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Introdução: No mundo, um bilhão de pessoas tem algum tipo de deficiência, dentre elas a deficiência auditiva e mais de 190 milhões são mulheres surdas. É relevante tecnologias para educação inclusiva e acessível sobre o câncer de mama a surdas. Objetivo: Construir e validar vídeo educativo para mulheres surdas sobre prevenção e rastreamento do câncer de mama. Materiais e Método: Estudo metodológico com construção de vídeo educativo e validação por 11 especialistas de conteúdo e sete especialistas técnicos. Conteúdo fundamentado no Ministério da Saúde e no Instituto Nacional do Câncer. Na análise de conteúdo foi utilizado o Instrumento de Validação de Conteúdo Educativo em Saúde. A validade foi atestada pelo Índice de Validade de Conteúdo e o teste binomial. Resultados: O vídeo tem 17 minutos e 12 segundos. Na validação de conteúdo todos os itens tiveram concordância acima de 90,9% entre os participantes. O Índice de Validade de Conteúdo global foi superior a 0,90 entre os especialistas de conteúdo. Consideraram o material excelente, muito bom ou bom, 85,8% dos especialistas técnicos. Discussão: O vídeo contribui para o ensino e aprendizagem sobre o tema, ações de autocuidado e promoção da saúde às surdas. Conclusões: Vídeo construído com narração em LIBRAS, foi considerado válido quanto ao conteúdo e aspectos técnicos e poderá ser utilizado em futuras pesquisas e na educação em saúde de surdas.

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Copyright of Saúde Coletiva is the property of MPM Comunicacao and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Gaucha de Enfermagem is the property of Revista Gaucha de Enfermagem and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective: To reveal the meaning of breast cancer. Materials and method: A narrative research study that selected, using the snowball technique, 11 women (data saturation) diagnosed with breast cancer, on disease remission, and living in the region of Florianópolis (Brazil). Semi-structured interviews were conducted between August and December 2018, and they were subjected to the Collective Subject Discourse technique. Four central ideas emerged from the analysis of the narratives; this article presents the central ideal called "Meaning of the breast cancer diagnosis", which has eight sense categories. Results: The central idea covers the following categories: "Suffering when facing the diagnosis", "Fear of the disease and of death", "Professional inability for bad news", "Initiatives to streamline treatment", "Concern and affection with the family members as a driving force to face cancer", "Difficulties with the family members", "Support from the family members, from the professionals and/or from the support group", and "Faith and spirituality". Conclusions: The discourse reveals that the meaning of the disease diagnosis is linked to the need for treatment, to the support provided by faith, family members, the health team, and support groups, and to the difficulties faced with family members and professionals. These results should imply the provision of specific Nursing care from the diagnostic phase until after cancer remission/survival. [ABSTRACT FROM AUTHOR]

Copyright of Saúde Coletiva is the property of MPM Comunicacao and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Nursing & Health is the property of Journal of Nursing & Health (JONAH) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Nursing UFPE / Revista de Enfermagem UFPE is the property of Revista de Enfermagem UFPE and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective: To demonstrate the benefits of health education on breast cancer for the population. Methods: Descriptive-exploratory study with a qualitative approach, using newsletters and banners prepared by students, monitored by graduate students in pathology and supervised by project collaborators and coordinators and disseminated to the community. Results: This experience resulted in greater use of the didactic and dynamic activities of the clinic, with an active methodology, as well as the empowerment of users for autonomy, the ability to identify determinants for their health and to take care of themselves and others around them. Conclusion: We conclude then that the campaign was enriching both for the students who organized it and for clients of the outpatient clinic, exposing a relationship between prevention and health promotion of users and with an extension project that aims to share the knowledge acquired in the academy, transcending their walls for everyone. [ABSTRACT FROM AUTHOR]

