Neste tipo de análises à literatura é incontornável fazer referência ao ―tipo de evidência reunida‖ (Haines, 2007), ainda que, como vimos no capítulo relativo à metodologia, nas RIL é intenção incluir ―dados de diferentes origens‖ (Whittemore et al., 2005).
Dois artigos reunidos tratam-se de revisões sistemáticas da literatura, oito artigos reportam estudos controlados aleatórios (RCT), um artigo baseia-se num estudo quase-experimental, outro num estudo-piloto. Para além destes, um dos artigos é o relato de um estudo de caso. Verificamos que quatro artigos reportam estudos observacionais do tipo exploratório, oito estudos observacionais do tipo descritivo, três artigos tratam de estudos observacionais do tipo analítico e dois artigos focam ―artigos de revisão‖, conforme apresentado no quadro 4.
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QUADRO 4 – Caraterização do material reunido de acordo com o ―tipo de artigo‖
Revisões Sistemáticas da Literatura
RUNOWICZ, Carolyn D. et al. - American Cancer Society / American Society of Clinical Oncology Breast Cancer Survivorship Care Guideline American Cancer Society / American Society of Clinical Oncology Breast Cancer Survivorship Care Guideline. CA-A CANCER JOURNAL FOR
CLINICIANS. 00:0 (2016) 43–73.
RIDNER, Sheila H. et al. - Self-Management of Lymphedema. Nursing Research. [Em linha] 61:4 (2012a) 291–299. [Consult. 18 mar. 2016]. Disponível em WWW:<URL:http://content.wkhealth.com/linkback/openurl?sid=WKPTLP:landingpage&an=00006 199-201207000-00007>. ISSN 0029-6562. Estudos controlados aleatórios (RCT)
BØRØSUND, Elin et al. - Comparing effects in regular practice of e-communication and Web- based self-management support among breast cancer patients: preliminary results from a randomized controlled trial. Journal of medical Internet research. [Em linha] 16:12 (2014) e295. [Consult. 18 mar. 2016]. Disponível em WWW:<URL:http://www.jmir.org/2014/12/e295/>. ISSN 1438-8871.
PLATT, Jennica et al. - Pre-consultation educational group intervention to improve shared decision-making in postmastectomy breast reconstruction: study protocol for a pilot randomized controlled trial. Trials. [Em linha] 14:2013) 199. [Consult. 2 abr. 2016]. Disponível em WWW:<URL:http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=3708760&tool=pmcent rez&rendertype=abstract>. ISSN 1745-6215.
CHO, Ho Soon Michelle et al. - A randomised trial of nursing interventions supporting recovery of the postmastectomy patient. Journal of Clinical Nursing. Authors: Ho Soon Michelle Cho, RN, PhD, Professor, Texas Woman’s University, Dallas, TX; Gail C Davis, RN, EdD, Professor Emerita, Texas Woman's University, Dallas, TX, USA; Jae Eun Paek, PhD, Professor, Shingu College Seoul, Seongnam, Korea; Roshni Rao,. [Em linha] 22:7/8 (2013) 919–929 11p. [Consult. 18 mar. 2016].
Disponível em
WWW:<URL:http://search.ebscohost.com/login.aspx?direct=true&db=rzh&AN=104248923&>. ISSN 0962-1067.
ARANDA, S. et al. - Impact of a novel nurse-led prechemotherapy education intervention (ChemoEd) on patient distress, symptom burden, and treatment-related information and support needs: Results from a randomised, controlled trial. Annals of Oncology. 23:1 (2012) 222–231. ISSN 09237534.
DASTAN, Nihal Bostanci; BUZLU, Sevim - Psychoeducation Intervention to Improve Adjustment to Cancer among Turkish Stage I-II Breast Cancer Patients: A Randomized Controlled Trial. Asian
Pacific Journal of Cancer Prevention. [Em linha] 13:10 (2012) 5313–5318. [Consult. 8 abr.
2016]. Disponível em
WWW:<URL:http://koreascience.or.kr/article/ArticleFullRecord.jsp?cn=POCPA9_2012_v13n10_5 313>. ISSN 1513-7368.
KIMMAN, M. L. et al. - Nurse-led telephone follow-up and an educational group programme after breast cancer treatment: results of a 2 × 2 randomised controlled trial. European journal of
cancer (Oxford, England : 1990). [Em linha] 47:7 (2011) 1027–36. [Consult. 12 mar. 2016].
Disponível em
WWW:<URL:http://www.sciencedirect.com/science/article/pii/S0959804910011779>. ISSN 1879-0852.
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Estudos controlados aleatórios (RCT) (cont.)
ROSENZWEIG, Margaret et al. - The attitudes, communication, treatment, and support intervention to reduce breast cancer treatment disparity. Oncology nursing forum. 38:1 (2011) 85–89. ISSN 1538-0688 (Electronic).
