Programa de Pós Graduação em Saúde Coletiva, Universidade de Fortaleza, Fortaleza, Ceará, Brazil.
Departamento de Fisioterapia, Centro Universitário Estácio de Sá, Fortaleza, Ceará, Brazil.
PLoS One. 2018 Nov 7;13(11):e0206405. doi: 10.1371/journal.pone.0206405. eCollection 2018.
A third of new cases of breast cancer could be detected early, which would prevent more serious consequences, such as mastectomy and death. Access to the subjectivity of mastectomized patients becomes relevant to elucidate failures in early detection of breast cancer and thus improve the cancer care network. Given that, the present study aimed to identify mastectomized women's perception of the quality of care provided by the cancer care network for the early detection and diagnosis of breast cancer.
Qualitative study carried out at a public outpatient cancer center in the city of Fortaleza, Ceará, Northeastern Brazil, to analyze the perceptions of 26 women who had undergone mastectomy after breast cancer based on Symbolic Interactionism.
The thematic analysis showed how women (re)structure their lives in the face of the structural and social aspects of coping with breast. Two essential themes emerged: "Contradictions regarding access to primary health care services and obstacles to the organization of SUS formal care network services" and "The informal and private health care network increase quality care coverage".
The absence of effective measures in Primary Health Care and patients' 'pilgrimage' in the formal health care network have delayed early detection breast cancer.
三分之一的乳腺癌新发病例可以早期发现,从而避免更严重的后果,如乳房切除术和死亡。了解接受乳房切除术的患者的主观性对于阐明乳腺癌早期检测失败并因此改善癌症护理网络变得至关重要。鉴于此,本研究旨在确定接受乳房切除术的女性对癌症护理网络在早期检测和诊断乳腺癌方面提供的护理质量的看法。
在巴西东北部塞阿拉州福塔莱萨市的一家公立门诊癌症中心进行定性研究,对 26 名乳腺癌后接受乳房切除术的女性的看法进行基于符号互动主义的分析。
主题分析显示了女性如何面对应对乳腺癌的结构和社会方面来(重新)构建她们的生活。出现了两个重要主题:“初级卫生保健服务获取方面的矛盾和 SUS 正规护理网络服务组织方面的障碍”和“非正式和私人卫生保健网络增加了优质护理的覆盖面”。
初级卫生保健缺乏有效措施以及患者在正规卫生保健网络中的“朝圣”导致乳腺癌早期检测延迟。