scholarly journals O enfermeiro na prática do exame citopatológico de colo do útero: relato de experiência

2019 ◽  
Vol 80 (18) ◽  
Author(s):  
Simone Maria de Araújo Maia ◽  
Carolliny Faria Jardim ◽  
Claudia Cristina da Silva Moraes ◽  
Diogo Gomes Scotelario ◽  
Gabriel Barreto da Silva Correia ◽  
...  
Keyword(s):  
Public Health ◽  
Cervical Cancer ◽  
Nursing Care ◽  
Pap Smear ◽  
Family Health ◽  
Public Health Problem ◽  
Cervical Smear ◽  
The Family ◽  
Health Model ◽  
Strategic Support

O método principal e mais amplamente utilizado para detecção do câncer de colo do útero é o exame citopatológicoou exame Papanicolaou. Embora o exame tenha sido introduzido no Brasil há décadas, o câncer de colo uterinoé considerado um problema de saúde pública. Vários fatores que podem interferir na prática de realização doexame, como a conduta dos profissionais que realizam a coleta do material. Objetiva-se ressaltar a importância doenfermeiro na coleta adequada do exame citopatológico do colo uterino antes, durante e depois da coleta. O estudotrata-se de um relato de experiência dos graduandos de enfermagem na prática do exame citopatológico. Com baseno acompanhamento de trinta mulheres que compuseram ao estudo, a faixa etária das mesmas estava dentro doconsiderado grupo vulnerável no rastreamento do câncer cervical. Mesmo com o apoio estratégico do modelo deSaúde da Família, sabe-se que existem tabus da mulher relacionados à prática do exame. Diante disso, conseguiuse perceber a importância do acolhimento à mulher antes do exame e a aplicação dos cuidados de enfermagem.Concluí-se que o resultado desse estudo evidenciou a inserção do enfermeiro na contribuição para uma melhorprestação do serviço à saúde da mulher, relacionado à realização do exame citopatológico de forma adequada, naárea da prevenção do câncer do colo de útero.Palavras-chave: Teste de Papanicolaou; Cuidados de enfermagem; Saúde Pública. ABSTRACTThe primary and most widely used method for detecting cervical cancer is Pap smear or Pap smear. Althoughthe test has been introduced in Brazil for decades, cervical cancer is considered a public health problem. Severalfactors that may interfere with the practice of conducting the exam, such as the conduct of professionals whoperform the material collection. It is important to emphasize the importance of the nurse in the adequatecollection of the cytopathological examination of the uterine cervix before, during and after collection. The studyis an experience report of nursing undergraduates in the practice of cytopathological examination. Based on thefollow-up of thirty women who composed the study, their age group was within the considered vulnerable groupin cervical cancer screening. Even with the strategic support of the Family Health model, it is known that thereare women’s taboos related to the practice of the exam. Therefore, it was possible to perceive the importanceof welcoming women before the examination and the application of nursing care. The results of this studyevidenced the insertion of the nurse in the contribution to a better service delivery to women’s health, relatedto the accomplishment of the cytopathological examination in an appropriate way, in the area of cervical cancerprevention.Keywords: Cervical Smear; Nursing Care; Public Health

scholarly journals Conjugal violence in the perspective of "Family Health Strategy" professionals: a public health problem and the need to provide care for the women

2014 ◽  
Vol 22 (1) ◽  
pp. 76-84 ◽  
Author(s):  
Nadirlene Pereira Gomes ◽  
Alacoque Lorenzini Erdmann
Keyword(s):  
Public Health ◽  
Health Problem ◽  
Family Health ◽  
Public Health Problem ◽  
Ethics Committee ◽  
Conjugal Violence ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy ◽  
Care Practices

OBJECTIVE: to construct a theoretical matrix based on the meanings of the interactions and actions experienced by the professionals regarding the nursing care practices and the health of women in situations of conjugal violence in the ambit of the Family Health Strategy. METHODS: research based in Grounded Theory. Following approval by the Research Ethics Committee, 52 professionals were interviewed in Santa Catarina, Brazil. The analysis was based on open, axial and selective codifications. RESULTS: the theoretical model was delimited based on the phenomenon "Recognizing conjugal violence as a public health problem, and the need for management of the care for the woman", which reflects the experience of the professionals in relation to care for the woman, as well as the meanings attributed to this care. CONCLUSIONS: the phenomenon allows one to understand the movement of action and interaction regarding the care for the woman in a situation of conjugal violence.

