Controle da neoplasia maligna do colo de útero: a resolutividade na atenção básica
Autor(a) principal: | |
---|---|
Data de Publicação: | 2011 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Repositório Institucional da UFRN |
Texto Completo: | https://repositorio.ufrn.br/jspui/handle/123456789/14758 |
Resumo: | A quantitative, descriptive, cross-sectional and retrospective study, using technical procedures of document consultation from secondary sources and health household survey with application form for face to face inter views, with the assent nº.039/2011 from the Ethics Committee of the Federal University of Rio Grande do Norte. The aim of this study was to analyze the cervix cancer control in the area47 of the Health Family Centre Nova Natal II. The cancer cervix is the second most common cancer among women worldwide. In Brazil screening for early detection and treatment of disease has been poorly done and follow-up to reduce mortality has not been executed. From a total of1170women belonging to area 47, who under went screening by the Pap test in the period from 2005 to 2010,was elected a sample of 38 women with positive cervical changes, over 18 years old. The calculation of frequency analysis of socio demographic and clinical and epidemiological selected variables with the results of cervical changes, using the X2 test and taking as significance level of p<0.05 was not statistically significant. The predominant age range was 25 to 64 years (68.9%), most no white women (60.5%), predominantly with primary education (57.9%), most married (68.4%) and housewives (68.4%) with early age of sexual activity (86.8%), the minority smokers (13.2%), with a sexual partner (36.8%). At the time of interview, 42.1% of the women voiced complaint of discharge, while only 2.6% reported bleeding. In relation to the occurrence of STDs (including HPV), 10.5% of women reported being a carrier. The use of oral contraceptives was 32.3% of women, from 2 to 4 years (44.4%). The result of the last screening test performed, showed prevalence of immature squamous metaplasia (55.3%), followed by intraepithelial low- grade lesion (including the cytopathologic HPV effect and cervical intra epithelial neoplasia grade I) (31.6%); intraepithelial high-grade lesion (including cervical intraepithelial neoplasia grade II and III) (7.9%), atypical squamous non neoplastic cells (5.3%). There was no squamous cell carcinoma and adenocarcinoma. Most women received information about the action that should be done after the last screening test result (55.3%), but how to perform follow, most women did not report having done so (55.3%). The follow-up group of women studied, with varying degrees of cervical abnormalities, should only be completed with the discharge by cure, established inconsecutive negative cytology, a goal that is not being achieved in the area 47 of the Health Family Centre of Nova Natal II |
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Silva, Magna Maria Pereira dahttp://lattes.cnpq.br/5867864078936935http://lattes.cnpq.br/0853088753959503Fernandes, Ana Fátima Carvalhohttp://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4780462J0Brito, Rosineide Santana dehttp://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4794971P8&dataRevisao=nullMiranda, Francisco Arnoldo Nunes dehttp://lattes.cnpq.br/9242337504601387Lagana, Maria Teresa Cicero2014-12-17T14:46:55Z2012-10-152014-12-17T14:46:55Z2011-11-18SILVA, Magna Maria Pereira da. Controle da neoplasia maligna do colo de útero: a resolutividade na atenção básica. 2011. 107 f. Dissertação (Mestrado em Assistência à Saúde) - Universidade Federal do Rio Grande do Norte, Natal, 2011.https://repositorio.ufrn.br/jspui/handle/123456789/14758A quantitative, descriptive, cross-sectional and retrospective study, using technical procedures of document consultation from secondary sources and health household survey with application form for face to face inter views, with the assent nº.039/2011 from the Ethics Committee of the Federal University of Rio Grande do Norte. The aim of this study was to analyze the cervix cancer control in the area47 of the Health Family Centre Nova Natal II. The cancer cervix is the second most common cancer among women worldwide. In Brazil screening for early detection and treatment of disease has been poorly done and follow-up to reduce mortality has not been executed. From a total of1170women belonging to area 47, who under went screening by the Pap test in the period from 2005 to 2010,was elected a sample of 38 women with