Objectives: Development of a model for nursing consultation in the preoperative period of women with breast cancer at an oncological outpatient. Methods: Methodological study carried out in the Oncological Research Center from Santa Catarina (Brazil). Data collection consisted of: semi-structured interviews with 18 women with breast cancer in the surgical period and 13 nurses, submitted to thematic analysis; narrative literature review; and crossmapping of these findings with the electronic records and taxonomy adopted in the scenario. Results: Three thematic categories emerged: Knowing the biopsychosocial needs of women diagnosed with breast cancer; Identifying the educational needs of women undergoing breast cancer resection and Analyzing the demands of patients and professionals on institutional aspects. After the cross-mapping was completed, the consultation model was built, including electronic records of the stages of the nursing process, with 17 diagnoses, 22 results and 39 nursing interventions available. Conclusion: The constructed model contributes to a standardized and scientific language of nurses, allowing critical thinking and facilitating decision making. Consequently, the woman submitted to breast tumor resection will receive adequate attention, in the physical, emotional, social and professional aspects. [ABSTRACT FROM AUTHOR]

Copyright of Enfermagem Brasil is the property of Atlantica Editora and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background: The woman with mastectomy experiences changes in functionality and at the emotional and social level. Rehabilitation nursing plays an important role in promoting autonomy and independence. Objectives: Describe the experiences of women with mastectomy at home and identify the importance attributed by women with mastectomy to the rehabilitation nursing intervention. Methodology: This study is based on a phenomenological qualitative approach. The snowball sampling technique was used to select the 9 participants. A semistructured interview was conducted. Results: The women experience physical complications and difficulty in performing tasks. They consider the rehabilitation nursing intervention as significant to recovering functionality and accepting body image. They report feelings like fear, outrage, and changes in interpersonal relationships. Conclusion: A rehabilitation nursing program adapted to each woman and the phase of the adaptation process she is in is fundamental to prevent complications and promote autonomy. [ABSTRACT FROM AUTHOR]

Copyright of Revista de Enfermagem Referência is the property of Escola Superior de Enfermagem de Coimbra and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

El cáncer de mama es una enfermedad con una importante incidencia y mortalidad entre las mujeres. Los factores genéticos en su génesis aún no han sido reconocidos completamente, pero se admite el importante papel que juegan los genes de predisposición como el BRCA1 y BRCA2, y otros genes de reciente aparición, en las formas hereditarias y principalmente en el fenotipo triple negativo.El cáncer de mama hereditario representa entre un 5-10 % del total de casos de esta patología. BRCA1 y BRCA2 son genes de gran tamaño, y su principal función es mantener la integridad cromosómica, reparando rupturas de doble cadena del ADN por medio de recombinación homóloga. Los otros genes de predisposición en su mayoría cumplen una función en el mantenimiento y reparación del DNA.Actualmente existen pruebas para detección de mutaciones de estos genes en pacientes en riesgo, las cuales permiten implementar intervenciones médicas tempranas, el respaldo psicológico a la persona y la obtención de un diagnóstico más confiable; lo cual a largo plazo podría reducir los altos costos del cáncer.Entre las terapias disponibles para estos pacientes se encuentran desde cirugías preventivas como la mastectomía bilateral y la salpingo-ooforectomía hasta tratamientos farmacológicos como el uso de tamoxifeno, anticonceptivos orales o los recientes inhibidores de la PARP (Poly ADP Ribose Poymerase).Esta revisión pretende hacer énfasis en las características biológicas, genéticas, diagnósticas y terapéuticas del cáncer de mama hereditario para todo el personal de salud.

Objetivo: Determinar el riesgo familiar total de las familias con mujeres diagnosticadas con cáncer de mama, que asisten a un centro de salud oncológico en la ciudad de Barranquilla. Materiales y Métodos: El estudio fue de tipo descriptivo, transversal con abordaje cuantitativo. Se utilizó el instrumento Riesgo Familiar Total RFT 5-33. El universo estuvo conformado por familias con mujeres diagnosticadas con cáncer en mama. La muestra fue de 41 familias que integraron a 154 miembros; se abordó el estudio de manera censal, y no por medio de una muestra, porque el acceso a la información de la totalidad de las familia fue viable. Resultados: Los resultados mostraron que las familias, en su mayoría, son de tipo 2. El 68 % de las pacientes categorizan sus familias como amenazadas, el 5 % como familias de alto riesgo y un 27 % de las familias con un bajo riesgo. Conclusiones: Los hallazgos encontrados en esta investigación son importantes para las familias, lo cual permitirá establecer acciones y actividades que logren orientar e implementar procesos de atención específicos con el propósito de cuidar a las familias para que se mantengan sanos en un nivel de bajo riesgo; además, desarrollar controles y seguimiento a aquellas familias que se encuentran en un riesgo alto de amenazas, mediante acciones de promoción y prevención de la enfermedad de una manera amplia. Por lo anterior, se deben emprender programas más agresivos de prevención y promoción, especialmente con las familias que asisten en busca de apoyo médico para este padecimiento; de esta forma, se podrán diagnosticar los casos de forma temprana y proceder al respectivo tratamiento.