scholarly journals Motivos que influenciam a não realização do exame de Papanicolaou

2018 ◽  
Vol 8 (23) ◽  
pp. 39
Author(s):  
Luane Regina da Silva Carvalho ◽  
Sonia Regina Jurado
Keyword(s):  
Public Health ◽  
Cervical Cancer ◽  
Health Problem ◽  
Pap Smear ◽  
Public Health Problem ◽  
Vaginal Smear ◽  
Level Of Education ◽  
Las Mujeres ◽  
Severity Of The Disease ◽  
Preventive Examination

O câncer de colo de útero (CCU) constitui um problema de saúde pública e é uma doença passível de ser prevenida através do exame de esfregaço vaginal. Esse estudo objetivou apresentar as causas que levam as mulheres a não realização do exame e quais as estratégias elaboradas pelas unidades de saúde para prevenção do CCU. Realizou-se uma revisão bibliográfica nas bases de dados SciELO e LILACS. Dentre os fatores determinantes a não adesão das mulheres ao exame destacam-se crenças, tabus, baixa escolaridade, precário nível de informação sobre a gravidade da patologia e desconhecimento da importância do exame preventivo. Portanto, o enfermeiro deve estar atento à falta de adesão ao preventivo pelas mulheres, bem como deve conhecer as causas da não realização do exame preventivo para, então, definir estratégias de intervenções mais eficientes e adequadas às reais necessidades da população feminina.Descritores: Saúde da Mulher, Teste de Papanicolaou, Educação em Enfermagem. Reasons that influence non-performance of papanicolaou examAbstract: Cervical cancer (UC) is a public health problem and is a disease that can be prevented by vaginal smear examination. The study aimed to present the causes that lead women to not perform the exam and which strategies were developed by the health units to prevent UC. A bibliographic review was carried out in the SciELO and LILACS databases. Among the determinants of women's non-adherence to the examination are the following: beliefs, taboos, low level of education, precarious level of information about the severity of the disease, and lack of knowledge about the importance of preventive examination. Therefore, the nurse should be aware of the lack of adherence to the preventive by women, know the causes of the non-preventive examination and define strategies of interventions more efficient and adequate to the real needs of the female population.Descriptors: Women’s Health, Pap Smear, Education in Nursing. Razones que influyen a la no realización del examen de papanicolaouResumen: El cáncer de cuello de útero (CUU) constituye un problema de salud pública y es una enfermedad susceptible de ser prevenida a través del examen de frotis vaginal. El estudio objetivó presentar las causas que llevan a las mujeres a la no realización del examen y cuáles las estrategias elaboradas por las unidades de salud para prevención del CCU. Se realizó una revisión en las bases de datos SciELO y LILACS. Entre los factores determinantes a la no adhesión de las mujeres al examen se destacan creencias, tabúes, baja escolaridad, precario nivel de información sobre la gravedad de la patología y desconocimiento de la importancia del examen preventivo. Por lo tanto, el enfermero debe estar atento a la falta de adhesión al preventivo, así como conocer las causas de la no realización del examen preventivo para, entonces, definir estrategias de intervenciones más eficientes y adecuadas a las reales necesidades de la población femenina.Descriptores: Salud de la Mujer, Prueba de Papanicolaou, Educación en Enfermería.

scholarly journals Potentialities in integral care: uterine cervical cancer prevention according to the users of the family health strategy

2007 ◽  
Vol 15 (3) ◽  
pp. 426-430 ◽  
Author(s):  
Michele Mandagará de Oliveira ◽  
Ione Carvalho Pinto ◽  
Valéria Cristina Christello Coimbra
Keyword(s):  
Cervical Cancer ◽  
Cancer Prevention ◽  
Pap Smear ◽  
Family Health ◽  
Uterine Cervical Cancer ◽  
Cervical Cancer Prevention ◽  
Study Data ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy

