Self-care practices and immediate side effects in women with gynecological cancer in brachytherapy
DOI:
https://doi.org/10.5902/2179769248119Keywords:
Oncology, Nursing, Brachytherapy, Neoplasms of the female genitals, Personal narrativeAbstract
Objective: to reveal the immediate side effects and self-care practices adopted by women with gynecological cancer submitted to brachytherapy. Method: narrative research, conducted with 12 women, in southern Brazil, between December/2018 and January/2019, including semi-structured interviews submitted to content analysis. Results: three thematic categories emerged from the analysis: Care oriented and adopted by women in pelvic brachytherapy; Immediate side effects perceived by women in pelvic brachytherapy; Care not guided by health professionals. The care provided by the nurses most reported by the women was vaginal dilation, use of a shower and vaginal lubricant, tea consumption, cleaning, and storage of the vaginal dilator. The side effects most frequently mentioned in the interviews were urinary and intestinal changes in the skin and mucous membranes. Conclusion: nursing care in brachytherapy must prioritize care to prevent and control genitourinary and cutaneous changes, including self-care practices.Downloads
References
Funston G, O'Flynn H, Ryan NAJ, Hamilton W, Crosbie EJ. Recognizing gynecological cancer in primary care: risk factors, redflags, and referrals. Adv Ther. 2018;35(4):577-89. doi: 10.1007/s12325-018-0683-3
Soo-Young L, Kim E, Kim HS, Koo YJ, Lee DH. Clinical and histopathologic analysis of gynecological cancer: a single institute experience over 7years. Yeungnam Univ J Med. 2020;37(3):179-85. doi: 10.12701/yujm.2019.00451
Ferlay J, Ervik M, Lam F, Colombet M, Mery L, Piñeros M, et al. Global Cancer Observatory: Cancer Today [Internet]. Lyon (FR): International Agency for Research on Cancer; 2018 [cited 2019 Aug 14]. Available from: https://gco.iarc.fr/today
Chargari C, Deutsch E, Blanchard P, Gouy S, Martelli H, Guérin F, et al. Brachytherapy: an overview for clinicians. CA Cancer J Clin. 2019 Sep;69(5):386-401. doi: 10.3322/caac.21578
Mahantshetty U, Gudi S, Singh R, Sasidharan A, Sastri SC, Gurram L, et al. Indian Brachytherapy Society Guidelines for radiotherapeutic management of cervical cancer with special emphasis on high-dose-rate brachytherapy. J Contemp Brachytherapy. 2019;11(4):293-306. doi: 10.5114/jcb.2019.87406
Nascimento FC, Deitos J, Luz CM. Comparação da disfunção do assoalho pélvico com função sexual e qualidade de vida em sobreviventes ao câncer ginecológico. Cad Bras Ter Ocup. 2019;27(3):628-37. doi: 10.4322/2526-8910.ctoao1640
Morris L, Do V, Chard J, Brand AH. Radiation-induced vaginal stenosis: current perspectives. Int J Womens Health. 2017;9:273-9. doi: 10.2147/IJWH.S106796
Matos SRL, Cunha MLR, Podgaec S, Weltman E, Centrone AFY, Mafra ACCN. Consensus for vaginal stenosis prevention in patients submitted to pelvic radiotherapy. PLoS One. 2019;14(8):e0221054. doi: 10.1371/journal.pone.0221054
Bakker RM, Mens JWM, Groot HE, Tuijnman-Raasveld CC, Braat C, Hompus WCP, et al. A nurse-led sexual rehabilitation intervention after radiotherapy for gynecological cancer. Support Care Cancer. 2017;25:729-37. doi: 10.1007/s00520-016-3453-2
Long D, Friedrich-Nel HS, Joubert G. Brachytherapy for cervical cancer: guidelines to facilitate patient-centred care in a multidisciplinary environment. S Afr J Gynaecol Oncol. 2016;8(2):27-33. doi: 10.1080/20742835.2016.1212968
Romano KD, Hill C, Trifiletti DM, Peach MS, Horton BJ, Shah N, et al. High dose-rate tandem and ovoid brachytherapy in cervical cancer: dosimetric predictors of adverse events. Radiat Oncol. 2018;13(129):1-10. doi: 10.1186/s13014-018-1074-2
Clandinin DJ. Engaging in Narrative Inquiry. WalnutCreek, CA: Left Coast Press; 2013.
Bardin L. Análise de conteúdo. São Paulo: Edições 70; 2011.
