Impacto da capacitação dos profissionais de saúde sobre o rastreamento do câncer do colo do útero em unidades básicas de saúde
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Data
2014
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Resumo
PURPOSE: To evaluate the impact of training professionals involved in the screening for cervical cancer in
Basic Health Units in the city of Goiânia (GO). METHODS: This was and intervention study in which the
following data contained in the cervical cytopathology test form were examined: the woman’s personal
data, anamnesis, clinical examination and identification of the professional responsible for the collection.
Professional training was evaluated by comparing the forms referring to the period from January 2007 to
April 2009, before training, with the forms referring to the period from July 2010 to December 2012, after
training. The Pearson χ 2 test was used to analyze the results of training, with the 5% level of significance.
RESULTS: After training, there was a significantly increased frequency of recording patient schooling (from 67.2
to 92.6%, p<0.001), telephone number (from 78.9 to 98.7%, p<0.001), cervical inspection (from 86.8 to
96.6%, p<0.001), and signs suggestive of sexually transmitted diseases (from 80.8 to 93.5%, p<0.001).
There was a reduction in the frequency of performing the exam within an interval of less than one year
(p<0.001) and of one year (p<0.001). There was a reduction in the frequency of Pap smear testing in women under 25 years of age, from 22.0 to 17.9% (p<0.001). There was a significant increase in the proportion of satisfactory samples from
70.4 to 80.2% (p<0.001). A reduction of confounding factors was observed. The desiccation frequency was 2.9% before training and 2.0%
after training (p<0.001). There was an increase in the frequency of representation of endocervical cells from 79.5 to 88.5% (p<0.001).
CONCLUSION: After training, there was a significant improvement in completing the application form, the performance of such tests regarding
frequency and the age range recommended by the Ministry of Health, and the adequacy of the sample.
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Educação continuada, Prevenção & controle, Capacitação em serviço, Capacitação profissional, Capacitação de recursos humanos em saúde, Neoplasias do colo do útero, Diagnóstico, Education, continuing, Prevention & control, Inservice training, Uterine cervical neoplasms, Professional training, Diagnosis, Health human resource training, Uterine cervical neoplasms, Inservice training
Citação
AMARAL, Ariadne Ferreira et al. Impacto da capacitação dos profissionais de saúde sobre o rastreamento do câncer do colo do útero em unidades básicas de saúde. Revista Brasileira de Ginecologia e Obstetrícia, São Paulo, v. 36, n. 4, p. 182-187, 2014.