Percepção da qualidade de vida e saúde bucal de pacientes oncológicos: um estudo epidemiológico transversal

Abstract

Cancer is an important public health problem worldwide. Differences in perception with regard to Health-Related Quality of Life may significantly affect care guidelines. The aim of this cross-sectional epidemiological study was to investigate the impact of sociodemographic, psychosocial and clinical factors on global quality of life and quality of life related to oral health of oncologic patients. Fifity Head and Neck Cancer Patients (HNCP) and 50 others sites cancer patients (OSC) were enrolled in this resarch. They are, respectively, treated in Clinical NEO and Oncoleste durring period of August / 2015 and February / 2016 in Governador Valadares – MG. Only one trained researcher collected sociodemographic data and applied World Health Organization Quality of Life questionnaire (WHOQOL-BREF) and Oral Health Impact Profile (OHIP-14) adapted for use in Brazil. The association between the independent variables and the global scores and domain obtained for the OHIP-14 and WHOQOL-BREF were compared using analysis of variance (ANOVA) for the overall sample and location of the tumor sites. The evaluation of the WHOQOL-BREF demonstrated greater impact on quality of life in all domains for low socio-economic class for and patients with HNPC. Comparing patients with HNPC and OSC, a greater impact, through both WHOQOL and OHIP-14, was observed in all domains for patients with HNPC. In conclusion, the data showed a significant greatest impact on quality of life in individuals with cancer in the head and neck site and factors and related to low socio-economic class, male gender, marital status and age. Of note, these features influence negatively the perception quality general and oral life in cancer patients.