Please use this identifier to cite or link to this item: http://repositorio.unicamp.br/jspui/handle/REPOSIP/309275
Type: DISSERTAÇÃO
Degree Level: Mestrado
Title: Estudo demográfico e aspectos psicológicos de pacientes sob rastreamento de carcinoma prostático
Title Alternative: Demographic study and psychological aspects of patients under prostate cancer screening
Author: Naccarato, Angela Maria Elizabeth Piccolotto, 1955-
Advisor: Denardi, Fernandes, 1951-
Abstract: Resumo: Introdução: O câncer de próstata (CaP) é a segunda causa de morte em homens, estudos recentes tem confirmado a eficácia do toque retal (TR) e seus benefícios no diagnóstico precoce. Objetivo: Avaliar aspectos demográficos e psicológicos de homens submetidos ao TR durante consulta para rastreamento do CaP. Pacientes e Métodos: Estudo realizado com 345 pacientes submetidos ao TR pela primeira vez entre Fevereiro 2006 a Dezembro 2007, que foram avaliados quanto às impressões sobre o TR. Dados sobre etnia, idade, escolaridade, profissão e as motivações para o rastreamento foram colhidos e a correlação entre variáveis descritivas e aspectos psicológicos dos pacientes foi realizada. Resultados: A média de idade foi de 52.8 anos. Sentiram medo 40.94% (sendo medo do exame 15.94% e medo do diagnóstico 25%), vergonha 26.45% e 48.26% referiram não pensar em nada. A correlação entre faixa etária, nível de escolaridade e reações emocionais não apresentou diferença significativa. 52.35% consideraram o exame melhor do que imaginavam, dos quais 41.81% eram analfabetos/1º grau incompleto, 4.12% uma experiência ruim e 96.8% fariam o teste novamente. O convencimento em se consultar foi em 50.14% por decisão própria, 26,67% encaminhados por médicos, 18,55% pela esposa, 7,83% por familiares ou amigos, 6,67% através da mídia e 24.06% tiveram consulta marcada pelas parceiras. Embora 85,47% soubessem da importância do exame, 80,81% consideram-se mais esclarecidos após a consulta. A falta de informação sobre o exame foi mais freqüente dentre os pacientes de menor escolaridade e 52.38% com decisão própria em se consultar tinham conhecimento prévio à consulta sobre a importância do exame. Conclusão: Medo e vergonha frente ao TR desempenham papel significativo na resistência ao se submeter ao exame, porem a maioria absoluta dos pacientes achou menos desagradável do que imaginava e repetirá o exame futuramente

Abstract: Introduction: Prostate cancer (PCa) is the second leading cause of death in men. Recent studies have confirmed the effectiveness of the digital rectal examination (DRE) in early diagnosis. Aim: To evaluate the psychological and demographic aspects of men who received DRE during the PCa screening in an outpatient clinical setting. Patients and Methods: Patients (345) who underwent DRE for the first time from February 2006 to December 2007 were evaluated for their psychological reactions and feelings after the examination. Data on age, race, education, profession and the motivations for the screening were gathered. Correlation of descriptive and psychological aspects of patients under PCa screening was done. Results: The average age of the patients was 52.8 years; 40.94% had felt fear (examination fear 15.94%, and diagnosis fear 25%), 26.45% shame and 48.26% indicated they were not thinking about anything. There was no correlation between age, educational level and emotional reactions. Most patients (96.8%) would undergo a DRE again and 52.35% had considered it better than they had imagined. Of these patients, 41.81% were illiterate/incomplete elementary school. Only 4.12% described having a negative experience. The factors that persuade the patient to book an appointment were: 50.1% made their own decision, 26.67% were recommended by a physician, 18.55% family/friends and 6.67% were influenced by the media. Wives booked 24.06% of the consultations. Although 85.47% of patients had some previous knowledge about the examination, 80.81% felt they had further clarification afterward. Lower educational level was related to lack of information about DRE, while 52.38% who made their own decision had previous knowledge of the importance of DRE. Emotional aspects and access to information play significant roles in the decision to undergo PCa screening and must be considered in educational campaigns. Conclusion: The majority of the patients found DRE less awkward than what they had imagined it to be and would repeat the examination in the future. Fear and shame before the examination are baseless, but are a barrier to the DRE
Subject: Próstata - Câncer
Language: Português
Editor: [s.n.]
Date Issue: 2010
Appears in Collections:FCM - Tese e Dissertação

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