Effects of Pilates method on quality of life, fatigue and sleep quality among breast cancer women receiving hormone therapy - Two-arm randomized clinical trial.

OBJECTIVE: To analyze the effect of the Pilates method on the quality of life, fatigue, and sleep quality of patients undergoing adjuvant clinical treatment with hormone therapy for breast cancer. METHODS: A randomized two-arm clinical trial with 34 breast cancer women that were randomized into two groups: a) Intervention group, who performed 16 weeks of mat Pilates; b) Control group, who maintained their daily routine activities and received three educational sessions. The questionnaires for each variable were applied before the intervention, after the intervention, and six months after the end of the intervention. Quality of life was assessed by The European Organization for Research and Treatment of Cancer Quality of Life Questionnaire C30 (EORTC QLQ-C30), fatigue by the Functional Assessment of Cancer Therapy-Fatigue (FACT-F), and sleep quality by the Pittsburgh Sleep Quality Index. RESULTS: The fatigue variable presented a time effect (p = 0.034) regardless of the analyzed group, in which a difference was found between baseline and the post-intervention period (p = 0.037). The variable sleep showed an effect of time (p = 0.025), presenting a difference between the baseline period and six months, with improvement for all participants (p = 0.004). Global health also showed a positive change also for all participants, with an isolated effect of time (p = 0.024). CONCLUSION: Interventions based on the Pilates method may bring positive results in quality of life, fatigue, and sleep quality in patients undergoing adjuvant treatment for breast cancer, but further studies on the subject are needed to prove the results in a larger number of patients.

Can belly dance and mat Pilates be effective for range of motion, self-esteem, and depressive symptoms of breast cancer women?

OBJECTIVE: This study aims to analyse the effect of an intervention with belly dance or mat Pilates on range of motion, self-esteem and depressive symptoms in women with breast cancer receiving hormone therapy. METHOD: A randomized clinical trial of 52 participants, diagnosed with breast cancer and undergoing adjuvant hormone therapy that were randomized and divided into three groups (1): Belly dance group, which received 16 weeks of Belly Dance classes 2) Mat Pilates group, that performed 16 weeks of Pilates intervention and (3) Control group, that received educational activities in the form of lectures and was invited to maintain its routine activities. The participants answered a questionnaire in which they contained the clinical and personal characteristics; quantification of the range of motion of the upper limbs using the Absolute Axis 360° digital goniometer; self-esteem by the Self-Esteem Scale (EAR) and depressive symptoms by the Beck Depression Inventory (BDI). All data was collected at two moments in the study, in the pre-intervention period (baseline) and at the end of the 16 weeks of intervention. RESULTS: Only the variable range of motion variable showed significant results in all study groups (p = 0.025), with the Mat Pilates group having the best scores. Although not significant, the other study variables also improved after the intervention period. CONCLUSION: Belly dance and the Mat Pilates can bring positive results in the range of movement of women undergoing adjuvant treatment of breast cancer, with the Pilates method being the one that most contributed to improvements in this variable.

A vulnerabilidade dos cuidadores de idosos com demência: revisão integrativa / Vulnerabilidad de los cuidadores de personas mayores con demencia: revisión integradora / Vulnerability of caregivers for the elderly with dementia: integrative review

Objective: To analyze the vulnerability of caregivers of elderly with dementia. Method: This is an integrative review of quantitative and qualitative nature. The data collection period was from 01/09/14 to 10/30/14.Results: Of the articles analyzed, 26% point interventions to relieve overload; 20% analyze the depression load; 16% of studies address caregiver burden; 14% guided their discussions in physical and spiritual well-being, psychological and social well-being and damage to quality of life; 12% adress stress. Conclusion: Researchers from several countries show the care impact on the life of the caregiver, highlighting: the emotional overload, routine stress, and depressive symptoms. However, there are mitigation measures identified through the research that can contribute to the everyday stress relief, such as the daily practice of yoga meditation, religion, the positive relationship between the family, the elderly and the caregiver.

Objetivo: Analisar a vulnerabilidade dos cuidadores de idosos com demência. Método: Trata-se de uma revisão integrativa de natureza quanti-qualitativa. O período de coleta de dados ocorreu de 01/09/14 a 30/10/14. Resultados: Do total de artigos analisados, 26% apontam intervenções para alívio da sobrecarga; 20% analisam a carga de depressão; 16% dos estudos abordam a sobrecarga do cuidador; 14 % pautaram suas discussões no bem-estar físico e espiritual, bem-estar psicológico e social e nos prejuízos à qualidade devida; e 12% abordaram o estresse. Conclusão: Pesquisadores de diversos países apontam os impactos do cuidado na vida do cuidador destacando a sobrecarga emocional, estresse rotineiro e sintomas depressivos. Entretanto, existem medidas atenuantes, identificadas através das pesquisas, que podem contribuir para alívio do estresse cotidiano, por exemplo, a prática diária de meditação yogue, a religiosidade, o relacionamento positivo entre a família,o idoso e o cuidador.

Objetivo: Analizar la vulnerabilidad de los cuidadores de ancianos con demencia. Método: Se trata de una revisión integradora de la naturaleza cuantitativa y cualitativa. El período de recolección de datos fue de 09/01/14a 30/10/14. Resultados: De los artículos analizados, 26% puntuaron intervenciones para aliviar la sobrecarga; 20% analizaron la carga de la depresión; 16% de los estudios abordaron la carga del cuidador; 14% guió sus discusiones en buena salud física y espiritual, psicológico y social y dañar la calidad de vida; 12% se refirió al estrés. Conclusión: Investigadoresde varios países apuntan los impactos del cuidado en la vida del cuidador, destacando: la sobrecarga emocional, el estrés y la rutina de los síntomas depresivos. Sin embargo, hay medidas de mitigación identificadas a través de la investigación que pueden contribuir al alivio de la tensión diaria, tales como: la práctica diaria de la meditación del yoga, la religión, la relación positiva entre la familia, los ancianos y el cuidador.

As questões bioéticas do idoso e seus aspectos relevantes para a enfermagem: revisão integrativa / Bioethical issues of older adults and their aspects relevant to nursing: integrative review

Objetivo: analisar as produções científicas sobre a bioética voltada ao idoso nos aspectos relevantes à enfermagem. Método: revisão integrativa com período de coleta de dados de 14/09/11 a 08/12/11 com busca nas bases de dados LILACS, SciELO e PubMed entre 2007 e 2011. Resultados: os 36 artigos selecionados destacaram os dilemas éticos e a autonomia em 13,8% dos artigos; 11,1% referiam-se à necessidade de transplante de órgãos; 8,3% à disponibilidade de abrigos para idosos abandonados; 5,5% referiam-se ao papel da família junto ao idoso; 11,1% destacaram o consentimento informado do idoso na tomada de decisão ética; e 17% o cuidado ao idoso hospitalizado visando os seus direitos. Conclusão: a responsabilidade social das políticas de saúde, alocação de recursos e atuação dos profissionais da saúde precisa ser refletida à luz da bioética e considerar a produção destas intervenções e as soluções para os conflitos morais que envolvem o idoso.(AU)