SPOELSTRA, Sandra L. et al. - An Intervention to Improve Adherence and Management of Symptoms for Patients Prescribed Oral Chemotherapy Agents. Cancer nursing. [Em linha] 36:1 (2013) 18–28. [Consult. 18 mar. 2016]. Disponível em WWW:<URL:http://www.ncbi.nlm.nih.gov/pubmed/23235499>. ISSN 1538-9804.
Estudos quase- experimentais
LEE, Haejung et al. - Effects of a nurse-led cognitive-behavior therapy on fatigue and quality of life of patients with breast cancer undergoing radiotherapy: an exploratory study. Cancer
nursing. [Em linha] 34:6 (2011) E22–30. [Consult. 18 mar. 2016]. Disponível em
WWW:<URL:http://www.ncbi.nlm.nih.gov/pubmed/21372697>. ISSN 1538-9804.
Estudos-piloto WEAVER, Andrew et al. - A pilot study: dose adaptation of capecitabine using mobile phone toxicity monitoring - supporting patients in their homes. Supportive Care in Cancer. 2014) 2677–2685. ISSN 09414355.
Estudos de caso
DINE, J. L.; AUSTIN, M. K.; ARMER, J. M. - Nursing education on lymphedema self-management and self-monitoring in a South African oncology clinic. Journal of Cultural Diversity. [Em linha] 18:4 (2011) 126–128. [Consult. 18 mar. 2016]. Disponível em WWW:<URL:http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl &AN=22288209\nhttp://imp- primo.hosted.exlibrisgroup.com/openurl/44IMP/44IMP_services_page?sid=OVID&isbn=&issn=1071 -5568&volume=18&issue=4&date=2011&title=Journal+of+Cultural+Diversit>. ISSN 10715568. Estudos observacionais exploratórios
HUSEBØ, Anne Marie Lunde et al. - Factors perceived to influence exercise adherence in women with breast cancer participating in an exercise programme during adjuvant chemotherapy: A focus group study. Journal of Clinical Nursing. 24:3-4 (2015) 500–510. ISSN 13652702.
KUIJPERS, W. et al. - An interactive portal to empower cancer survivors: a qualitative study on user expectations. Supportive Care in Cancer. [Em linha] 23:9 (2015) 2535–2542. [Consult. 18 mar. 2016]. Disponível em WWW:<URL:http://www.scopus.com/inward/record.url?eid=2-s2.0- 84938421726&partnerID=40&md5=a30a0a90ea7cea3cab9fee0b2a3d95ae>.
TSUCHIYA, Miyako; HORN, Sandra; INGHAM, Roger - Information provision and problem-solving processes in Japanese breast cancer survivors with lymphoedema symptoms. Scandinavian
Journal of Caring Sciences. 26:1 (2012) 53–60. ISSN 02839318.
NIZAMLI, F.; ANOOSHEH, M.; MOHAMMADI, E. - Experiences of Syrian women with breast cancer regarding chemotherapy: A qualitative study. Nursing and Health Sciences. [Em linha] 13:4 (2011) 481–487. [Consult. 18 mar. 2016]. Disponível em WWW:<URL:http://www.scopus.com/inward/record.url?eid=2-s2.0-
82455212977&partnerID=40&md5=a721de573f2845d010017ee0fb2cdfc4>.
Estudos observacionais descritivos
ELIAS, Thaís Cristina et al. - Characterization and functional capacity in women with breast cancer, gynaecological cancer and gestational trophoblastic disease. e i g cha de
enfermagem / EENFUFRGS. [Em linha] 36:4 (2015) 37–42. [Consult. 21 mar. 2016]. Disponível
em WWW:<URL:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1983- 14472015000400037&lng=en&nrm=iso&tlng=en>. ISSN 0102-6933.
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Estudos observacionais descritivos (cont.)
USSHER, Jane M.; PERZ, Janette; GILBERT, Emilee - Information needs associated with changes to sexual well-being after breast cancer. Journal of advanced nursing. [Em linha] 69:2 (2013) 327–37. [Consult. 8 abr. 2016]. Disponível em WWW:<URL:http://www.ncbi.nlm.nih.gov/pubmed/22500731>. ISSN 1365-2648.
RIDNER, Sheila H. et al. - Voices from the shadows: living with lymphedema. Cancer Nursing. [Em linha] 35:1 (2012b) E18–26. [Consult. 22 mar. 2016]. Disponível em WWW:<URL:http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=3172392&tool=pmcent rez&rendertype=abstract>. ISSN 1538-9804.
RYHÄNEN, A. M. et al. - Internet based patient pathway as an educational tool for breast cancer patients. International Journal of Medical Informatics. University of Turku, Department of Nursing Science, Turku Social and Health Services, Turku City Hospital, FIN-20721 Turku, Finland. [Em linha] 81:4 (2012) 270–278 9p. [Consult. 18 mar. 2016]. Disponível em WWW:<URL:http://search.ebscohost.com/login.aspx?direct=true&db=rzh&AN=104534709&>. ISSN 1386-5056.