This study aimed to analyze the integral care in the uterine cervical cancer prevention practices in the conception of users of the Family Health Strategy through an exploratory and descriptive research with a qualitative approach. A total of 14 users who performed the Pap smear in December 2002 in four Family Health Units affiliated to Higher Education institutions were selected for the study. Data were collected between April and June 2003. We found that the users analyze and assess the praxis by issuing a value judgment about the care they receive, mainly in terms of light (relational) technologies. Concluding, humanized practices provided by professional/team favor integral care, strengthening the bond between users and health services, as well as health promotion.

scholarly journals Percepção de mulheres acerca da consulta ginecológica e exame papanicolaou numa USF na cidade de Senhor do Bonfim - BA

2017 ◽  
Vol 7 (19) ◽  
pp. 49
Author(s):  
Elizangela Silva Damasceno ◽  
Cristiane Purificação de Oliveira Teixeira ◽  
Bárbara Angélica Gomez Pérez ◽  
Isaiane Santos Bittencourt ◽  
Isabel Cristina Carqueijeiro Ferreira ◽  
...  
Keyword(s):  
Public Health ◽  
Cervical Cancer ◽  
Family Health ◽  
Health Unit ◽  
Papanicolaou Test ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy ◽  
Las Mujeres ◽  
Low Coverage

O exame Papanicolaou é componente importante no âmbito da saúde pública, para que se obtenha significativa redução da incidência e da morbimortalidade por Câncer de Colo do Útero. Nesta perspectiva, este estudo teve por objetivo compreender a percepção das mulheres sobre a consulta ginecológica e exame Papanicolaou, para identificar os possíveis fatores que dificultam a não realização. Trata-se de um estudo descritivo e analítico de natureza qualitativa, realizado numa Unidade Básica de Saúde, na cidade de Senhor do Bonfim-BA, participaram 50 mulheres de 25 a 59 anos, que tivessem ou não realizado o exame Papanicolaou nos últimos 3 anos, para confrontar os dados com a literatura, utilizou-se da análise de conteúdo de Bardin. Os principais resultados encontrados foram: as mulheres entrevistadas não sabiam a finalidade do exame Papanicolaou, buscando o atendimento na Estratégia de Saúde da Família somente quando apresentam queixas ginecológicas, significando uma baixa cobertura com reflexo no rastreamento.Descritores: Saúde da Mulher, Teste de Papanicolaou, Câncer de Colo do Útero. AbstractWomen´s perception about ginecologist consultation and papanicolaou examination in a FHU in the Senhor do Bonfim cityThe Papanicolaou test is an important component within public health, in order to obtain a significant decrease of the incident and the mortality cause by the cervical cancer. In this perspective, this study had the objective to understand the women perception about the gynecologist consultation and the Papanicolaou examination, in order to identify the factors that make it dificult to perform the exam. This is a descriptive, analytic and qualitative study; it was done in a Basic Health Unit in the Senhor do Bonfim City-BA.  50 women between 25 and 59 years old that have done or not the Papanicolaou examination in the last 3 years were part of this study. In order to compare the data with the literature, we used the content analysis of Bardin. The main results found were: The interviewed women did not know the purpose of the Papanicolaou test, seeking care in the Family Health Strategy only when they presented gynecological complaints, wich means a low coverage reflected in the tracing.Descriptors: Women's Health, Papanicolaou Test, Cervical Cancer. ResumenLa percepción de las mujeres acerca de las consultas con el ginecólogo y el examen Papanicolaou en una USF en la ciudad del Señor del Bonfim - BahiaEl examen Papanicolaou es un componente importante en el contexto de la salud publica y tiene la finalidad de obtener una reducción significativa en la incidencia de morbimortalidad por el cáncer de cuello uterino. En esta perspectiva, el objetivo de este estudio fue conocer la percepción de las mujeres en la consulta ginecológica y el examen Papanicolaou para identificar los posibles factores que dificultan su incumplimiento. Este es un estudio descriptivo y analítico de carácter cualitativo, realizado en una unidad básica de salud en la ciudad de Señor del Bonfim-BA, participaron 50 mujeres de 25 a 59 años, que tenían o no realizado el examen Papanicolaou en los últimos 3 años, para comparar los datos con la literatura, se utilizó el análisis de contenido de Bardin. Las principales conclusiones fueron: las mujeres entrevistadas no sabían el propósito de la prueba de Papanicolaou y que buscan atención médica en la Estrategia Salud de la familia sólo cuando presentan quejas ginecológicas, significando una menor cobertura con reflejo en el rastreamiento.Descriptores: Salud de la Mujer, Prueba de Papanicolaou, Cáncer del Cuello Uterino.

