Browsing by Author "Araya, Paulina"

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    Autopercepción de aumento de volumen de extremidades superiores y cuatro criterios diagnósticos para linfedema en mujeres tratadas por cáncer de mama.
    (Instituto Nacional de la Nutricion "Salvador Zubiran", 2017) Araya, Paulina; Leppe, Jaime; Ibañez, Gladys; Sacomori, Cinara;
    Self-perception of upper limbs swelling can be an effective tool in diagnostic and early intervention of lymphedema. The aim of the present paper was to verify the association between self-perception of swelling of upper extremities and objective criteria commonly used for lymphedema diagnostic in women treated for breast cancer. We evaluated 112 women with breast cancer between 6- and 18-months post-surgery. Indirect calculation of the volume of upper extremities through four criteria commonly used was employed (≥2 cm, ≥ 200 mL, ≥10%, ≥20%). The self-perception of swelling was evaluated with a question. The chi square test was used for data analysis. The mean age was 56.3 years (DE=13.1). The prevalence of lymphedema according to limb volume difference ≥ 200 ml criterion was 13.4%; 17% for criterion ≥10 %; 6.25% for criterion ≥ 20%; and 33% for criterion ≥2 cm. Stemmer was positive in 51.8% and 17.9% women presented positive fovea. Self-perception of swelling was associated with the criteria ≥ 200 mL and ≥10 % and the presence of positive Stemmer and fovea (p <0.05). In conclusion, the information provided by the patient about her perception of swelling, is associated with objective diagnostic criteria and the Stemmer and fovea positive signs. Self-perception should be considered in the clinical evaluation.
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    Barriers to and facilitators of adherence to pelvic floor muscle exercises and vaginal dilator use among gynecologic cancer patients: a qualitative study
    (2022) Araya, Paulina; Roa, Sonia; Celedón, Claudia; Cuevas, Mónica; de Sousa, Diego; Sacomori, Cinara
    Objective: Women with gynecologic cancer may suffer from pelvic floor dysfunction (PFD). Before radiotherapy, prehabilitation with pelvic floor muscle exercises (PFME) and vaginal dilator (VD) might prevent it and foster sexual life. This study aims to explore the experience of gynecologic cancer patients getting external beam radiation treatments regarding barriers to and facilitators of adherence to a prehabilitation program to prevent PFD. Methods: This qualitative research with thematic content analysis included 11 women with gynecologic cancer and different levels of adherence to PFME and VD. Participants were interviewed based on a semi-structured script. The information was analyzed manually, assisted with Nvivo12® software, and triangulated with open coding. Results: High self-motivation, desire to improve their health, symptoms of improvement, availability of time, the desire to resume sexual life, and the support of the partner were facilitators of adherence. The instructional exercise audio, clarity of the information, and closer communication with the physical therapist were also valued. The main barriers were general malaise secondary to oncological treatments, forgetfulness, lack of time, misinformation, lack of coordination with the treatment team, discomfort with the VD, and a feeling of shame. Feedback from the attending physician was a facilitator when present or a barrier when absent. Conclusion: These barriers and facilitators should be considered when designing and implementing preventive programs with PFME and VD. Behavioral counselling should consider the desire to remain sexually active; in such cases, including the partner in the therapeutic process is appraised. Otherwise, the focus should be on benefits for maintenance of pelvic floor function.
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    Estratégias de enfrentamento, barreiras e facilitadores apontados por fisioterapeutas brasileiros diante a pandemia da covid-19
    (2022) Dos Santos, Mariana; Sacomor, Cinara; Araya, Paulina; Francisco, Sandroval; Flores, Fabiana
    Objetivo: Compreender quais foram as estratégias de enfrentamento adotadas pelos fisioterapeutas brasileiros diante da pandemia em dois períodos (2020 e 2021), e analisar as barreiras e facilitadores apontadas por eles. Método: Trata-se de um estudo observacional quantitativo em dois cortes (transversal e longitudinal), realizado por um questionário online, onde 304 fisioterapeutas participaram da pesquisa. Os instrumentos aplicados foram, uma ficha sociodemográfica e laboral e o questionário Brief COPE. Para a estatísticas foram as seguintes análises: frequência, média, mediana, intervalo interquartil e desvio-padrão; teste de U Mann Whitney; teste Kruskal-Wallis; teste de correlação de Spearman; e teste de Wilcoxon. As barreiras e facilitadores foram organizadas em forma de nuvem de palavras (Word Cloud Art Creator). Resultados: As estratégias de enfrentamento mais utilizadas eram aceitação, planejamento e enfrentamento ativo nos dois períodos de análise. A maioria dos participantes apontou que o medo de contaminar seus familiares ou amigos foi a principal barreira, e o apoio familiar foi o principal facilitador. Conclusão: Os resultados demonstram que a família serviu como um facilitador para o enfrentamento, mas também como uma barreira devido à preocupação com a possível contaminação de familiares. As estratégias de enfrentamento utilizadas pelos fisioterapeutas foram consideradas satisfatórias e adaptativas.

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