Esperança no cuidado de pacientes com câncer avançado
Conteúdo do artigo principal
A esperança é um constructo multidimensional, orientado por atributos motivacionais e cognitivos do indivíduo, trata-se uma dimensão intrínseca no cuidado de pacientes com câncer nos diferentes ambientes de prática clínica. Esta análise tem como objetivo refletir sobre o constructo da esperança no paciente com câncer avançado, apoiado nas etapas do ciclo de reflexão da experiência (descrição; sentimentos; avaliação; análise; plano de ação e conclusões). Nos diferentes contextos de cuidados, somos confrontados com pacientes que desconhecem o estágio de câncer avançado e os objetivos do tratamento. Tal situação resulta em múltiplos vieses, esperança exacerbada ou de cura não realista e potencializa o sofrimento psicoemocional. A comunicação compreensível promove a sobrevida com qualidade, autotranscendência e a morte pacífica. Para (não) concluir, a compreensão da experiência humana da pessoa com câncer e a comunicação qualitativa devem ser a base para nortear o plano de cuidados na promoção da esperança para além da doença avançada, visto que a esperança é algo positivo e essencial para a salutogênese.
Downloads
Detalhes do artigo
van den Heuvel SC. Historical and Multidisciplinary Perspectives on Hope. Historical and Multidisciplinary Perspectives on Hope. Springer; 2020. 1–1 p. DOI: https://doi.org/10.1007/978-3-030-46489-9_14
Nietzsche F. Human, All Too Human: A Book for Free Spirits. London: T.N. Foulis; 1910.
Dufault K, Martocchio BC. Hope: its spheres and dimensions. Nurs Clin North Am. 1985 Jun;20(2):379–91. DOI: https://doi.org/10.1016/S0029-6465(22)00328-0
Herth K. Development and refinement of an instrument to measure hope. Sch Inq Nurs Pract. 1991;5(1):39–51; discussion 53.
Travelbee J. Interpersonal aspects of nursing. 2nd ed. Philadelphia, PA: F. A. Davis Company; 1971. DOI: https://doi.org/10.1097/00006247-197112000-00009
Snyder CR, Harris C, Anderson JR, Holleran SA, Irving LM, Sigmon ST, et al. The will and the ways: development and validation of an individual-differences measure of hope. J Pers Soc Psychol. 1991 Apr;60(4):570–85. DOI: https://doi.org/10.1037//0022-3514.60.4.570
Nierop-van Baalen C, Grypdonck M, van Hecke A, Verhaeghe S. Associated factors of hope in cancer patients during treatment: A systematic literature review. J Adv Nurs. 2020;76(7):1520–37. DOI: https://doi.org/10.1111/jan.14344
Beng TS, Xin CA, Ying YK, Khuen LP, Yee A, Zainuddin SI, et al. Hope in Palliative Care: A Thematic Analysis. J Palliat Care. 2022;37(2):177–82. DOI: https://doi.org/10.1177/0825859720948976
Salimi H, Zadeh Fakhar HB, Hadizadeh M, Akbari M, Izadi N, MohamadiRad R, et al. Hope therapy in cancer patients: a systematic review. Support Care Cancer. 2022;(0123456789). DOI: https://doi.org/10.1007/s00520-022-06831-y
Kitashita M, Suzuki K. Hope and its associated factors in cancer patients undergoing drug therapy: a systematic review. Support Care Cancer [Internet]. 2023;31(10):1–15. Available from: https://doi.org/10.1007/s00520-023-08046-1 DOI: https://doi.org/10.1007/s00520-023-08046-1
Rasmussen HN, England E, Cole BP. Hope and physical health. Curr Opin Psychol [Internet]. 2023;49:101549. Available from: https://doi.org/10.1016/j.copsyc.2022.101549 DOI: https://doi.org/10.1016/j.copsyc.2022.101549
Feldman DB, Corn BW. Hope and cancer. Curr Opin Psychol [Internet]. 2023;49:101506. Available from: https://doi.org/10.1016/j.copsyc.2022.101506 DOI: https://doi.org/10.1016/j.copsyc.2022.101506