scholarly journals Participation and social control: perception of family health workers

2013 ◽  
Vol 22 (1) ◽  
pp. 89-96 ◽  
Author(s):  
Jacks Soratto ◽  
Regina Rigatto Witt
Keyword(s):  
Social Control ◽  
Health Workers ◽  
Family Health ◽  
Disease Monitoring ◽  
Health Team ◽  
The Family ◽  
Local Contribution ◽  
Family Health Team ◽  
Health And Disease ◽  
Health Model

This is a qualitative, exploratory-descriptive study that aimed at analyzing the perceptions of a family health team regarding participation and social control in health. The study was developed with workers of a Family Health Team in southern Santa Catarina. Data were collected using the Sensitive Creative Method and analyzed through the process of thematic content analysis. Regarding participation in health, two empirical categories were identified: passive participant in health; and dialogical process as participation in the Family Health Team. As for social control in health, the categories identified were: institutionalized space as a social control in health; and disease monitoring as social control in health. The results showed perceptions related to the reflections on the health model and others that indicate the possibility of advancements in the discussions with local contribution for participation and social control in health.

The GHESKIO Centers for Research in Haiti: An Education and Research Model in Action

2018 ◽  
pp. 321-337
Author(s):  
Vanessa Rouzier ◽  
Virginia Young ◽  
Jean William Pape
Keyword(s):  
Public Health ◽  
Diarrheal Diseases ◽  
Sexually Transmitted ◽  
Cornell University ◽  
The Family ◽  
Making A Difference ◽  
Significant Public Health ◽  
Health Model ◽  
Sarcome De Kaposi ◽  
Hiv Aids

GHESKIO (Groupe Haitien d’Etude du Sarcome de Kaposi et des Infections Opportunistes/The Haitian Group for the Study of Kaposi’s Sarcoma and Opportunistic Infections) Centers, founded in 1982, is one of the oldest institutions dedicated to the fight against HIV/AIDS. GHESKIO has 3 main objectives: patient care, training of medical personnel and community leaders, and operational research. GHESKIO efforts are focused on 4 of the most important diseases in Haiti: diarrheal diseases, HIV/AIDS, other sexually transmitted infections (STIs), and tuberculosis (TB). The emphasis is on the family because the diseases that the GHESKIO Centers are concerned with are likely to be spread in the family setting. From its inception, GHESKIO Centers have been affiliated with Cornell University Weill Cornell Medical College and the Haitian Ministry of Public Health and Population (MOPHP). GHESKIO is an official nongovernmental organization recognized by the Haitian government and working in close collaboration with the Haitian MOPHP, which has provided GHESKIO with facilities at the university hospital and at the National Institute Research Laboratory. GHESKIO is the country’s referral center and the Caribbean-leading institution for treatment and research in HIV/AIDS, STIs, TB, and diarrheal diseases. In the 36 years since its inception, the GHESKIO Centers have continued to evolve and grow despite the challenging sociopolitical and economic conditions of the country. Haiti is the poorest nation in the western hemisphere, with 80% of the population living under the poverty line and 54% in abject poverty.1–3 Haiti has the most significant HIV and TB epidemics outside of Africa. In addition, in the past 6 years, Haiti has weathered 3 of the most devastating natural catastrophes in recent times, including a magnitude 7.0 earthquake in 2010, the largest and deadliest cholera epidemic that same year, and a devastating category-5 hurricane, Matthew, in 2016. The GHESKIO model offers integrated preventive and curative services for HIV, TB, STIs, and diarrheal diseases in 2 campuses located in the north and south of Port-au-Prince. This approach has been expanded to include other notable diseases and services. All services are offered at each site to facilitate access to comprehensive care in a “one-stop shop” approach because the poor often cannot afford to travel to different health facilities for all their families’ needs. In addition to health services for HIV/AIDS, including the provision of antiretroviral therapy, treatment for STIs, TB treatment, psychological care, and reproductive health, support is provided with microcredit opportunities, primary and vocational school scholarships, and community outreach interventions that complete the global health model of GHESKIO. The story of GHESKIO is a model of success despite adversity, addressing significant public health problems and making a difference locally and internationally.

