Mulheres com lesões precursoras ou invasivas do colo de útero: a realidade do atendimento no Sistema Único de Saúde

• Ano de defesa: 2011
• Autor(a) principal: ALBUQUERQUE, Zair Benedita Pinheiro de
• Orientador(a): AMARAL, Rita Goreti
• Tipo de documento: Tese
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal de Goiás
• Programa de Pós-Graduação: Doutorado em Ciencias da Saude
• Departamento: Ciencias da Saude
• País: BR
• Palavras-chave em Português: Câncer cervical; Programas de Rastreamento; Prevenção; Controle; Saúde Pública; Percepção; Saúde da Mulher
• Palavras-chave em Inglês: Cervical Cancer; Screening Programs; Prevent; Control; Public Health; Perception
• Área do conhecimento CNPq: CNPQ::CIENCIAS DA SAUDE::SAUDE COLETIVA::EPIDEMIOLOGIA
• Link de acesso: http://repositorio.bc.ufg.br/tede/handle/tde/1671

OBJECTIVE: To investigate whether women with altered cervical cytopathological outcomes have been referred to Medium Complexity Units (MCU) as in accordance with the Brazilian Ministry of Health guidelines, as well analyze the perception of these womens about the attention received and the psychologic aspects that involved the diagnosis and treatment. METHODS: Descriptive, exploratory, quantitative and qualitative study based on the cytopathological outcomes of the BHS users carried out in Basic Health Assistance Units (BHAU) referred to Medium Complex Units (MCU) in the municipality of Goiânia, State of Goiás, 2005/2006. We assessed 1.109 records regarding the Brazilian Ministry of Health/the National Institute of Cancer guidelines as established by the Brazilian Nomenclature for Cervical Outcomes and Preconized Clinical Practice. Data was analyzed and processed by using Epi-info 3.3.2, 2006 and Microsoft Excel 2007. Variables were assessed descriptively, through calculus of relative and absolute frequency. For qualitative analysis, the interview method were used containing the subject caracterization and two guiding questions: one with negative polarity and other with positive polarity. RESULTS: From the total number of referrals, 79% were not in accordance with the Brazilian Ministry of Health guidelines which originated a great number of unnecessary procedures. The qualitive analysis explicitated fails on the professional attendance and in this attendance flow regarding to comunication about the actions relatives to treatment, services humanization and no observations of the established flow. The psycosocial aspects demonstrated that women didn t receive the necessary psicological attention to minorate the feelings of pain, despair, shame and, most of all, fear of death and mutilations. CONCLUSIONS: We observed inadequate referrals to the MCUs, which demanded a big number of unnecessary procedures. In women s perception, the attendence was permeated by fails in the reception, in communication, professional assistence, lack of knowledge about the attendence flow. The psycosocial aspects demand treatment integrality with multiprofessional teams working according to a biopsycosocial model.