Ingham-Broomfield B. A nurses’ guide to using models of reflection. Aust J Adv Nurs. 2021;38(4):62–7. DOI: https://doi.org/10.37464/2020.384.395
Gibbs G. Learning by doing: A guide to teaching and learning methods [Internet]. 1th ed. United Kingdom: Oxford Brookes University; 1998 [cited 2023 Feb 1]. Available from: https://thoughtsmostlyaboutlearning.files.wordpress.com/2015/12/learning-by-doing-graham-gibbs.pdf
Ozdemir S, Ng S, Wong WHM, Teo I, Malhotra C, Mathews JJ, et al. Advanced Cancer Patients’ Prognostic Awareness and Its Association With Anxiety, Depression and Spiritual Well-Being: A Multi-Country Study in Asia. Clin Oncol. 2022;34(6):368–75. DOI: https://doi.org/10.1016/j.clon.2021.11.041
Davis S, Serfaty M, Low J, Armstrong M, Kupeli N, Lanceley A. Experiential Avoidance in Advanced Cancer: a Mixed-Methods Systematic Review. Int J Behav Med [Internet]. 2022;(0123456789). Available from: https://doi.org/10.1007/s12529-022-10131-4 DOI: https://doi.org/10.1007/s12529-022-10131-4
Finkelstein EA, Baid D, Cheung YB, Schweitzer ME, Malhotra C, Volpp K, et al. Hope, bias and survival expectations of advanced cancer patients: A cross-sectional study. Psychooncology. 2021;30(5):780–8. DOI: https://doi.org/10.1002/pon.5675
He C, Zhu WX, Tang Y, Bai Y, Luo Z, Xu J, et al. Knowledge of a cancer diagnosis is a protective factor for the survival of patients with breast cancer: a retrospective cohort study. BMC Cancer. 2021;21(1):1–12. DOI: https://doi.org/10.1186/s12885-021-08512-1
Guedes A, Carvalho M, Laranjeira C, Querido A, Charepe Z. Hope in palliative care nursing: Concept analysis. Int J Palliat Nurs. 2021;27(4):176–87. DOI: https://doi.org/10.12968/ijpn.2021.27.4.176
Hill DL, Boyden JY, Feudtner C. Hope in the context of life-threatening illness and the end of life. Curr Opin Psychol [Internet]. 2023;49:101513. Available from: https://www.sciencedirect.com/science/article/pii/S2352250X22002342 DOI: https://doi.org/10.1016/j.copsyc.2022.101513
Herth KA, Cutcliffe JR. The concept of hope in nursing 6: research/education/policy/practice. Br J Nurs. 2002;11(21):1404–11. DOI: https://doi.org/10.12968/bjon.2002.11.21.12277
Feldman D, Balaraman M, Anderson C. Hope and Meaning-in-Life: Points of Contact Between Hope Theory and Existentialism [Internet]. Gallagher MW, Lopez SJ, editors. The Oxford Handbook of Hope. Oxford University Press; 2018. p. 0. Available from: https://doi.org/10.1093/oxfordhb/9780199399314.013.21 DOI: https://doi.org/10.1093/oxfordhb/9780199399314.013.21
Haugan G, Eriksson M. Health Promotion in Health Care – Vital Theories and Research. Gørill H, Eriksson M, editors. Springer International Publishing; 2021. DOI: https://doi.org/10.1007/978-3-030-63135-2
Laranjeira C, Dixe MA, Semeão I, Rijo S, Faria C, Querido A. “Keeping the Light On”: A Qualitative Study on Hope Perceptions at the End of Life in Portuguese Family Dyads. Int J Environ Res Public Health. 2022;19(3). DOI: https://doi.org/10.3390/ijerph19031561
Cohen MG, Althouse AD, Arnold RM, White D, Chu E, Rosenzweig M, et al. Primary Palliative Care Improves Uptake of Advance Care Planning Among Patients With Advanced Cancers. J Natl Compr Canc Netw. 2023;21(4):383–90. DOI: https://doi.org/10.6004/jnccn.2023.7002
Cohen MG, Althouse AD, Arnold RM, Bulls HW, White DB, Chu E, et al. Hope and advance care planning in advanced cancer: Is there a relationship? Cancer. 2022;128(6):1339–45. DOI: https://doi.org/10.1002/cncr.34034