SISMAN, H. et al. - Nurse-assisted education and exercise decrease the prevalence and morbidity of lymphedema following breast cancer surgery. Journal Of B.U.ON.: Official Journal Of The
Balkan Union Of Oncology. Department of Nursing, Cukurova University Medical Faculty,
Balcali, Adana, Turkey. [Em linha] 17:3 (2012) 565–569. [Consult. 18 mar. 2016]. Disponível em WWW:<URL:http://search.ebscohost.com/login.aspx?direct=true&db=mnh&AN=23033300&>. ISSN 1107-0625.
CHUNG, Chae Weon; HWANG, EunKyung; HWANG, Shin Woo - Details of Lymphedema, Upper Limb Morbidity, and Self Management in Women after Breast Cancer Treatment. Korean Journal
of Women Health Nursing. Associate Professor, College of Nursing, Research Institute of Nursing
Science, Seoul National University. [Em linha] 17:5 (2011) 474–483 10p. [Consult. 18 mar. 2016].
Disponível em
WWW:<URL:http://search.ebscohost.com/login.aspx?direct=true&db=rzh&AN=104524903&>. ISSN 1225-9543.
DICKERSON, Suzanne S. et al. - Surviving the wait: Defining support while awaiting breast cancer surgery. Journal of Advanced Nursing. 67:7 (2011) 1468–1479. ISSN 03092402.
SHERMAN, K. A.; KOELMEYER, L. - The role of information sources and objective risk status on lymphedema risk-minimization behaviors in women recently diagnosed with breast cancer.
Oncology Nursing Forum. [Em linha] 38:1 (2011) E27–E36. [Consult. 18 mar. 2016]. Disponível
em WWW:<URL:http://www.scopus.com/inward/record.url?eid=2-s2.0- 79953096391&partnerID=40&md5=0c104607befd6d52b00b7a20dcb1f555>.
Estudos observacionais analíticos
JEFFS, Eunice et al. - Exploring patient perception of success and benefit in self-management of breast cancer-related arm lymphoedema. European journal of oncology nursing : the official
journal of European Oncology Nursing Society. [Em linha] 20:2016) 173–83. [Consult. 21 mar.
2016]. Disponível em
WWW:<URL:http://www.sciencedirect.com/science/article/pii/S1462388915300181>. ISSN 1532-2122.
OBEIDAT, Rana F. et al. - Controlling Fear Jordanian Women’s Perceptions of the Diagnosis and Surgical Treatment of Early-Stage Breast Cancer. Cancer Nursing. [Em linha] 36:6 (2013) 484– 492. [Consult. 18 mar. 2016]. Disponível em
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Estudos observacionais analíticos (cont.) WWW:<URL:http://content.wkhealth.com/linkback/openurl?sid=WKPTLP:landingpage&an=00002 820-201311000-00009>. ISSN 0162-220X.
OBEIDAT, R. F.; LALLY, R. M.; DICKERSON, S. S. - Arab American women’s lived experience with early-stage breast cancer diagnosis and surgical treatment. Cancer Nursing. [Em linha] 35:4 (2012) 302–311. [Consult. 18 mar. 2016]. Disponível em WWW:<URL:http://www.scopus.com/inward/record.url?eid=2-s2.0-
84862861205&partnerID=40&md5=77f7dfb3bdaa38ec37565aa93681bd91>.
Artigos de revisão
HALEY-EMERY, Mary; SCHMITZ-JOHNSON, Wendy - Prospective protocol for lymphedema education and surveillance in a breast health center. Clinical journal of oncology nursing. [Em linha] 18 (2014) 27–31. [Consult. 2 abr. 2016]. Disponível em WWW:<URL:https://cjon.ons.org/cjon/18/5/supplement/prospective-protocol-lymphedema- education-and-surveillance-breast-health-center>. ISSN 1538-067X.
HAJ, Ahmad EL - The effect of providing information to prevent lymphedema among treated breast cancer women. Middle East Journal of Nursing. Hashemite University, School of Medicine. [Em linha] 5:6 (2011) 16–18 3p. [Consult. 18 mar. 2016]. Disponível em WWW:<URL:http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104623359& >. ISSN 1834-8742.
A categorização do material reunido, em função do tipo de artigo, teve como único critério a referência dos autores à metodologia adotada. Importa salientar que todos os artigos incluídos nesta análise foram publicados em revistas com arbitragem científica e análise por painel de revisores / peritos.
Apresentados os artigos reunidos para análise e caraterizada, em traços gerais, a natureza das intervenções reportadas nestas publicações, importa evoluirmos para a apresentação e discussão das evidências disponíveis, considerando as oito categorias do nosso modelo de análise.
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