Mulheres com lesões precursoras ou invasivas do colo de útero: a realidade do atendimento no Sistema Único de Saúde
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2011-08-17
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Universidade Federal de Goiás
Resumo
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.
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ALBUQUERQUE, Zair Benedita Pinheiro de. Women with precursor lesions or invasive uterine cervical cancer: the reality of health´s attendance in Goiânia-GO. 2011. 105 f. Tese (Doutorado em Ciencias da Saude) - Universidade Federal de Goiás, Goiânia, 2011.