Objective: to characterize the sociodemographic and clinical-pathological profile of women hospitalized with metastatic or advanced local breast cancer. Method: quantitative descriptive study, carried out in a hospital in Rio de Janeiro, Brazil, from March to July 2017. The study included 199 women hospitalized in the clinical ward. Data were collected from the medical records and through interviews, using a form that contained the variables of the profiles. The analysis was conducted using the Statistical Package for the Social Sciences, version 24. Results: 153 (76.88%) women were from 40 to 69 years old; 80 (40.20%) had incomplete elementary education; 181 (90.95%) lived with up to two minimum wages; 107 (53.77%) were diagnosed with stage III cancer; 145 (72.86%) were already in stage IV. 73 (36.68%) had the worst performance status, followed by 70 (35.18%) with performance status 3. Conclusion: the profile has shown delayed diagnoses and high levels of dependency, mostly in women with low educational levels and low socioeconomic conditions. [ABSTRACT FROM AUTHOR]

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Copyright of Revista de Pesquisa: Cuidado é Fundamental is the property of Revista de Pesquisa: Cuidado e Fundamental Online and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

RESUMO Objetivo: analisar a produção científica sobre "câncer de mama" no período de 2002 a 2013 e identificar quais são as políticas públicas de rastreamento e diagnóstico precoce para o câncer de mama. Método: trata-se de uma revisão integrativa da literatura realizada nas bases de dados MEDLINE, LILACS, SciELO e Google Acadêmico. Utilizou-se como critérios de inclusão: ano e período de publicação; disponibilidade do artigo na íntegra; publicação no Brasil; e o cruzamento entre os descritores Câncer de Mama, Atenção Primária à Saúde, Programas de Rastreamento e Detecção Precoce de Câncer. Resultados: após análise, obtiveram-se quatro (4) categorias temáticas: autoexame das mamas, exame clínico das mamas, mamografia e fatores que dificultam a adesão ao rastreamento. Conclusão: há déficits de conhecimento dos profissionais de saúde sobre a área, indicando a necessidade de realização de outros estudos sobre a temática abordada e maior investimento na educação continuada dos profissionais.

Resumo OBJETIVO Avaliar o grau de complexidade dos cuidados de enfermagem de pacientes com câncer de mama readmitidas na oncologia clínica. MÉTODOS Estudo transversal com 108 pessoas com câncer de mama readmitidas na oncologia clínica num centro de alta complexidade de oncologia do Rio de Janeiro durante 2015. Realizada análise documental sendo dados analisados estatisticamente. RESULTADOS Os graus de complexidade de cuidados de enfermagem predominantes foram semi-intensivos (36,1%) e cuidados intensivos (36,1%). Na análise multivariada, apenas a performance status (p

Abstract OBJECTIVE To identify opportunistic screening actions for breast cancer performed by nurses working in primary health care units in Ribeirão Preto, São Paulo. METHOD Cross-sectional study with 60 nurses from 28 units, who had been working for at least one year in the public municipal health care network. Data were collected between December 2013 and March 2014, by means of a questionnaire, using descriptive analysis and the software IBM SPSS version 20 and Microsoft Excel 2010. RESULTS The results showed that 71.7% of the participants questioned their female patients as for risk factors for breast cancer, mainly during nursing consultation; 70.0% oriented users about the age to perform clinical breast exam, whereas 30.0% did not due to lack of knowledge and time; 60.0% explained about the age to perform mammogram; 73.3% did not refer patients with suspicious breast exam results to the referral department, citing scheduling as the main obstacle to referral. Educational activities were not performed by 78.3% of participants. CONCLUSION Investment is needed in professional training and management of breast cancer screening.

