Tomada de Decisão Compartilhada em Oncogeriatria
preferência de controle, autonomia percebida e fatores associados
DOI:
https://doi.org/10.15448/2357-9641.2026.1.49344Palavras-chave:
tomada de decisão compartilhada, oncologia, geriatria, preferência do pacienteResumo
Objetivos: Avaliar a preferência de controle e a percepção de decisão partilhada em idosos com câncer em tratamento antineoplásico, bem como identificar fatores associados a esses desfechos.
Métodos: Trata-se de estudo observacional, descritivo e transversal realizado em dois hospitais terciários de Porto Alegre (RS), incluindo idosos ≥60 anos com neoplasias sólidas que iniciaram tratamento sistêmico entre julho de 2023 e janeiro de 2025. Foram coletados dados sociodemográficos, clínicos e funcionais, além da aplicação da Escala de Preferência de Controle e Questionário de decisão partilhada.
Resultados: Foram avaliados 181 idosos, com média de idade de 70,7 anos, predominando homens (51,9%), brancos (87,3%) e com neoplasia metastática (57,5%). O perfil de preferência colaborativo foi o mais frequente (51,4%), seguido do passivo (39,2%) e do ativo (9,4%). Preferências passivas associaram-se à origem privada, pior funcionalidade (PS-ECOG ≥2), limitação nas atividades de vida diária e ausência de cirurgia. A média do Questionário de decisão partilhada foi 73,8 (DP 11,7), sendo maior entre indivíduos com maior escolaridade, sem comorbidades, PS-ECOG 0–1 e com adaptação de dose. Idosos com perfil passivo apresentaram menor percepção de decisão partilhada.
Conclusões: A participação nas decisões terapêuticas é influenciada por fatores clínicos, funcionais e contextuais, reforçando a necessidade de abordagens individualizadas e centradas na pessoa para fortalecer a autonomia e qualificar o processo decisório em oncogeriatria.
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Copyright (c) 2026 Valéria Sgnaolin, Vanessa Sgnaolin, Alfredo Cataldo Neto
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