Evaluation of the level of anxiety in surgical cancer patients treated with bibliotherapy
Abstract
Introduction: Bibliotherapy is defined as the use of books and other materials in a directed reading program.
Objective: To evaluate the level of anxiety in surgical cancer patients treated with bibliotherapy.
Methods: A quasi-experimental study was carried out in cancer patients, at the María Curie Provincial Teaching Hospital of Oncology, from January 2022 to January 2023. The universe consisted of 200 patients and a simple random sample of 60, divided into two groups of 30 patients each, experimental group and conventional group. In the immediate preoperative period and immediate postoperative period, bibliotherapy was applied to the patient in reading modality. Anxiety was assessed with the Anxiety Inventory: Trait-State.
Results: The average age for both groups was similar, 56.32 years in the experimental group and 54.61 in the conventional group. Patients from 50 to 59 years and 60 to 69 years predominated, with 33.9 % and 32.3 % of the cases. The absence of difference in the level of preoperative anxiety in the groups was observed, an average experimental group of 48.16 and the conventional group 49.00. The groups show a high level of anxiety. The level of postoperative anxiety was different in the treatment groups, thus in the experimental group the average of 24.74 expresses a low level, while in the conventional group 49.55 remains high.
Conclusions: Bibliotherapy constituted an interdisciplinary therapeutic tool in cancer patients. Pain was identified as a focal word that allowed the development of the literary action plan.
DeCS: ANXIETY/therapy; BIBLIOTHERAPY/methods; PATIENT COMFORT; PATIENTS; PATIENT OUTCOME ASSESSMENT.
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References
1. ALA American Library Association [Internet]. Chicago: ALA American Library Association; c1996-2023 [citado 01 Abr 2023]. Bibliotherapy. Disponible en: https://www.ala.org/tools/atoz/bibliotherapy
2. Castro Viguera Y. La biblioterapia y la selección de fuentes de información: un ámbito de actuación para los profesionales de la Bibliotecología y la Ciencia de la Información. Bib An Invest [Internet]. 2017 Ene-Jun [citado 01 Abr 2023];13(1):86-99. Disponible en: http://revistas.bnjm.cu/index.php/BAI/article/viewFile/140/140
3. Gómez Mujica KL. La biblioterapia como práctica profesional del bibliotecólogo [Internet]. 2020 [citado 01 Abr 2023]. Disponible en: http://eprints.rclis.org/15583/1/art%C3%ADculo_biblioterapia.pdf
4. Montells Mendoza Z. Biblioterapia: experiencias de la Sala Infantil de la Biblioteca Provincial Julio Antonio Mella [Internet]. Camagüey: Biblioteca Provincial Julio Antonio Mella; 2007 [citado 01 Abr 2023]. Disponible en: https://archive.ifla.org/IV/ifla73/papers/118-Mendoza-es.pdf
5. van Lankveld JJDM, van de Wetering FT, Wylie K, Scholten RJPM. Bibliotherapy for Sexual Dysfunctions: A Systematic Review and Meta-Analysis. J Sex Med [Internet]. 2021 Mar [citado 10 Abr 2023]; 18(3): 582-614. Disponible en: https://www.sciencedirect.com/science/article/pii/S1743609520311292?via%3Dihub
6. Storch EA, Schneider SC, Olsen SM, Ramírez AC, Berry LN, Goin-Kochel RP, et al. Stepped-Care Cognitive Behavioral Therapy in Children on the Autism Spectrum with Co-occurring Anxiety. J Autismo Dev Disord [Internet]. 2022 Oct [citado 11 Abr 2023];14:1-16. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9561323/
7. Jones JK, Evans JF, Barfield RC. La utilidad de la terapia verbal para pacientes pediátricos con cáncer y sobrevivientes: escritura expresiva, narrativas en video y ejercicios de biblioterapia. Front Pediatr [Internet]. 2021 [citado 10 Abr 2023];9:579003. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7889798/
8. González Llaneza FM. Instrumentos de evaluación psicológica [Internet]. Ciudad de La Habana: Editorial Ciencias Médicas; 2007 [citado 03 Mar 2023]. Disponible en: http://www.bvs.sld.cu/libros_texto/ins-eva-psicol/completo.pdf