scholarly journals Maternal Mortality in Nepal: Unraveling the Complexity

2008 ◽  
Vol 35 (1) ◽  
pp. 1 ◽  
Author(s):  
Juhee V. Suwal
Keyword(s):  
Public Health ◽  
Regression Analysis ◽  
Maternal Mortality ◽  
Family Health ◽  
Public Health Problem ◽  
Reproductive Age ◽  
Policy Recommendations ◽  
Age At Death ◽  
Religious Groups ◽  
Number Of Births

Maternal mortality has been recognised as a public health problem in the developing countries. The situation concerning maternal mortality in Nepal remained unexplored and vague until the early 1990s. By using 1996 Nepal Family Health Survey, this study discusses the maternal mortality situation in Nepal and analyses the differentials in maternal mortality by place of residence, region, ethnic and religious groups, age at death, and parity. Almost 28 percent of deaths of women in reproductive age was accountable to maternal causes. Logistic regression analysis shows ‘ethnicity,’ ‘age of women,’ and ‘number of births’ as strong predictors of maternal mortality. A number of policy recommendations are suggested to help lower maternal mortality.

scholarly journals Family-Centered Health Promotion: Perspectives for Engaging Families and Achieving Better Health Outcomes

2020 ◽  
Vol 57 ◽  
pp. 004695802092353
Author(s):  
Michael D. Barnes ◽  
Carl L Hanson ◽  
Len B. Novilla ◽  
Brianna M. Magnusson ◽  
AliceAnn C. Crandall ◽  
...  
Keyword(s):  
Public Health ◽  
Health Promotion ◽  
Disease Prevention ◽  
Health Systems ◽  
Public Health Practice ◽  
Family Health ◽  
Policy And Practice ◽  
Family Unit ◽  
The Family ◽  
The Life Course

Communities and populations are comprised of individuals and families who together affect the health of the community. The family unit is an unparalleled player for maintaining health and preventing disease for public health because members may support and nurture one another through life stages. Preliminary research confirms that family-oriented health promotion and disease prevention are promising strategies because the family unit is both a resource and a priority group needing preventative and curative services across the life course. Although there are growing numbers of successful efforts, family health systems are generally underutilized in health promotion practice. This lack of utilization in policy and practice have hampered the collection of robust evidence for family health. This paper purports that families are important actors in public health. Yet, since no one pattern for healthy families is known, public health practitioners can consider six principle-based approaches to legitimately and respectfully advance the families’ innate potential for health promotion and disease prevention. Each perspective aims to foster higher capacity for family health systems to function appropriately in public health practice. Health promotion practitioners and researchers can explore family health perspectives with the potential for systems policy and practice adjustments in public health.

scholarly journals Awareness On Cervical Cancer and Utilization of Pap-Smear (Papanicolaou) Test Among Adult Women-A Hospital Based Study

2021 ◽  
Vol 5 (1) ◽  
Keyword(s):  
Cervical Cancer ◽  
Low Income ◽  
Hpv Vaccine ◽  
Pap Smear ◽  
Public Health Problem ◽  
Major Public Health Problem ◽  
Adult Women ◽  
Pap Smear Test ◽  
Smear Test ◽  
Significant Difference