Objective: To describe the pathways of care experienced by women with breast cancer receiving radiotherapy. Methodology: It is a descriptive, exploratory and qualitative study, conducted among women in the Radiotherapy Clinic of a Federal University in the South of Brazil. The participants were six women affected by breast cancer who were receiving radiotherapy. Data were collected through semi-structured interviews from March 2006 to December 2007. Results:The data were analyzed according to the operationalization of thematic analysis, emerging two categories: The plots of the pathways of care, and Overcoming the cancer diagnosis. Conclusions: It was perceived that pathways experienced by women affected by breast cancer involve both barriers and facilitators regarding access to health services, their relationship with professionals, and their ability to overcome. It is also considered important to have knowledge about the diagnosis of the disease in order to be an active person in this process. It is important to have well prepared health professionals and services, in order to accept women in ill situations, since support and guidance are essential to their recovery.

Objetivo: Caracterizar la producción científica relacionada con la salud sexual en mujeres con cáncer de mama. Metodología: Revisión integrativa. Se realizó una búsqueda en las bases de datos Scopus, Medline, LILACS y SciELO, así como búsquedas secundarias en revistas científicas. Se encontraron 85 artículos organizados y caracterizados por año, idioma y continente; edad promedio y tipos de tratamiento; metodología, perspectiva, enfoque, diseño, perspectiva disciplinar y tendencia temática. Resultados: La temática reportó mayor producción de conocimiento en los últimos 10 años. La tendencia de investigación se orienta hacia tres categorías: Salud sexual y cáncer de mama; Salud sexual en la mujer y tratamientos del cáncer de mama; y Salud sexual y relaciones de pareja. Conclusiones: La salud sexual en mujeres con cáncer de mama es un aspecto importante en la calidad de vida, que continuamente se ve alterada como resultado de la enfermedad y los efectos adversos de los tratamientos. Esta condición no sólo aqueja a la persona enferma, sino también a su pareja, por lo que se requiere del desarrollo de líneas de acción que permitan dar una atención integral a las mujeres con esta enfermedad.

Objectives: the aim was to translate and culturally adapt the Adherence Determinants Questionnaire scale for the Portuguese language in the Brazilian context, and to check its reliability and validity to analyze the elements of the adherence of patients to the clinical treatment for breast and cervical cancer.Method: this was a methodological study, carried out in two oncology reference centers. The sample consisted of 198 participants, with 152 being treated for breast cancer and 46 being treated for cervical cancer. The content validation was performed by a committee of experts. The construct validation was demonstrated through factor analysis and the reliability was analyzed using Cronbach's alpha.Results: the committee of experts made the necessary adjustments so that the scale was adapted to the Brazilian context. The factor analysis suggested a reduction from seven to five factors and the maintenance of 38 items similar to those of the original scale. The reliability, investigated through Cronbach's alpha, was .829, showing high internal consistency.Conclusion: it was concluded that the Brazilian version of the Adherence Determinants Questionnaire scale is a valid and reliable instrument that is able to measure the elements of adherence to the treatment for breast and cervical cancer.

ResumoObjetivo:O objetivo deste estudo foi compreender a vivência da mulher jovem diagnosticada com câncer de mama e mastectomizada.Métodos:Trata-se de uma pesquisa qualitativa com abordagem fenomenológica, fundamentada no referencial heideggeriano. Após a aprovação do projeto pelo Comitê de Ética, foram realizadas entrevistas livres, guiadas pela seguinte pergunta norteadora: Como foi pra você ter câncer de mama e ser submetida à mastectomia? Participaram da pesquisa sete mulheres com idade entre 18 e 35 anos.Resultados:Foram obtidas três categorias temáticas: Vivência da descoberta do câncer; Vivência do tratamento em busca da cura do câncer; Vivência da superação do câncer.Conclusão:O fenômeno revela-se permeado de angústia e perplexidade diante do estar-no-mundo com câncer de mama, por desconhecer que um diagnóstico tão sombrio pode pertencer ao mundo do jovem.