positive cervical changes, over 18 years old. The calculation of frequency analysis of socio demographic and clinical and epidemiological selected variables with the results of cervical changes, using the X2 test and taking as significance level of p<0.05 was not statistically significant. The predominant age range was 25 to 64 years (68.9%), most no white women (60.5%), predominantly with primary education (57.9%), most married (68.4%) and housewives (68.4%) with early age of sexual activity (86.8%), the minority smokers (13.2%), with a sexual partner (36.8%). At the time of interview, 42.1% of the women voiced complaint of discharge, while only 2.6% reported bleeding. In relation to the occurrence of STDs (including HPV), 10.5% of women reported being a carrier. The use of oral contraceptives was 32.3% of women, from 2 to 4 years (44.4%). The result of the last screening test performed, showed prevalence of immature squamous metaplasia (55.3%), followed by intraepithelial low- grade lesion (including the cytopathologic HPV effect and cervical intra epithelial neoplasia grade I) (31.6%); intraepithelial high-grade lesion (including cervical intraepithelial neoplasia grade II and III) (7.9%), atypical squamous non neoplastic cells (5.3%). There was no squamous cell carcinoma and adenocarcinoma. Most women received information about the action that should be done after the last screening test result (55.3%), but how to perform follow, most women did not report having done so (55.3%). The follow-up group of women studied, with varying degrees of cervical abnormalities, should only be completed with the discharge by cure, established inconsecutive negative cytology, a goal that is not being achieved in the area 47 of the Health Family Centre of Nova Natal IIEstudo quantitativo realizado por meio de pesquisa descritiva, transversal e retrospectiva, utilizando procedimentos técnicos de consulta documental a fontes secundárias e inquérito domiciliar com aplicação de formulário de entrevistas face a face, após parecer favorável nº 039/2011 do Comitê de Ética em Pesquisa da Universidade Federal do Rio Grande do Norte. O objetivo dessa pesquisa foi analisar a resolutividade do controle da neoplasia maligna do colo de útero na área 47 da Unidade de Saúde da Família Nova Natal II. A neoplasia maligna do colo de útero é o segundo tipo de câncer mais frequente entre as mulheres no mundo. No Brasil o rastreamento para detecção e tratamento precoces da doença tem sido efetuado precariamente e o seguimento, para reduzir a mortalidade, não tem sido executado. De um total de 1170 mulheres pertencentes à área 47, que se submeteram a rastreamento por meio do exame de Papanicolau, no período de 2005 a 2010, elegeu-se uma amostra de 38 mulheres com resultado positivo de alterações cervicais, maiores de 18 anos. A análise do cálculo da frequência de variáveis sociodemográficas e clínico-epidemiológicas selecionadas com os resultados das alterações cervicais, utilizando-se o teste de X2 e adotando como nível de significância p<0,05 não mostrou significância estatística. A faixa etária predominante foi de 25 a 64 anos (68,9%); a maioria parda (60,5%); com escolaridade predominante até o ensino fundamental (57,9%); a maioria casada ou em convivência marital (68,4%) e donas de casa (68,4%); com início precoce da atividade sexual (86,8%), a minoria fumante (13,2%), com um parceiro sexual (36,8%). No momento da entrevista, 42,1% das mulheres verbalizou queixa de corrimento, enquanto apenas 2,6% referiu sangramento. Em relação à ocorrência de DSTs (inclusive HPV), 10,5% das mulheres declarou ser portadora. Verbalizaram o uso de contraceptivos orais, 32,3% das mulheres, por 2 a 4 anos (44,4%). Quanto ao resultado do último exame preventivo realizado, prevaleceu a metaplasia escamosa imatura (55,3%), seguido de lesão intraepitelial de baixo grau (compreendendo efeito citopatológico pelo HPV e neoplasia intra-epitelial cervical grau I) (31,6%); lesão intra-epitelial de alto grau (compreendendo neoplasias intra-epiteliais cervicais de grau II e III) (7,9%); células atípicas escamosas de significado indeterminado, possivelmente não neoplásicas, (5,3%). Não foi observado carcinoma de células escamosas e adenocarcinoma. A maioria das mulheres recebeu informações sobre o seguimento que deveria ser realizado após o resultado do último exame preventivo (55,3%), mas, quanto a realizar o seguimento, a maior parte das mulheres não referiu tê-lo feito (55,3%). O seguimento do grupo de mulheres analisadas, com diferentes graus de alterações