Background: Cervical cancer, a major public health problem and stood in the 2nd position among other cancers in women and accounts more than 84% new cases worldwide and more than 85% death from middle and low income countries. It ranks as the 1st most frequent cancer among women of age 15 to 44 years in Nepal. Purpose: To assess the awareness of cervical cancer and screening test and its practice among women in Nepal. Method: A cross sectional study was conducted from June 2017 to August 2017 among 409 women at the Gynecology Out Patient Department (OPD) of Helping Hands Community Hospital, Kathmandu. Prior to data collection, necessary ethical approvals were taken from concern authorities and informed consents were taken from the participants. Data were collected using a semi-structured questionnaire with a face-to-face interview. Data were analyzed and presented in the tabular form with the frequency and percentage. To see the significant differences between variables chi square test was used and p value of <0.05 was set as the level of significance. Knowledge related factors were obtained using a Likert scale. Results: The mean (standard deviation) age of the women was 33.52 (9.98) years. Among total respondents, 32.8% heard about cervical cancer and among them, only 13.4 % of them had knowledge of the causative agent the HPV and about 21.1% of them had an idea about the vaccine. Women who had heard about cervical cancer, only 13% had knowledge on the Pap smear test. Among the women who have heard about cervical cancer, only 23.9% of them had experienced on the Pap smear test. Among the women who had knowledge of cervical cancer (134), only 9.7% (13) of them had heard about the HPV vaccine. This study showed that heard about cervical cancer, knowledge on Pap smear test and knowledge of the HPV vaccine are significant difference with the education level of the respondents (p <0.01). Conclusion: Enrollment of women in academic education and adequate information through different media targeting eligible women is needed to raise awareness to change their behaviors to utilize the screening facility.

scholarly journals O enfermeiro na assistência à mulher com câncer de colo uterino

2015 ◽  
pp. 19
Author(s):  
Carla Monteiro Santos ◽  
Doralice De Almeida Nascimento Silva ◽  
Gleise Gonçalves Passos da Silva ◽  
Tatiana Santana de Oliveira ◽  
Luiz Faustino dos Santos Maia
Keyword(s):  
Public Health ◽  
Health Care ◽  
Cervical Cancer ◽  
Health Problem ◽  
Public Health Problem ◽  
Morbidity And Mortality ◽  
Major Public Health Problem ◽  
Care Practices ◽  
Multiple Health

O Câncer de Colo Uterino apresenta nos dias atuais um grande problema de saúde pública no Brasil, necessitando cada vez mais de profissionais capacitados para o combate a essa doença maligna, minimizando sua morbimortalidade. Neste âmbito podemos destacar o Papel do enfermeiro como fundamental na transformação dessa realidade que vivemos hoje. O enfermeiro atua tanto no sentido de assistir, coordenar as práticas de cuidado, quanto no sentido de educar, promover, proteger, reabilitar essas mulheres, de forma autônoma, criativa e ativa nos múltiplos níveis de atenção à saúde, através do levantamento de hipóteses analíticas e intervenções sistematizadas de rotinas de cuidados, subsidiando falhas e promovendo continuidade e resolutividade do cuidado em saúde.Descritores: Câncer de Colo Uterino, Mulher, Enfermagem. Nurses in care woman with cervical cancerAbstract: The Cancer Cervical presents nowadays a major public health problem in Brazil, requiring more and more trained professionals to combat this evil disease, minimizing morbidity and mortality. In this context we can highlight the nurse's role as fundamental in transforming this reality we live in today. The nurse acts both to assist coordinate care practices, as to educate, promote, protect, rehabilitate these women in an autonomous, creative and active in multiple health care levels, through the lifting of analytical assumptions systematized and interventions care routines, subsidizing failure and promoting continuity and resolution of health care. Descriptors: Cervical Cancer, Women, Nursing. Enfermero en la atención la mujer con cáncer de cuello uterinoResumen: Los regalos del cáncer de cuello uterino hoy en día un importante problema de salud pública en Brasil, lo que requiere cada vez más capacitados profesionales para combatir esta enfermedad mal, lo que minimiza la morbilidad y la mortalidad. En este contexto cabe destacar el papel de la enfermera tan fundamental en la transformación de esta realidad que vivimos hoy. La enfermera actúa tanto para ayudar, coordinar las prácticas de atención, como para educar, promover, proteger, rehabilitar a estas mujeres en un autónomas, creativas y activas en múltiples niveles de atención de salud, a través de la elevación de supuestos analíticos rutinas sistematizados y las intervenciones de atención, subsidiando el fracaso y la promoción de la continuidad y de la resolución de la atención sanitaria. Descriptores: Cáncer de Cuello Uterino, Mujer, Enfermería.

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