Association between odor and social isolation in patients with malignant tumor wounds: pilot study
Abstract
Objective: To analysis associations between odor and social isolation in patients with malignant tumor wounds.
Material and method: This is a cross-sectional pilot study performed with nine patients with malignant tumor wounds treated at a university hospital from 2014 to 2016. Data were collected using a five-point Likert scale for the evaluation of social isolation related to odor of malignant tumor wounds during nursing consultations. Data were analyzed by inferential statistical strategy with Spearman's coefficient at the significance level of 5% (α = 0.05).
Results: Correlation was found with statistical significance between odor and psychosocial dimensions: constraint and limitation in attending public places.
Conclusion: Odor is the main symptom that causes embarrassment and limits social coexistence, favoring social isolation and degradation of the quality of life of cancer patients.
Downloads
References
Aguiar RM, Silva GR. Os cuidados de enfermagem em feridas neoplásicas na assistência de enfermagem. Revista Hospital Universitário Pedro Ernesto [Internet]. 2012[cited 2016 June 15];11(2):82-8. Available from: http://revista.hupe.uerj.br/detalhe_artigo.asp?id=331
Grocott P, Gethin G, Probst S. Malignant wound management in advanced illness: new insights. Curr Opin Support Palliat Care [Internet]. 2013[cited 2016 June 15];7(1):101–5. Available from: https://www.ncbi.nlm.nih.gov/pubmed/23254858
Maida V, Ennis M, Kuziemsky G, Trozzolo L. Symptoms Associated with Malignant Wounds: A Prospective Case Series. Journal of Pain and Symptom Management [Internet]. 2009[cited 2016 June 15];37 (2):206-11. Available from: http://www.vincentmaida.com/Publications/JPSM2009-206.pdf
Lo S, Hayter M, Hu W, Tai C, Hsu M, Li Y. Symptom burden and quality of life in patients with malignant fungating wounds. Journal of Advanced Nursing [Internet]. 2012[cited 2016 June 15];68(6):1312–21. Available from: http://www.pubpdf.com/pub/22043819/Symptom-burden-and-quality-of-life-in-patients-with-malignant-fungating-wounds
Probst S, Arber A, Faithfull S. Malignant fungating wounds: the meaning of living in an unbounded body. European Journal of Oncology Nursing [Internet]. 2013[cited 2016 June 15];17:38-45. Available from: http://www.ejoncologynursing.com/article/S1462-3889(12)00019-1/abstract
Ponte D, Ferreira K, Costa N. O controlo do odor na ferida maligna. Journal of Tissue Regeneration Healing [Internet]. 2012[cited 2016 June 15];(1):38-43. Available from: http://www.trh-journal.com/o-controlo-do-odor/
Recka K, Montagnini M, Vitale CA. Management of bleeding associated with malignant wounds. J Palliat Med [Internet]. 2012[cited 2016 June 15]; 15(8):952-4. Available from: https://www.ncbi.nlm.nih.gov/pubmed/22489879
Woo KY, Sibbald RG. Local wound care for malignant and palliative wounds. Advances in skin and wound care [Internet]. 2010[cited 2016 June 15];23(9):417-28. Available from: http://www.manukahonning.no/uploads/3/9/6/3/39639435/_2010_local_wound_care_for_malignant_and_palliative_wounds.pdf
Gozzo TO, Tahan FP, Andrade M, Nascimento TG, Prado MAS. Ocorrência e manejo de feridas neoplásicas em mulheres com câncer de mama avançado. Esc Anna Nery [Internet]. 2014[cited 2016 June 15];18(2):270-6. Available from: http://www.scielo.br/pdf/ean/v18n2/1414-8145-ean-18-02-0270.pdf
Draper C. The management of malodour and exudate in fungating wounds. British Journal of Nursing [Internet]. 2005[cited 2016 June 15];14(11): 4-12. Available from: http://www.magonlinelibrary.com/doi/abs/10.12968/bjon.2005.14.Sup2.18210
Pantell M, Rehkopf D, Jutte D, Syme SL, Balmes J, Adler N. Social isolation: a predictor of mortality comparable to traditional clinical risk factors. American Journal of Public Health [Internet]. 2013[cited 2016 June 15];103(11):2056-62. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3871270/
Valtorta NK, Kanaan M, Gilbody S, Hanratty B. Loneliness, social isolation and social relationships: what are we measuring? A novel framework for classifying and comparing tools. BMJ Open [Internet]. 2016[cited 2016 June 15];6(4):e010799. Available from: http://bmjopen.bmj.com/content/bmjopen/6/4/e010799.full.pdf
Probst S, Arber A, Faithfull S. Coping with an exulcerated breast carcinoma: an interpretative phenomenological study. J Wound Care [Internet]. 2013[cited 2016 June 15]; 22(7):352-60. Available from: https://core.ac.uk/download/pdf/18322828.pdf
Castro MCF, Cruz PS, Grellmann MS, Santos WA, Fuly PSC. Palliative care for patients with oncological wounds in a teaching hospital: an experience report. Cogitare Enferm [Internet]. 2014[cited 2016 June 15];19(4): 841-4. Available from: http://revistas.ufpr.br/cogitare/article/view/37294/23968
Castro MCF, Fuly PSC, Garcia TR, Santos MLSC. ICNP® terminological subgroup for palliative care patients with malignant tumor wounds. Acta Paulista de Enfermagem [Internet]. 2016[cited 2016 June 15]:29(3): 340-6. Available from: http://www.scielo.br/pdf/ape/v29n3/en_1982-0194-ape-29-03-0340.pdf