cervicais, somente deveria ser finalizado com a alta por cura, estabelecido em citologias consecutivas negativas, meta que não está sendo atingida na área 47 da Unidade de Saúde da Família Nova Natal IICoordenação de Aperfeiçoamento de Pessoal de Nível Superiorapplication/pdfporUniversidade Federal do Rio Grande do NortePrograma de Pós-Graduação em EnfermagemUFRNBRAssistência à SaúdeEnfermagem ginecológicaNeoplasia maligna do colo de úteroSaúde da famíliaSeguimentoResolutividadeAcesso a serviços de saúdeGynecological nursingUterine cervical neoplasmFamily healthFollowupCase-resolving capacity of health servicesAccess to health servicesCNPQ::CIENCIAS DA SAUDE::ENFERMAGEMControle da neoplasia maligna do colo de útero: a resolutividade na atenção básicainfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFRNinstname:Universidade Federal do Rio Grande do Norte (UFRN)instacron:UFRNORIGINALMagnaMPS_DISSERT.pdfapplication/pdf1336445https://repositorio.ufrn.br/bitstream/123456789/14758/1/MagnaMPS_DISSERT.pdf2998e1c0551bf591c5ce1acc115c4190MD51TEXTMagnaMPS_DISSERT.pdf.txtMagnaMPS_DISSERT.pdf.txtExtracted texttext/plain194716https://repositorio.ufrn.br/bitstream/123456789/14758/6/MagnaMPS_DISSERT.pdf.txt21ffa7def286ae811dcfad3a2676b568MD56THUMBNAILMagnaMPS_DISSERT.pdf.jpgMagnaMPS_DISSERT.pdf.jpgIM Thumbnailimage/jpeg2302https://repositorio.ufrn.br/bitstream/123456789/14758/7/MagnaMPS_DISSERT.pdf.jpg8ae2935548d8ce35309958eba00764e9MD57123456789/147582017-11-01 09:29:50.348oai:https://repositorio.ufrn.br:123456789/14758Repositório de PublicaçõesPUBhttp://repositorio.ufrn.br/oai/opendoar:2017-11-01T12:29:50Repositório Institucional da UFRN - Universidade Federal do Rio Grande do Norte (UFRN)false |
dc.title.por.fl_str_mv |
Controle da neoplasia maligna do colo de útero: a resolutividade na atenção básica |
title |
Controle da neoplasia maligna do colo de útero: a resolutividade na atenção básica |
spellingShingle |
Controle da neoplasia maligna do colo de útero: a resolutividade na atenção básica Silva, Magna Maria Pereira da Enfermagem ginecológica Neoplasia maligna do colo de útero Saúde da família Seguimento Resolutividade Acesso a serviços de saúde Gynecological nursing Uterine cervical neoplasm Family health Followup Case-resolving capacity of health services Access to health services CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM |
title_short |
Controle da neoplasia maligna do colo de útero: a resolutividade na atenção básica |
title_full |
Controle da neoplasia maligna do colo de útero: a resolutividade na atenção básica |
title_fullStr |
Controle da neoplasia maligna do colo de útero: a resolutividade na atenção básica |
title_full_unstemmed |
Controle da neoplasia maligna do colo de útero: a resolutividade na atenção básica |
title_sort |
Controle da neoplasia maligna do colo de útero: a resolutividade na atenção básica |
author |
Silva, Magna Maria Pereira da |
author_facet |
Silva, Magna Maria Pereira da |
author_role |
author |
dc.contributor.authorID.por.fl_str_mv |
|
dc.contributor.authorLattes.por.fl_str_mv |
http://lattes.cnpq.br/5867864078936935 |
dc.contributor.advisorID.por.fl_str_mv |
|
dc.contributor.advisorLattes.por.fl_str_mv |
http://lattes.cnpq.br/0853088753959503 |
dc.contributor.referees1.pt_BR.fl_str_mv |
Fernandes, Ana Fátima Carvalho |
dc.contributor.referees1ID.por.fl_str_mv |
|
dc.contributor.referees1Lattes.por.fl_str_mv |
http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4780462J0 |
dc.contributor.referees2.pt_BR.fl_str_mv |
Brito, Rosineide Santana de |
dc.contributor.referees2ID.por.fl_str_mv |
|
dc.contributor.referees2Lattes.por.fl_str_mv |
http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4794971P8&dataRevisao=null |
dc.contributor.referees3.pt_BR.fl_str_mv |
Miranda, Francisco Arnoldo Nunes de |
dc.contributor.referees3ID.por.fl_str_mv |
|
dc.contributor.referees3Lattes.por.fl_str_mv |
http://lattes.cnpq.br/9242337504601387 |
dc.contributor.author.fl_str_mv |
Silva, Magna Maria Pereira da |
dc.contributor.advisor1.fl_str_mv |
Lagana, Maria Teresa Cicero |
contributor_str_mv |
Lagana, Maria Teresa Cicero |
dc.subject.por.fl_str_mv |
Enfermagem ginecológica Neoplasia maligna do colo de útero Saúde da família Seguimento Resolutividade Acesso a serviços de saúde |
topic |
Enfermagem ginecológica Neoplasia maligna do colo de útero Saúde da família Seguimento Resolutividade Acesso a serviços de saúde Gynecological nursing Uterine cervical neoplasm Family health Followup Case-resolving capacity of health services Access to health services CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM |
