Access and Adherence to Treatment of Women with Breast Cancer Attended at an Oncology Hospital

Detalhes bibliográficos
Autor(a) principal: Pereira Rêgo, Ilmara Kely
Data de Publicação: 2013
Outros Autores: Sampaio Nery, Inez
Tipo de documento: Artigo
Idioma: por
Título da fonte: Revista Brasileira de Cancerologia (Online)
Texto Completo: https://rbc.inca.gov.br/index.php/revista/article/view/503
Resumo: Introduction: The access to oncology treatment consists in expanding the service to women with the disease, while the adhesion suggests a certain reaction to the treatment from the chronic disease patient. Objective: To investigate the determining factors easing or prejudicing the access and adhesion to the treatment by women with breast cancer attended by an oncology hospital in Teresina, Piaui. Method: A quantitative study based on a questionnaire applied to 50 women regarding the Primary Care Assessment Tools and on the Morisky-Green Test, which investigates the aspects of therapeutic admission and adherence. Results: It was found that 36% of users are 39 to 49 years old, 62% live in other cities of Piaui or other states, and 60% earn up to minimum wage. Regarding the time past between the day when the appointment was scheduled and the day it occurred, 72% of women waited up to one week to be attended at the health institution. It was noticed that 42% of women presented nausea and vomits as one of the main collateral effects involved in clinic procedures. Conclusion: The access rate to oncology center facilities was satisfactory, while adhesion rates point out factors that may influence the permanence in the treatment. It is necessary to specify the access in public policies of health concerning oncology and to prioritize therapeutic interventions in breast cancer control, in the context of policies and programs of oncology care.  
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spelling Access and Adherence to Treatment of Women with Breast Cancer Attended at an Oncology HospitalAcceso y Adherencia al Tratamiento en Mujeres con Cáncer de Mama Atendidas en un Hospital de OncologíaAcesso e Adesão ao Tratamento de Mulheres com Câncer de Mama Assistidas em um Hospital de OncologiaNeoplasias da Mama-terapiaAcesso aos Serviços de SaúdeCooperação do PacienteAdesão à MedicaçãoBreast Neoplasms-therapyHealth Services AccessibilityPatient ComplianceMedication AdherenceNeoplasias de la Mama-terapiaAccesibilidad a los Servicios de SaludCooperación del PacienteCumplimiento de la MedicciónIntroduction: The access to oncology treatment consists in expanding the service to women with the disease, while the adhesion suggests a certain reaction to the treatment from the chronic disease patient. Objective: To investigate the determining factors easing or prejudicing the access and adhesion to the treatment by women with breast cancer attended by an oncology hospital in Teresina, Piaui. Method: A quantitative study based on a questionnaire applied to 50 women regarding the Primary Care Assessment Tools and on the Morisky-Green Test, which investigates the aspects of therapeutic admission and adherence. Results: It was found that 36% of users are 39 to 49 years old, 62% live in other cities of Piaui or other states, and 60% earn up to minimum wage. Regarding the time past between the day when the appointment was scheduled and the day it occurred, 72% of women waited up to one week to be attended at the health institution. It was noticed that 42% of women presented nausea and vomits as one of the main collateral effects involved in clinic procedures. Conclusion: The access rate to oncology center facilities was satisfactory, while adhesion rates point out factors that may influence the permanence in the treatment. It is necessary to specify the access in public policies of health concerning oncology and to prioritize therapeutic interventions in breast cancer control, in the context of policies and programs of oncology care.  