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Vaginal stenosis and dilator use after pelvic brachytherapy
Martins da Rosa, Luciana; Eduarda Hames, Maria; Dias, Mirella; Puchalski Kalinke, Luciana; Siqueira de Oliveira, Claudia Manuela; Arzuaga-Salazar, María Angélica.
Affiliation
  • Martins da Rosa, Luciana; Universidade Federal de Santa Catarina, Florianópolis, Santa Catarina, Brasil. BR
  • Eduarda Hames, Maria; AC Camargo Cancer Center, São Paulo, São Paulo, Brasil. BR
  • Dias, Mirella; Centro de Pesquisas Oncológicas, Florianópolis, Santa Catarina, Brasil. BR
  • Puchalski Kalinke, Luciana; Universidade Federal do Paraná, Curitiba, Paraná, Brasil. BR
  • Siqueira de Oliveira, Claudia Manuela; Universidade Federal de Santa Catarina, Florianópolis, Santa Catarina, Brasil. BR
  • Arzuaga-Salazar, María Angélica; Facultad de Enfermería. Universidad de Antioquia. Medellín, Colombia. CO
Rev. cuid. (En línea) ; 15(2): 1-12, 20240501.
Article de En | LILACS, BDENF, COLNAL | ID: biblio-1570337
Bibliothèque responsable: CO646.1
ABSTRACT

Introduction:

To prevent vaginal stenosis, the use of a vaginal dilator is recommended.

Objective:

To analyze sociodemographic data, gynecological conditions and the use of vaginal dilator after pelvic brachytherapy. Materials and

Methods:

Cross-sectional, retrospective study, period 2016-2020, collected between October/2020 and February /2021, from records of women with gynecological cancer treated with brachytherapy at the Centro de Pesquisa Oncológicas (Brazil). The variables included sociodemographic data and gynecological conditions in following the treatment. In the analysis, descriptive statistics, chi-squaretest, Fisher's exact test and Mann-Whitney test were applied.

Results:

519 patients records were included in the investigation; the analyzes showed significant associations between the topography and staging (p<0.001), education (p=0.004) and age (p<0.001); the comparison between the distribution of the ionizing radiation dose showed a difference with the continued sexual relationship category (p=0.006); the comparison between the proportions of continued sexual relationship and using a vaginal dilator was significant (p<0.001); 49.10% (131) adhered to the use of vaginal dilator; 24.50% (127) are not sexually active and do not adhere to the use of the dilator.

Discussion:

It is evident that social and gynecological conditions interfere with the presence of vaginal stenosis and the use of a vaginal dilator after pelvic brachytherapy.

Conclusions:

The adherence found in the use of dilator affirms the contributions and the need for health education by nurses and physicaltherapists during and following the treatment.
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Mots clés

Texte intégral: 1 Indice: LILACS Sujet Principal: Service hospitalier de kinésithérapie / Curiethérapie / Constriction / Sténose pathologique / Tumeurs de l'appareil génital féminin langue: En Texte intégral: Rev. cuid. (En línea) Thème du journal: Enfermagem Année: 2024 Type: Article

Texte intégral: 1 Indice: LILACS Sujet Principal: Service hospitalier de kinésithérapie / Curiethérapie / Constriction / Sténose pathologique / Tumeurs de l'appareil génital féminin langue: En Texte intégral: Rev. cuid. (En línea) Thème du journal: Enfermagem Année: 2024 Type: Article