Análise sócio demográfica e clínico epidemiológica de mulheres mastectomizadas

Abstract

The objective of this research was to analyze the women's partner-demographic and clinical-epidemic characteristics that underwent the surgical intervention of mastectomy in a reference Hospital in oncologia of the State Ceará. It is treated of a study of traverse cut, that it evaluated the information contained in 192 handbooks of women breast câncer bearers that had been submitted to the mastectomy in the year of 2000. The collection of data was accomplished from 2nd to 6th fair of the 14:00 to the 20:00 hours in the period of September to October of 2006, in a reference Hospital in Oncologia of our State. It was used for the rising of data a form, previously tested and elaborated with base in the obtained data of the medicai handbooks filed in the section of registrations. The obtained information were inserted in a database of the software SPSS version 9.0 goes Windows, in order to if to obtain the final results for subsequent discussions with base in the pertinent literature. The research was developed inside of the guidelines of the Resolution 196/96 of Ministry of Health, having been approved by the Committee of Ethics of Research of the referred institution. Starting from the analysis of the results on the participants' partner-demographic profile in the study, it was observed that 22,9% of the women mastectomizadas presented the age at that time of the diagnosis varying among 53 to 60 years; 41,12% possessed first degree, 60,4% were married, 44,1% had his/her first menstruai episode between 13 and 15 years, 32% told the menopause in the age group between 47 and 52 years of age, 45,9% had the duration of the menstruai cycle varying among 35 to 40 years, 51% these women had give birth two our more children, 35,4% breastfeeded and of these 20,3% they referred duration of the inferior breast-feeding to 6 months, 10,9% never made the use of the replacement therapy, 70,3% denied family report for breast câncer, 72,9% presented tangible nodule in the moment of the admission. The variables that presented association with the type of surgical procedure were: classification tumoral (p = 0,019), grupamento for clinicai estádios/estadiamento (p = 0,000), treatment chemotherapy neoadjuvante (p = 0,000), evolution for metástase at the distance (p = 0,000) and recurrence regional loco (p = 0,008). it can be concluded that you/they are indispensable studies that draw the women's profile that you/they lived the breast câncer, in different geographical locations so that one can plan effective and effective actions in the control of this neoplasia. It can be concluded that the quality of the information of some varied demographic partner and coming of the handbooks epidemic clinic were not satisfactory and that even with the technological increment and the progresses of the medicai Science in the last decades there was a high one percentile of cases diagnosed stadiums II and III, indicative of a retard in the implementation of the therapeutics after the diagnosis of the câncer. This way, he/she needs to analyze the access of the population to the Services of health in the basic and specialized attention and to evaluate the net of covering of the Services of the Unique system of Health.