Introducción: El acceso al tratamiento oncológico consiste en ampliar la atención a mujeres con la enfermedad, mientras la adherencia significa un comportamiento de la portadora de la enfermedad cronica frente al tratamiento. Objetivo: Investigar los factores determinantes que facilitan o dificultan el acceso y la adherencia al tratamiento de mujeres con cáncer de mama atendidas en un hospital oncológico ubicado en Teresina-Piauí. Método: Estudio cuantitativo realizado en 50 mujeres que implicando la aplicación de un cuestionario, con base en el Primary Care Assessment Tools y en la Prueba de Morisky-Green que investigan aspectos del ingreso y de la adherencia terapéutica. Resultados: Se constató que el 36,0% de las usuarias tienen entre 39 a 49 años; el 62,0% viven en otros municipios de Piauí u otros estados y el 60,0% reciben hasta un salario mínimo. Con relación al tiempo transcurrido entre la fecha de la programación de la cita y el dia de la cita, el 72,0% de las mujeres aguardaron el plazo de hasta una semana para ser atendidas por la institución de salud. Se observó que el 42,0% de las mujeres presentaron náuseas y vómitos como uno de los principales efectos secundarios implicados con la permanencia en procedimientos clínicos. Conclusión: La tasa de acceso a las dependencias del centro oncológico fue satisfactoria, mientras la de adherencia indica factores que pueden influir en la permanencia en el tratamiento. Se hace necesario especificar el acceso a las políticas públicas de salud en oncología e incluir la adherencia a intervenciones terapéuticas como prioridad en el control del cáncer de mama, en el contexto de políticas y programas de asistencia oncológica.Introdução: O acesso ao tratamento oncológico consiste na ampliação do atendimento a mulheres com a doença, enquanto a adesão sugere um comportamento da portadora de doença cronica diante do tratamento. Objetivo: Investigar os fatores determinantes que facilitam ou dificultam o acesso e a adesão ao tratamento de mulheres com câncer de mama, atendidas em um hospital oncológico situado em Teresina-Piauí. Método: Estudo quantitativo realizado com 50 mulheres, envolvendo a aplicação de um questionário, com base no Primary Care Assessment Tools e no Teste de Morisky-Green, que averiguam aspectos do ingresso e da aderência terapêutica. Resultados: Constatou-se que 36,0% das usuárias tem entre 39 a 49 anos; 62,0% residem em outros municipios do Piauí ou outros estados e 60,0% recebem ate um salário mínimo. Em relação ao tempo decorrido entre a data da marcação da consulta e o dia da consulta, 72,0% das mulheres aguardaram o prazo de até uma semana para serem atendidas na instituição de saúde. Percebeu-se que 42,0% das mulheres apresentaram náuseas e vômitos como um dos principais efeitos colaterais envolvidos na permanência em procedimentos clínicos. Conclusão: A taxa de acesso às dependências do centro oncológico foi satisfatória, enquanto de adesão indica fatores que podem influenciar a permanência no tratamento. Torna-se necessário especificar o acesso nas políticas públicas de saúde em oncologia e incluir a adesão a intervenções terapêuticas como prioridade no controle do câncer de mama, no contexto de políticas e programas da assistência oncológica.  INCA2013-09-30info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionArtigos, Avaliado pelos paresapplication/pdfhttps://rbc.inca.gov.br/index.php/revista/article/view/50310.32635/2176-9745.RBC.2013v59n3.503Revista Brasileira de Cancerologia; Vol. 59 No. 3 (2013): July/Aug./Sept.; 379-390Revista Brasileira de Cancerologia; Vol. 59 Núm. 3 (2013): jul./agosto/sept.; 379-390Revista Brasileira de Cancerologia; v. 59 n. 3 (2013): jul./ago./set. ; 379-3902176-9745reponame:Revista Brasileira de Cancerologia (Online)instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)instacron:INCAporhttps://rbc.inca.gov.br/index.php/revista/article/view/503/301Pereira Rêgo, Ilmara Kely Sampaio Nery, Inez info:eu-repo/semantics/openAccess2021-11-29T20:11:22Zoai:rbc.inca.gov.br:article/503Revistahttps://rbc.inca.gov.br/index.php/revistaPUBhttps://rbc.inca.gov.br/index.php/revista/oairbc@inca.gov.br0034-71162176-9745opendoar:2021-11-29T20:11:22Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)false
dc.title.none.fl_str_mv Access and Adherence to Treatment of Women with Breast Cancer Attended at an Oncology Hospital
Acceso y Adherencia al Tratamiento en Mujeres con Cáncer de Mama Atendidas en un Hospital de Oncología
Acesso e Adesão ao Tratamento de Mulheres com Câncer de Mama Assistidas em um Hospital de Oncologia
title Access and Adherence to Treatment of Women with Breast Cancer Attended at an Oncology Hospital
spellingShingle Access and Adherence to Treatment of Women with Breast Cancer Attended at an Oncology Hospital
Pereira Rêgo, Ilmara Kely
Neoplasias da Mama-terapia
Acesso aos Serviços de Saúde
Cooperação do Paciente
Adesão à Medicação
Breast Neoplasms-therapy
Health Services Accessibility
