Keywords
Primary care nursing; Breast neoplasms; Mass screening; Oncology nursing; Questionnaires
Descritores
Enfermagem de atençao primária; Neoplasias da mama; Programas de rastreamento; Enfermagem oncológica; Questionários
Submitted
July 6, 2016
Accepted
March 8, 2017
Abstract
Objective: To analyze actions performed by primary care nurses for opportunistic breast cancer screening based on the parameter proposed by the Brazilian Ministry of Health.
Methods: This descriptive, cross-sectional study included 70 nurses. We used a validated questionnaire elaborated according to actions determined by the Brazilian program for control of breast cancer.
Results: 97.1% of nurses referred patients for clinical breast exam, 88.6% indicated mammography annually and 75.7% guided patients to perform the first mammography exam starting at age 40 years, and 52.9% promoted educational meetings. However, guidance on age range and time interval for mammography and clinical breast exam, as well as an active search for women who did not show up, was not in agreement with parameters established by the Brazilian Ministry of Health.
Conclusion: Nurses have conducted actions for the control of breast cancer, but some nonconformities exist between executed actions and actions proposed by the Brazilian Ministry of Health for cancer screening.
Resumo
Objetivo: Analisar as açôes realizadas por enfermeiros da Atençao Primária em Saúde para rastreamento oportunístico do cáncer de mama, tendo como parámetro a proposta do Ministério da Saúde.
Métodos: Estudo descritivo, transversal, realizado com 70 enfermeiros, com auxilio de questionário validado, elaborado segundo as açôes determinadas pelo programa de controle de cáncer de mama do Brasil.
Resultados: 97,1% dos enfermeiros realizavam exame clínico das mamas, 88,6% indicaram a mamografia anualmente e 75,7% orientaram o primeiro exame a partir dos 40 anos e 52,9% promoviam reuniôes educativas. Entretanto, a orientaçao sobre faixa etária e intervalo de tempo para mamografia e exame clínico das mamas, bem como busca ativa de mulheres faltosas nao apresentavam conformidade com o preconizado.
Conclusäo: Os enfermeiros têm realizado açôes para o controle do cáncer de mama, mas existem algumas nao conformidades entre as açôes executadas e as propostas do Ministério da Saúde para o rastreamento desta neoplasia.