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Previous issue date: 2012-04-27 / The assistance to women who have breast cancer is studied in a Reference Center in Paraiba
and also the way this assistance is performed in a School Hospital maintained by SUS
(Single Health System) is questioned. Breast cancer demands institutional organization,
provision of financial, material and human resources, requiring, from the health system,
effective assistance with new technologies which make it possible for the population their
access to specialized medical services although it not always is able to guarantee those
services nor the rights which the legislation granted them, inhibiting a proper relationship
between the health professional and the patient. The theme is discussed through a transdisciplinary
knowledge view and has as its theoretical referential the contribution of
classical and contemporary authors from the human and social sciences and, as an empirical
research strategy, the structured interview. The objectives of the research were: identify
how the assistance to women with breast cancer is carried on at a Reference Center on
Oncology in Campina Grande, Paraiba, identifying their difficulties and their satisfaction
with the received assistance; draw up a profile of the women with breast cancer who were
assisted in this Reference Center; understand their gynecological and obstetric antecedents,
life styles, age group and stage of the disease when the treatment started; check their
knowledge about their rights and which benefits they had received. Most women ranged
between 40 and 59 years old (63%), which corresponds to the risk range of developing
breast cancer. As to their occupations, 38.3% were housewives and 30.1% retired, whose
family income was among those who received between less than a minimum salary and one
minimum salary (58.2%). This population was mainly constituted of married women
(60.2%), whose most frequent schooling was an incomplete elementary school (27.6%) and
complete elementary school (24.1%), which added up to 51.6%. It was observed that the
majority of the women seemed to be satisfied with the assistance received, noting that a
minimum care was enough to define this satisfaction, although it is perceived that the access
to the health system does not ensure the ideal attention conditions they need; it was verified
that the availability of the services and the assistance itself are seen (in the local culture) as a
favor and not as a right. It is also observed that only 30% of the women mentioned that they
knew about their rights and the most mentioned ones were the disease assistance (13%), the
medicines (13%) and the treatment (12%), which represent the most important triad to face
the disease and around which the oncologic assistance most focus on. It is concluded that the
condition of the users? minimum existential of a public health unit and the condition of
belonging to a lower social stratum were variables that influenced the respondents?
satisfaction in relation to the assistance received but the importance of the Reference Center
for the women with breast cancer?s assistance for the whole region cannot be denied as well
as the need to broaden the way the policy of the oncologic assistance in Brazil in the local
realm is seen / Estuda-se a assist?ncia a mulheres com c?ncer de mama, em um Centro de Refer?ncia da
Para?ba, indagando-se como se d? a assist?ncia em oncologia, oferecida por um Hospital-
Escola, que o mant?m atrav?s do Sistema ?nico de Sa?de (SUS). O c?ncer de mama exige
organiza??o institucional, provimento de recursos materiais, humanos e financeiros,
demandando ao sistema de sa?de assist?ncia eficiente e com novas tecnologias que
possibilitem o acesso da popula??o aos servi?os m?dicos especializados, mas nem sempre
consegue garantir esses servi?os, nem os direitos que a legisla??o conferiu ? popula??o,
inibindo a adequada rela??o entre sistema de sa?de, profissional e paciente. Discute-se o
tema em uma vis?o transdisciplinar do conhecimento, tendo como referencial te?rico aportes
de autores cl?ssicos e contempor?neos das ci?ncias humanas e sociais em sa?de e, como
estrat?gia de pesquisa emp?rica, a entrevista estruturada. Delimitaram-se como objetivos:
identificar como ? realizada a assist?ncia a mulheres com c?ncer de mama em um Centro de
Refer?ncia em Cancerologia, no munic?pio de Campina Grande, PB, identificando suas
dificuldades e satisfa??o com a assist?ncia recebida; elaborar o perfil das mulheres com
c?ncer de mama assistidas nesse Centro; conhecer seus antecedentes ginecol?gicos e
obstetr?cios, estilos de vida, faixa et?ria e est?gio da doen?a quando iniciou o tratamento;
verificar seus conhecimentos acerca dos seus direitos e quais os benef?cios recebidos. A
maioria das mulheres encontrava-se na faixa et?ria entre 40 e 59 anos (63,1 %),
correspondente ? faixa de risco para desenvolvimento do c?ncer de mama. Quanto ?
ocupa??o, 38,3 % eram do lar e 30,1 % aposentadas, cuja renda familiar se concentrava
entre aquelas que ganhavam menos de um sal?rio e um sal?rio m?nimo (58,2 %). Essa
popula??o era constitu?da em sua maioria por mulheres casadas (60,2 %), com n?vel de
escolaridade mais frequente no ensino fundamental incompleto (27,6 %) e fundamental
completo (24,1 %), perfazendo um total de 51,6 %. Constatou-se que a maioria das
mulheres mostrou-se satisfeita com a assist?ncia recebida, observando-se que um m?nimo de
cuidado lhes foi suficiente para definir essa satisfa??o, embora se perceba que o acesso ao
sistema de sa?de n?o garante as condi??es ideais para a aten??o de que necessitam; constatase
que a disponibilidade de servi?os e de atendimento ? vista (na cultura local) como favor e
n?o como direito. Observa-se ainda que apenas 30 % das mulheres mencionaram conhecer
os seus direitos, sendo os mais citados o aux?lio doen?a (13 %), o medicamento (13 %) e o
tratamento (12 %), que se apresentam como a tr?ade mais importante para o enfrentamento
da doen?a, e em torno dos quais mais se foca a assist?ncia ?s mulheres no ?mbito da
assist?ncia oncol?gica. Conclui-se que a condi??o de m?nimo existencial das usu?rias de
uma unidade p?blica de sa?de e a condi??o de pertencimento a um baixo estrato social
foram vari?veis que influenciaram a satisfa??o das entrevistadas com rela??o ? assist?ncia
recebida, mas n?o se pode negar a import?ncia do Centro de Refer?ncia para a assist?ncia ?s
mulheres com c?ncer de mama para toda a regi?o, bem como a necessidade de se ampliar o
olhar em torno da pol?tica de assist?ncia oncol?gica no ?mbito local
| Identifer | oai:union.ndltd.org:IBICT/oai:repositorio.ufrn.br:123456789/13812 |
| Date | 27 April 2012 |
| Creators | Santos, Joselito |
| Contributors | CPF:12852929449, GICO, V. V., Paiva, Irene Alves de, CPF:29898005491, http://lattes.cnpq.br/7842254018559167, Germano, Jos? Willington, CPF:05676169400, alineguimaraes@hotmail.com, Barros, Denise Dias, CPF:03715916869, http://lattes.cnpq.br/6607056840278610, Medeiros, Robson Ant?o de, CPF:45791708491, http://lattes.cnpq.br/4135876849409471, Gico, Vania de Vasconcelos |
| Publisher | Universidade Federal do Rio Grande do Norte, Programa de P?s-Gradua??o em Ci?ncias Sociais, UFRN, BR, Desenvolvimento Regional; Cultura e Representa??es |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/doctoralThesis |
| Format | application/pdf |
| Source | reponame:Repositório Institucional da UFRN, instname:Universidade Federal do Rio Grande do Norte, instacron:UFRN |
| Rights | info:eu-repo/semantics/openAccess |
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