Patient Compliance
Medication Adherence
Neoplasias de la Mama-terapia
Accesibilidad a los Servicios de Salud
Cooperación del Paciente
Cumplimiento de la Medicción
title_short Access and Adherence to Treatment of Women with Breast Cancer Attended at an Oncology Hospital
title_full Access and Adherence to Treatment of Women with Breast Cancer Attended at an Oncology Hospital
title_fullStr Access and Adherence to Treatment of Women with Breast Cancer Attended at an Oncology Hospital
title_full_unstemmed Access and Adherence to Treatment of Women with Breast Cancer Attended at an Oncology Hospital
title_sort Access and Adherence to Treatment of Women with Breast Cancer Attended at an Oncology Hospital
author Pereira Rêgo, Ilmara Kely
author_facet Pereira Rêgo, Ilmara Kely
Sampaio Nery, Inez
author_role author
author2 Sampaio Nery, Inez
author2_role author
dc.contributor.author.fl_str_mv Pereira Rêgo, Ilmara Kely
Sampaio Nery, Inez
dc.subject.por.fl_str_mv Neoplasias da Mama-terapia
Acesso aos Serviços de Saúde
Cooperação do Paciente
Adesão à Medicação
Breast Neoplasms-therapy
Health Services Accessibility
Patient Compliance
Medication Adherence
Neoplasias de la Mama-terapia
Accesibilidad a los Servicios de Salud
Cooperación del Paciente
Cumplimiento de la Medicción
topic Neoplasias da Mama-terapia
Acesso aos Serviços de Saúde
Cooperação do Paciente
Adesão à Medicação
Breast Neoplasms-therapy
Health Services Accessibility
Patient Compliance
Medication Adherence
Neoplasias de la Mama-terapia
Accesibilidad a los Servicios de Salud
Cooperación del Paciente
Cumplimiento de la Medicción
description Introduction: The access to oncology treatment consists in expanding the service to women with the disease, while the adhesion suggests a certain reaction to the treatment from the chronic disease patient. Objective: To investigate the determining factors easing or prejudicing the access and adhesion to the treatment by women with breast cancer attended by an oncology hospital in Teresina, Piaui. Method: A quantitative study based on a questionnaire applied to 50 women regarding the Primary Care Assessment Tools and on the Morisky-Green Test, which investigates the aspects of therapeutic admission and adherence. Results: It was found that 36% of users are 39 to 49 years old, 62% live in other cities of Piaui or other states, and 60% earn up to minimum wage. Regarding the time past between the day when the appointment was scheduled and the day it occurred, 72% of women waited up to one week to be attended at the health institution. It was noticed that 42% of women presented nausea and vomits as one of the main collateral effects involved in clinic procedures. Conclusion: The access rate to oncology center facilities was satisfactory, while adhesion rates point out factors that may influence the permanence in the treatment. It is necessary to specify the access in public policies of health concerning oncology and to prioritize therapeutic interventions in breast cancer control, in the context of policies and programs of oncology care.  
publishDate 2013
dc.date.none.fl_str_mv 2013-09-30
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Artigos, Avaliado pelos pares
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://rbc.inca.gov.br/index.php/revista/article/view/503
10.32635/2176-9745.RBC.2013v59n3.503
url https://rbc.inca.gov.br/index.php/revista/article/view/503
identifier_str_mv 10.32635/2176-9745.RBC.2013v59n3.503
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://rbc.inca.gov.br/index.php/revista/article/view/503/301
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv INCA
publisher.none.fl_str_mv INCA
dc.source.none.fl_str_mv Revista Brasileira de Cancerologia; Vol. 59 No. 3 (2013): July/Aug./Sept.; 379-390
Revista Brasileira de Cancerologia; Vol. 59 Núm. 3 (2013): jul./agosto/sept.; 379-390
Revista Brasileira de Cancerologia; v. 59 n. 3 (2013): jul./ago./set. ; 379-390
2176-9745
reponame:Revista Brasileira de Cancerologia (Online)
instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)
instacron:INCA
instname_str Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)
instacron_str INCA
institution INCA
reponame_str Revista Brasileira de Cancerologia (Online)
collection Revista Brasileira de Cancerologia (Online)
repository.name.fl_str_mv Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)
repository.mail.fl_str_mv rbc@inca.gov.br
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