dc.subject.eng.fl_str_mv |
Gynecological nursing Uterine cervical neoplasm Family health Followup Case-resolving capacity of health services Access to health services |
dc.subject.cnpq.fl_str_mv |
CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM |
description |
A quantitative, descriptive, cross-sectional and retrospective study, using technical procedures of document consultation from secondary sources and health household survey with application form for face to face inter views, with the assent nº.039/2011 from the Ethics Committee of the Federal University of Rio Grande do Norte. The aim of this study was to analyze the cervix cancer control in the area47 of the Health Family Centre Nova Natal II. The cancer cervix is the second most common cancer among women worldwide. In Brazil screening for early detection and treatment of disease has been poorly done and follow-up to reduce mortality has not been executed. From a total of1170women belonging to area 47, who under went screening by the Pap test in the period from 2005 to 2010,was elected a sample of 38 women with positive cervical changes, over 18 years old. The calculation of frequency analysis of socio demographic and clinical and epidemiological selected variables with the results of cervical changes, using the X2 test and taking as significance level of p<0.05 was not statistically significant. The predominant age range was 25 to 64 years (68.9%), most no white women (60.5%), predominantly with primary education (57.9%), most married (68.4%) and housewives (68.4%) with early age of sexual activity (86.8%), the minority smokers (13.2%), with a sexual partner (36.8%). At the time of interview, 42.1% of the women voiced complaint of discharge, while only 2.6% reported bleeding. In relation to the occurrence of STDs (including HPV), 10.5% of women reported being a carrier. The use of oral contraceptives was 32.3% of women, from 2 to 4 years (44.4%). The result of the last screening test performed, showed prevalence of immature squamous metaplasia (55.3%), followed by intraepithelial low- grade lesion (including the cytopathologic HPV effect and cervical intra epithelial neoplasia grade I) (31.6%); intraepithelial high-grade lesion (including cervical intraepithelial neoplasia grade II and III) (7.9%), atypical squamous non neoplastic cells (5.3%). There was no squamous cell carcinoma and adenocarcinoma. Most women received information about the action that should be done after the last screening test result (55.3%), but how to perform follow, most women did not report having done so (55.3%). The follow-up group of women studied, with varying degrees of cervical abnormalities, should only be completed with the discharge by cure, established inconsecutive negative cytology, a goal that is not being achieved in the area 47 of the Health Family Centre of Nova Natal II |
publishDate |
2011 |
dc.date.issued.fl_str_mv |
2011-11-18 |
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2012-10-15 2014-12-17T14:46:55Z |
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2014-12-17T14:46:55Z |
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masterThesis |
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publishedVersion |
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SILVA, Magna Maria Pereira da. Controle da neoplasia maligna do colo de útero: a resolutividade na atenção básica. 2011. 107 f. Dissertação (Mestrado em Assistência à Saúde) - Universidade Federal do Rio Grande do Norte, Natal, 2011. |
dc.identifier.uri.fl_str_mv |
https://repositorio.ufrn.br/jspui/handle/123456789/14758 |
identifier_str_mv |
SILVA, Magna Maria Pereira da. Controle da neoplasia maligna do colo de útero: a resolutividade na atenção básica. 2011. 107 f. Dissertação (Mestrado em Assistência à Saúde) - Universidade Federal do Rio Grande do Norte, Natal, 2011. |
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https://repositorio.ufrn.br/jspui/handle/123456789/14758 |
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Universidade Federal do Rio Grande do Norte |
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Programa de Pós-Graduação em Enfermagem |
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UFRN |
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BR |
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Assistência à Saúde |
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Universidade Federal do Rio Grande do Norte |
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