Quality of life for women with human papillomavirus-induced lesions / Qualidade de vida de mulheres com lesões induzidas pelo papilomavírus humano

Abstract Objective To reveal the changes in the quality of life reported by women with Human papillomavirus (HPV)-induced lesions. Methods This is a cross-sectional, descriptive-exploratory study of a qualitative approach performed from June to August 2016. Semi-structured face-to-face interviews based on five questions on the concept of quality of life were used. The data were submitted to thematic analysis. All ethical aspects have been contemplated. Results A total of 20 women aged between 25 and 59 years old were interviewed. From the analysis of the data, the following thematic units emerged: physical and emotional changes, especially complaints of pruritus, discharge and pain, worry, fear, shame and sadness; changes in sexual and affective relationships with decreased libido, dyspareunia and interruption of sexual activity; changes in social relationships resulting in absenteeism at work. Conclusion Human papillomavirus infection impairs the quality of life of women as it significantly affects sexual, affective, physical, emotional, and everyday habits. Therefore, HPV infection can lead to exponential changes in the quality of life of women, which can be mitigated by the availability of sources of support such as family, friends and the multi-professional team, helping to improve knowledge and cope with HPV.

Resumo Objetivo Desvelar as alterações na qualidade de vida referidas por mulheres com lesões induzidas pelo papilomavírus humano (HPV). Métodos Trata-se de um estudo transversal, descritivo-exploratório, de abordagem qualitativa, realizada no período de junho a agosto de 2016. Foram utilizadas entrevistas semiestruturadas face a face, a partir de cinco questões fundamentadas no conceito de qualidade de vida. Os dados obtidos foram submetidos a análise temática. Todos os aspectos éticos foram contemplados. Resultados Foram entrevistadas 20 mulheres com idades entre 25 e 59 anos. A partir da análise dos dados, emergiram as seguintes unidades temáticas: alterações físicas e emocionais com destaque para as queixas de prurido, corrimento e dor, preocupação, medo, vergonha e tristeza; alterações nas relações sexuais e afetivas com diminuição da libido, dispareunia e interrupção da atividade sexual; alterações nas relações sociais com ausências consecutivas no trabalho. Conclusão A infecção pelo HPV prejudica a qualidade de vida das mulheres, uma vez que afeta de maneira considerável os aspectos sexuais, afetivos, físicos, emocionais e hábitos cotidianos. Portanto, a infecção pelo HPV pode acarretar mudanças exponenciais na qualidade de vida de mulheres, as quais podem ser amenizadas pela disponibilidade de fontes de apoio, como família, amigos e equipe multiprofissional, que auxiliam no nível de conhecimento e enfrentamento do HPV.

How does the patient react after reading the informed consent form of a gynecological surgery? A qualitative study / Como o paciente reage depois de ler o termo de consentimento livre e esclarecido de uma cirurgia ginecológica? Um estudo qualitativo

Abstract Objective To analyze the reaction of women after reading the Informed Consent Form (ICF) before undergoing elective gynecological/urogynecological surgeries. Methods A qualitative study with 53 women was conducted between September 2014 and May 2015. The analysis of the content was conducted after a scripted interview was made in a reserved room and transcribed verbatim.We read the ICF once more in front of the patient, and then she was interviewed according to a script of questions about emotions and reactions that occurred about the procedure and her expectations about the intra- and postoperative period. Results The women had a mean age of 52 years, they were multiparous, and most had only a few years of schooling (54.7%). The majority (60.4%) of them had undergone urogynecological surgeries. Hysterectomy and colpoperineoplasty were themost frequent procedures. Ten women had not undergone any previous abdominal surgery. Fear (34.6%) was the feeling that emerged most frequently from the interviews after reading the ICF, followed by indifference (30.8%) and resignation (13.5%). Nine women considered their reaction unexpected after reading the ICF. Three patients did not consider the information contained in the ICF to be sufficient, and 3 had questions about the surgery after reading the document. Conclusion Reading the ICF generates fear in most women; however, they believe this feeling did not interfere in their decision-making process.

Resumo Objetivo Analisar a reação das mulheres após lerem o Termo de Consentimento Livre e Esclarecido (TCLE) antes de se submeterem a cirurgias ginecológicas/uroginecológicas eletivas. Métodos Um estudo qualitativo com 53 mulheres foi realizado entre setembro de 2014 e maio de 2015. A análise do conteúdo foi feita depois de uma entrevista que seguia um roteiro, que foi realizada em uma sala reservada e transcrita de forma fidedigna. Nós lemos de novo oTCLE na frente da paciente, e depois ela era entrevistada de acordo comumroteiro de questões sobre emoções e reações que ocorreram sobre o procedimento e suas expectativas sobre o período intra e pós-operatório. Resultados As mulheres tinham uma média de 52 anos, eram multíparas, e com poucos anos de educação (54,7%). A maioria (60,4%) já havia realizado cirurgias uroginecológicas. A histerectomia e a colpoperineoplastia foram as cirurgias mais frequentes. Dez mulheres não tinham sido submetidas a nenhum procedimento. O medo (34,6%) foi o sentimento que mais emergiu das entrevistas depois da leitura do TCLE, seguido da indiferença (30,8%) e da resignação (13,5%). Nove mulheres consideraram suas reações inesperadas depois da leitura do TCLE. Três pacientes não consideraram a informação do TCLE suficiente, e outras 3 tiveram dúvidas sobre a cirurgia depois de lerem o documento. Conclusão A leitura do TCLE desperta o medo namaioria dasmulheres; contudo, elas acreditam que este sentimento não interferiu na tomada de decisão relativa ao tratamento.

Effects of Nei-Guan Acupressure on Nausea, Vomiting and Level of Satisfaction for Gynecological Surgery Patients Who Are Using a Patient-Controlled Analgesia

PURPOSE: This study was done to examine effects of Nei-Guan acupressure on nausea, vomiting and level of satisfaction for gynecological surgery patients who were using a patient-controlled analgesia (PCA). METHODS: For this study, 51 patients were assigned to one of three groups, a control group (17 patients), experimental group 1 (finger acupressure group) (17 patients), and experimental group 2 (relief band group) (17 patients). The data were collected for 24 hr in the recovery room of a university hospital located in Seoul. The 6 hr-intervals including the time of leaving the recovery room were taken into consideration. RESULTS: The occurrence of nausea between the experimental group with Nei-Guan acupressure treatment and the control group was different. However, there was no difference in nausea and vomiting control or level of patient satisfaction between the finger acupressure group and the relief band group. CONCLUSION: Nei-Guan acupressure is recommended for nursing practice as a way for alleviating the opioid-induced nausea and accelerating the recovery of patients who are using PCA after surgery.

Psiquiatría en enlace en ginecoobstétrica / Leaison psychiatry in gyneco-obstetrics

Se describen las principales dificultades que se presentan en el trabajo en equipo en la práctica de la psiquiatría de enlace. Se recalca la importancia de un abordaje ecléctico y se plantean alternativas de trabajo