Silva AAL, Rosa LMR, Schoeller SD, Radünz V, Martins MM, Martins HIV, et al. Sociodemographic and clinical profile of women with cancer in the genital tract who underwent radiation therapy. Cogitare Enferm. 2019;24:e58467. doi: 10.5380/ce.v24i0.58467
Valakh V, Coopey BC. Factors associated with duration of overall treatment time for cervical cancer treated with definitive chemoradiotherapy. Cureus. 2019; 11(10):e5951. doi: 10.7759/cureus.5951
Bedell SL, Goldstein LS, Goldstein AR, Goldstein AT. Cervical Cancer Screening: past, present, and future. Sex Med Rev. 2020;8(1):28-37. doi: 10.1016/j.sxmr.2019.09.005
Law E, Kelvin JF, Thom B, Riedel E, Tom A, Carter J, et al. Prospective study of vaginal dilator use adherence and efficacy following radio therapy. Radiother Oncol. 2015;116:149-55. doi: 10.1016/j.radonc.2015.06.018
Dias M, Custodio LL, Patricio JJS, Bragante KC, Toriy AM, Souza CPF, et al. Efectiveness of the use of silicone penile prosthesis in the prevention of vaginal stenosis after high dose rate brachytherapy. J Sex Med. 2018;15(7 Suppl 3):S345-6. doi: 10.1016/j.jsxm.2018.04.492
Pessi MR, Feurchutte KK, Rosa LM, Hammerschmidt KSA, Radünz V, Alvarez AM. Prevention of vaginal stenosis after brachytherapy: nursing intervention. Rev Enferm UFPE On Line [Internet]. 2016 [cited 2019 Aug 14];10(9):3495-502. Available from: https://periodicos.ufpe.br/revistas/revistaenfermagem/article/view/11433
The Ottawa Hospital. Patient information: a guide to your HDR brachytherapy for cancer of the cervix. Ottawa (CA): The Ottawa Hospital; 2016 [cited 2019 Aug 16]. Available from: http://www.ottawahospital.on.ca/en/documents/2017/01/cp85b-hdr-brachy-therapy-of-cervix-english-april-2016.pdf/
Rubinsak LA, Kang L, Fields EC, Carter JS, McGuire WP, Temkin SM. Treatment-related radiation toxicity among cervical cancer patients. Int J Gynecol Cancer. 2018;28(7):1387-93. doi: 10.1097/IGC.0000000000001309
Mayadev J, Viswanathan A, Liu Y, Li CS, Albuquerque K, Damato AL, et al. American Brachytherapy Task Group Report: a pooled analysis of clinical outcomes for high-dose-rate brachytherapy for cervical cancer. Brachytherapy. 2017;16(1):22-43. doi: 10.1016/j.brachy.2016.03.008
Silveira CF, Regino PA, Soares MBO, Mendes LC, Elias TC, Silva SR. Quality of life and radiation toxicity in patients with gynecological and breast cancer. Esc Anna Nery Rev Enferm. 2016;20(4):e20160089. doi: 10.5935/1414-8145.20160089
Sabulei C, Maree JE. An exploration into the quality of life of women treated for cervical cancer. Curationis. 2019;42(1):e1-9. doi: 10.4102/curationis.v42i1.1982
Rosenblatt E, Zubizarreta E, editors. Radiotherapy in cancer care: facing the global challenge. Vienna: International Atomic Energy Agency; 2017 [cited 2020 Mar 27]. Available from: https://www-pub.iaea.org/MTCD/Publications/PDF/P1638_web.pdf
Marcon C, Argente C, Metelski FK, Schorr V, Adamy EK. Characterization of patients in radiotherapical treatment from the nursing consultation. Rev Enferm UFSM. 2017;7(1):61-8. doi: 10.5902/2179769224914
Araújo CRG, Rosas AMMTF, Menezes HF, Pinto ACS, Rodrigues BMRD. The phenomenon lived by women in nursing consultation in the gynecological brachytherapy. Texto Contexto Enferm. 2017;26(2):e00140016. doi: 10.1590/0104-07072017000140016
Duarte EB, Rosa LM, Radünz V, Dias M, Silva RH, Lunardi F, et al. Women in pelvic brachiterapy: (un)knowledge and professional care as meaning. Cogitare Enferm. 2020;25:e68406. doi: 10.5380/ce.v25i0.68406
Published
How to Cite
Issue
Section
License
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
