dos Santos, W., Fuly, P., & Berardinelli L. (2020). Resilience in the process of care in patients with malignant tumor wounds: integrative review. Research, Society and Development, 9(4), e117942922.
Brito, D. T. F., Macêdo, E. L., Agra G, Andrade, F. L. M., Formiga, N. S., & Costa, M. M. L. (2017). Perfil sociodemográfico, clínico e terapêutico de pacientes com feridas neoplásicas. Revista Enfermagem Atual In Derme, 3(18), 88-97.
Castro, M. C. F., Santos, W. A. S., Fuly. P. S. F., Santos,M. L. S. C., & Garcia, T. R. (2017). Intervenções de enfermagem para pacientes oncológicos com odor fétido em ferida tumoral. Aquichan, 17(3), 243-256.
Di Giacomo, D., Cannita, K., Renieri, J., Cocciolone, V., Passafiume, D., & Ficorella, C. (2016). Breast cancer and psychological resilience among young women. J. Psychopathol: 3, 191–195.
Firmino F. (2005). Pacientes portadores de feridas neoplásicas em Serviços de Cuidados Paliativos: contribuições para a elaboração de protocolos de intervenções de enfermagem. Revista Brasileira de Cancerologia, 51(4), 347-359.
Gethin, G., Grocott, P., & Probst S. (2013). Malignant wound management in advanced illness: new insights. Current opinion in supportive and palliative care, 7(1), 101–105.
Gibson, S., & Green, J. (2013). Review of patients' experiences with fungating wounds and associated quality of life. Journal of wound care, 22(5), 265-275.
Gomes, C., & Jesus, C. (2013). Feridas crônicas em cuidados paliativos: revisão bibliográfica. Journal of Aging and Innovation, 2(2).
Gozzo, T., Tahan, F. P., Andrade, M., Nascimento, T. G., & Prado, M. A. S. (2014). Ocorrência e manejo de feridas neoplásicas em mulheres com câncer de mama avançado. Escola Anna Nery, 18(2), 270-276.
Grocott P. (2007). Care of patients with fungating malignant wounds. Nursing standard (Royal College of Nursing (Great Britain), 21(24), 57-62.
Lisboa, I. N. D., & Valença, M. P. (2016). Caracterização de pacientes com feridas neoplásicas. Estima,14(1), 21-28.
Lo, S., Hayter, M., Hu, W., Tai, C., Hsu, M., & Li, Y. F. (2012). Symptom burden and quality of life in patients with malignant fungating wounds. Journal of advanced nursing, 68(6), 1312–1321.
Lo, S., Hayter, M., Hu, W., Tai, C., Hsu, M., & Li, Y. (2008). Experiences of living with a malignant fungating wound: a qualitative study. Journal of clinical nursing, 17(20), 2699–2708.
Lund-Nielsen, B., Adamsen, L., Gottrup, F., Rorth, M., Tolver, A., & Kolmos, H. J. (2011). Qualitative bacteriology in malignant wounds--a prospective, randomized, clinical study to compare the effect of honey and silver dressings. Ostomy Wound Manage, 57(7), 28-36.
Maida, V., Ennis, M., Kuziemsky, C., & Trozzolo, L. (2009). Symptoms associated with malignant wounds: a prospective case series. Journal of pain and symptom management, 37(2), 206–11.
Brito, D. T. F., Nogueira, W. P., Agra, G., Formiga, N. S., & Costa, M. M. L. (2017). Perfil sociodemográfico, clínico e terapêutico de pacientes com feridas neoplásicas. Sociodemographic, clinical and therapeutic profile of patients with neoplastic wounds. Rev enferm UFPE, 11(8), 3039-49.
Pereira, A. S., et al. (2018). Metodologia da pesquisa científica. [e-book]. Santa Maria. Ed. UAB/NTE/UFSM. Recuperado de https://repositorio.ufsm.br/bitstream/ handle/1/15824/Lic_Computacao_Metodologia-Pesquisa-Cientifica.pdf?sequence=1.
Ponte, D., Ferreira, K., & Costa, N. (2012). O controlo do odor na ferida maligna. Journal of Tissue Regeneration Healing, (1), 38-43.
Probst, S., Arber, A., & Faithfull, S. (2013). Malignant fungating wounds: the meaning of living in an unbounded body. European journal of oncology nursing : the official journal of European Oncology Nursing Society, 17(1), 38–45.
Probst, S., Arber, A., Trojan, A., & Faithfull, S. (2012). Caring for a loved one with a malignant fungating wound. Supportive care in cancer: official journal of the Multinational Association of Supportive Care in Cancer, 20(12), 3065–70.
Probst, S., Arber, A., Trojan, A., & Faithfull S. (2009). Malignant fungating wounds: a survey of nurses' clinical practice in Switzerland. European journal of oncology nursing: the official journal of European Oncology Nursing Society, 13(4), 295–8.
Sacramento, C. J., Reis, P. E. D., Simino, G. P. Z., & Vasques, C. I. (2015). Manejo de sinais e sintomas em feridas tumorais: revisão integrativa. Revista de enfermagem do Centro Oeste Mineiro, 5(1), 1514-27.
Santos, W. A., Fuly, P. S. C., Souto, M. D., Santos, M. L. S. C., & Beretta, L. L. (2019). Association between odor and social isolation in patients with malignant tumor wounds: pilot study. Enfermería Global, 18(53), 19-65.
Santos, W. A. (2016). Associação entre odor, exsudato e isolamento social em pacientes com feridas neoplásicas: um estudo transversal. Dissertação (Mestrado Acadêmico em Ciências do Cuidado em Saúde) - Universidade Federal Fluminense, Niterói, RJ, Brasil.
Souza, M. A. O., Souza, N, R., Melo, J. T. S., Xavier, M. A. C. A., Almeida, G. L., & Santos, I. C. R. V. (2018). Escalas de avaliação de odor em feridas neoplásicas: uma revisão integrativa. Revista Brasileira de Enfermagem, 71(5), 2552-60.
Tilley, C., Lipson, J., & Ramos M. (2016). Palliative Wound Care for Malignant Fungating Wounds: Holistic Considerations at End-of-Life. The Nursing clinics of North America, 51(3), 513–31.
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Copyright (c) 2020 Willian Alves Dos Santos, PATRÍCIA Dos Santos Claro Fuly, Mauro Leonardo Salvador Caldeira Dos Santos, Marise Dutra Souto, Luiza De Lima Beretta, Maria Cristina Freitas De castro
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