Lund-nielsen B, Adamsen L, Gottup F, Rosth M, Tolver A, Kolms HJ.Qualitative bacteriology in malignant wounds--a prospective, randomized, clinical study to compare the effect of honey and silver dressings.Ostomy wound manage [Internet]. 2011[cited 2016 June 15];57(2):28-6. Available from: http://www.o-wm.com/files/owm/pdfs/OWM_July2011_Lund-Nielsen.pdf
Probst S, Arber A, Faithfull S. Malignant fungating wounds: A survey of nurses’ clinical practice in Switzerland. European Journal of Oncology Nursing [Internet]. 2009[cited 2016 June 15];13(4):295-8. Available from: https://www.ncbi.nlm.nih.gov/pubmed/19386546
Lo S, Hu W, Hayter M, Chang S, Hsu M, Wu L. Experiences of living with a malignant fungating wound: a qualitative study. J Clin Nurs [Internet]. 2008[cited 2016 June 15];17(20):2699-08. Available from: https://www.ncbi.nlm.nih.gov/pubmed/18808638
Probst S, Arber A, Trojan A, Faithfull S. Caring for a loved one with a malignant fungating wound. Support Care Cancer [Internet]. 2012[cited 2016 June 15];20(12):3065–70. Available from: https://www.ncbi.nlm.nih.gov/pubmed/22391594
Gibson S, Green J. Review of patients’ experiences with fungating wounds and associated quality of life. Journal of wound care [Internet]. 2013[cited 2016 June 15];22(5):265-75. Available from:https://www.researchgate.net/publication/236907711_Review_of_patients'_experiences_with_fungating_wounds_and_associated_quality_of_life
Lisboa IND, Valença MP. Caracterização de pacientes com feridas neoplásicas. Estima [Internet]. 2016[cited 2017 Apr 05];14(1):21-8. Available from: https://www.revistaestima.com.br/index.php/estima/article/view/116/pdf
Gethin G, Grocott P, Probst S, Clarke E. Current practice in the management of wound odour: an international survey. Int J Nurs Stud [Internet]. 2013[cited 2016 June 15];51(6):865-74. Available from: http://www.sciencedirect.com/science/article/pii/S0020748913003210
Dolbeault S, Flahault C, Baffie A, Fromantin I. Psychological profile of patients with neglected malignant wounds: a qualitative exploratory study. Journal of wound care [Internet]. 2014[cited 2016 June 15];19(12):513-21. Available from: Available from: https://www.ncbi.nlm.nih.gov/pubmed/21160442
Alexander SJ. Malignant fungating wounds: key symptoms and psychosocial issues. Journal of wound care [Internet]. 2009[cited 2016 June 15];18(8):325-9. Available from: https://www.ncbi.nlm.nih.gov/labs/articles/19862870/
Alexander SJ. An intense and unforgettable experience: the lived experience of malignant wounds from the perspectives of patients, caregivers and nurses. International Journal of Wound care [Internet]. 2010[cited 2016 June 15];7(6):456-65. Available from: https://www.ncbi.nlm.nih.gov/pubmed/20673255
Holt-lunstad J, Smith TB, Baker M; Harris, T, Stephenson D. Loneliness and social isolation as risk factors for mortality: a meta-analytic review. Perspect Psychol Sci [Internet]. 2015[cited 2016 June 15];10(2):227-37. Available from: http://journals.sagepub.com/doi/pdf/10.1177/1745691614568352
Lo SF, Hayter M, Hu WY, Tai CY, Hsu MY, Li YF. Symptom burden and quality of life in patients with malignant fungating wounds. Journal of Advanced Nursing [Internet]. 2012[cited 2016 June 15];68(6): 1312–21. Available from: https://www.ncbi.nlm.nih.gov/pubmed/22043819
Adderley UJ, Holt IGS. Topical agents and dressings for fungating wounds. Cochrane Database of Systematic Reviews [Internet]. 2014[cited 2016 June 15];5: 1-26. Available from: https://www.ncbi.nlm.nih.gov/pubmed/17443534
Sacramento CJ, Reis PED, Simino GPR, Vasques CI. Manejo de sinais e sintomas em feridas tumorais: revisão integrativa. R. Enferm. Cent. O. Min [Internet]. 2015[cited 2017 Apr 05];5(1):1514-27. Available from: http://www.seer.ufsj.edu.br/index.php/recom/article/view/944/841
Santana AC, Bachion MM, Malaquias SG, Vieira F, Carneiro DA, Lima JR. Caracterização de profissionais de enfermagem que atendem pessoas com úlceras vasculares na rede ambulatorial. Revista Brasileira de Enfermagem [Internet]. 2013[cited 2017 Jan 15];66(6):822-826. Available from: http://www.sci
The works published in this magazine are subject to the following terms:
1. The Publications Service of the University of Murcia (the publisher) preserves the copyright of the published works, and encourages and allows the reuse of the works under the license for use stated in point 2.
© Servicio de Publicaciones, Universidad de Murcia, 2011 (© Publications Service, University of Murcia, 2011)
2. The works are published in the electronic edition of the journal under Creative Commons Reconocimiento-NoComercial-SinObraDerivada 3.0 España(texto legal) “ a Attribution-NonCommercial-NoDerivatives 3.0 Spain license (legal text)”. They can be copied, used, broadcasted, transmitted and publicly displayed, provided that: i) the authorship and original source of their publication (journal, publisher and URL) are cited; (ii) are not used for commercial purposes; iii) the existence and specifications of this license is mentioned.
3. Conditions of self-archiving. Authors are allowed and encouraged to electronically disseminate the pre-print (pre-reviewed ) and / or post-print (reviewed and accepted for publication) versions of their works prior to publication, as it ensures a wider circulation and dissemination which may lead to a possible increase in its mention and a higher scope among the academic community. RoMEO color: green.