Introduction: Breast is a part of human body that is very important for women's body image. When cancer appears, mastectomy is revealed as a fundamental procedure for its treatment. However, it has a negative impact on women. This study aims to describe the feelings of women with breast cancer who undergo a total mastectomy. Materials and Methods: An exploratory descriptive study with a qualitative approach was conducted in a reference hospital for cancer treatment in Teresina, PI. Twelve women that were diagnosed with breast cancer and underwent a total mastectomy participated in the study. Data analysis was made in stages: audio transcription, fluctuating reading of dialogues, textual excerpts in record units and category creation. Results: 12 participants were in the sample, characterized as women who declare themselves to be dark-skinned, married, low educated, catholic and housewives. Discussion: Divergent feelings were observed regarding the mastectomy process and disease prognosis. It was verified that family, friends, supporters, faith and religious beliefs are key elements for women to feel safe and strong in the process of rebuilding their self-esteem. Conclusions: It is essential to develop a relationship of trust and encouragement between nurses and the woman undergoing the mastectomy. For this, it will be necessary to create strategies whose focus moves away from the disease and its complications. [ABSTRACT FROM AUTHOR]

Objective: To identify the occurrence of changes in sleep before, during and after chemotherapy treatment and to correlate sleep disorders with episodes of fatigue in women with breast cancer. Method: Twenty- six women followed at the Mastology Outpatient Clinic of a university hospital who responded to the Pittsburgh Sleep Quality Index and to the Functional Assessment of Cancer Therapy Fatigue to assess sleep and fatigue, respectively, in three moments. Results: The participants presented sleep disturbances throughout the treatment, characterized by night heat and difficulty to start sleep and that influenced the quality of sleep. There was a correlation between sleep quality and fatigue, with poor sleep quality increasing episodes of fatigue. Conclusion: Identifying the occurrence of these events during chemotherapy helps the professional team to provide guidelines for an adequate management of adverse events. [ABSTRACT FROM AUTHOR]

Copyright of Enfermagem Brasil is the property of Atlantica Editora and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista de Pesquisa: Cuidado é Fundamental is the property of Revista de Pesquisa: Cuidado e Fundamental Online and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objetivo: identificar la evidencia científica de enfermería relacionada con la experiencia de los cuidadores familiares de mujeres con cáncer de mama. Metodología: revisión integradora siguiendo los lineamientos de Ganong; búsqueda en bases de datos: EMBASE, OVID, PUBMED, SAGE journals, SCIELO, Google Academic, ISI Web of Science y SCOPUS, artículos publicados entre los años 2000 y 2016. Resultados: se incluyeron 18 artículos producto de investigaciones primarias de tipo cualitativo, cuyos referentes teórico-metodológicos fueron fenomenología y teoría fundamentada, las técnicas de recolección de datos fueron la entrevista semiestructurada y en profundidad. Se presentan y discuten como hallazgos las siguientes categorías: impacto del diagnóstico; lo que implica ser cuidador; efectos en el cuidador; estrategias de afrontamiento; cambios en los roles y las relaciones; apoyo social. Conclusiones: las características de los cuidadores son variables, es necesario conocer sobre la cultura y recursos propios de cada contexto. Los cuidadores requieren información clara y oportuna en relación su función y las habilidades a desarrollar, especialmente para otorgar apoyo emocional. Es necesaria la indagación de dichas experiencias en el contexto mexicano. Las relaciones padres e hijos en las familias de mujeres con cáncer de mama es un asunto poco estudiado, se requieren futuros estudios en este tema.

OBJECTIVE: To assess the knowledge of nurses involved in the care of oncology patients in a public university hospital, regarding breast cancer and hereditary breast cancer, and to verify the use of such knowledge in their daily practice.METHODS: This is a descriptive cross-sectional study. Data were obtained through a structured, self-administered questionnaire. Out of 154 nurses, 137 (88.9%) agreed to participate in the study. Two questionnaires were excluded such that 135 questionnaires were analyzed.RESULTS: The global percentage of correct answers was not associated with age (p=0.173) or degree/specialization (p=0.815). Questions were classified into categories. In categories involving knowledge of established breast cancer risk factors and indicators of hereditary breast cancer, the rate of correct answers was 65.8% and 66.4%, respectively. On the practice of genetic counseling, 40.7% of those interviewed were not sure about the definition of genetic counseling and 78.5% reported never having identified or referred a patient at genetic risk for specialized risk assessment. Practice of educational actions regarding this subject was reported by 48.5% of those interviewed.CONCLUSION: This study reinforces the need to develop qualifying actions for nurses, so that strategies to control breast cancer become effective in their health care practice.