9. Ministerio de Salud Pública. Anuario Estadístico de Salud 2021 [Internet]. La Habana: Dirección de Registros Médicos y Estadísticas de Salud; 2022 [citado 03 Mar 2023]. Disponible en: https://files.sld.cu/dne/files/2022/10/Anuario-Estadistico-de-Salud-2021.-Ed-2022.pdf
10. Lorenzo-Luaces L, Howard J, De Jesús-Romero R, Peipert A, Buss JF, Lind C, et al. Acceptability and Outcomes of Transdiagnostic Guided Self-help Bibliotherapy for Internalizing Disorder Symptoms in Adults: A Fully Remote Nationwide Open Trial. Cognit Ther Res [Internet]. 2023 [citado 20 Mar 2023];47(2):195-208. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9744377/
11. Pebley K, Bursac Z, Klesges RC, Ebbert JO, Womack CR, Graber J, et al. A randomized controlled trial to reduce post-cessation weinht gain. Int J Obes [Internet]. 2023 [citado 25 Mar 2023];47(6):471-8. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9958320/
12. Román AM. Imaginarios sociales de exreclusos sobre la lectura y el sentido de la vida: la función de la biblioterapia en personas privadas de su libertad [tesis doctoral]. Buenos Aires: Universidad Argentina John F. Kennedy; 2019 [citado 25 Mar 2023]. Disponible en: https://www.calameo.com/read/0060860372dc8f1b82f8f
13. De Jesús-Romero R, Wasil A, Lorenzo-Luaces L. Disposición para utilizar intervenciones basadas en Internet versus biblioterapia en una muestra representativa de EE.UU: Estudio de encuesta transversal. JMIR Form Res [Internet]. 2022 Ago [citado 25 Mar 2023];6(8):e39508. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9453577/
14. Vetri K, Piché G, Villatte A. Una evaluación de la aceptabilidad, idoneidad y utilidad de una biblioterapia para hijos de padres con una enfermedad mental. Front Psychiatry [Internet]. 2022 [citado 10 Mar 2023];13:815873. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9046907/
15. de Witte M, Orkibi H, Zarate R, Karkou V, Sajnani N, Malhotra B, et al. From Therapeutic Factors to Mechanisms of Change in the Creative Arts Therapies: A Scoping Review. Front Psychiatry [Internet]. 2021 [citado 10 Mar 2023];12:678397. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8336579/
16. Davis P, Corcoran R, Billington J, Frank A. Editorial: Reading, literature, and psychology in action. Front Psychol [Internet]. 2022 [citado 25 Mar 2023];13:1068030. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10032206/
17. Xin Y, Cao L, Wang X, He X, Feng L. Generating Instructive Questions from Multiple Articles to Guide Reading in E-Bibliotherapy. Sensor [Internet]. 2021 May [citado 25 Mar 2023];21(9):3223. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8125783/
18. Pulimeno M, Piscitelli P, Colazzo S. Children´s literature to promote students´ global development and wellbeing. Health Promot Perspect [Internet]. 2020 [citado 25 Mar 2023];10(1):13-23. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7036210/#!po=11.5385
19. Pérez Fuentes J. Versión actualizada de la definición de dolor de la IASP: un paso adelante o un paso atrás. Rev Soc Esp Dolor [Internet]. 2020 Jul-Ago [citado 02 Mar 2023];27(4). Disponible en: https://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1134-80462020000400003
20. Tan H, Wei J, Li S, Yu L, Sun H, Ji K, et al. Pain threshold, anxiety and other factors affect intensity of postoperative pain in gastric cancer patients: A prospective cohort study. Chin J Cancer Res [Internet]. 2021 Jun [citado 2 Mar 2023];33(3):343-51. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8286888/
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Copyright (c) 2023 Yaydelys Osorio-Tamayo, Zaily Fuentes-Díaz, Orlando Bismark Rodríguez-Salazar, Raquel María Gutiérrez-Montoya, José Eduardo Vera-Rodríguez, Maurice José González-Basulto

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22 julio 2025