AIM: qualitative study, which aimed to identify the barriers that influence nursing care practices related to the sexuality of women with gynecological and breast cancer.METHODS: the study was conducted with 16 professionals of the nursing area (nurses, nursing technicians and nursing assistants) from two sectors of a university hospital situated in the state of São Paulo, Brazil. The data was collected using semi-structured, in-depth individual interviews. All the interviews were recorded and the participants' responses were identified and categorized using Content Analysis.RESULTS: three major themes were identified. These are as follows: 1) barriers related to the biomedical model; 2) barriers related to institutional dynamics and 3) barriers related to the social interpretations of sexuality.CONCLUSIONS: the results of this study showed that the systematized inclusion of this issue in nursing care routines requires changes in the health paradigm and in the work dynamic, as well as reflection on the personal values and social interpretations related to the topic. A major challenge is to divest sexuality of the taboos and prejudices which accompany it, as well as to contribute to the nursing team being more aware of the difficulties faced by women with gynaecological and breast cancer.

Se objetivó describir por medio de un relato de experiencia, la dinámica de un grupo de apoyo/soporte a la mujer mastectomizada. Estudio descriptivo y retrospectivo realizado a partir de consultas recurrentes a los documentos, libro de actas, fotografías, grabaciones y trabajos existentes relacionados con el grupo GEPAM (Grupo de Enseñanza, Investigación y Asistencia a la Mujer Mastectomizada) desde 1998 hasta los dias actuales. Los datos fueron organizados en forma de relato con la descripción y presentación del rescate histórico y exposición cronológica de los acontecimientos importantes del grupo. Las actividades realizadas sistemáticamente son: ejercicios corporales, actividades auto expresivas, talleres educativos, artes plásticos por medio de cursos diversos y actividades de entretenimiento. El estudio permitió rescatar los benefícios de un grupo de apoyo/soporte para el bienestar de mujeres mastectomizadas, objetivando la recuperación del equilíbrio psicosocial y la calidad de vida, además de volver a la plenitud de sus actividades profesionales, domiciciarias y afectivas por medio de estímulos para su rehabilitación total.

Objective to verify depressive symptoms and adherence to chemotherapy among women with breast cancer who are served by the Pharmacy of the Chemotherapy Center of a university hospital.METHOD: cross-sectional study with quantitative approach conducted with 112 women receiving chemotherapy. Structured interviews guided by a script addressing socio-demographic, clinical and therapeutic information, the Morisky Test, and the Beck Depression Inventory were used to collect data.RESULTS: 12.50% and 1.78% of the patients experienced "moderate" and "severe" depression, respectively, while 10.59% did not use antidepressant medication. A statistically significant association was found between levels of depression and the use of antidepressants. Lack of adherence was identified in 46.43% of the participants.CONCLUSION: these findings show the need to regularly screen for depressive symptoms and for adherence to chemotherapy treatment among women with breast cancer, in order to provide early detection and appropriate treatment centered on patients, and to improve their quality of life.

Objective: To gather, to characterize, to analyze, to synthesize and to integrate primary studies that addressed the experiences of spouses / husbands / partners of women with breast cancer, presenting the current state of knowledge. Method: Integrative literature review carried out in the databases of VHL, PubMed, CINHAL e SciELO. Results: The sample consisted of eight studies published between 2000-2012, which pointed to the experiences of the involvement and the care of the husbands towards their ill wives. Conclusion: This study highlights the need for attention and assistance to those spouses, as well as guidance and education to exercise the care the same way as the health staff has done with women. Furthermore, it emphasizes the importance of further studies in order to deepen the knowledge on this topic, and thus, improve the care with better scientific basis.

To identify the direct cost of procedures related to an outpatient chemotherapy treatment for women with breast cancer. Method: This is a quantitative research, using the case study methodology, performed in an outpatient chemotherapy of a private hospital. The total cost was calculated by multiplying the time spent by professionals involved in therapeutic procedures, the unit cost of direct labor, adding to the cost of materials, drugs and solutions. For performing the calculations, we used the Brazilian currency (R$). Results: The average total cost per chemotherapy session corresponded to R$ 1,783.01 (100%), being R$ 1,671.66 (93,75%) spent with drugs, R$ 74,98 (4.21%) with materials, R$ 28.49 (1.60%) with labor and R$ 7.88 (0.44%) with solutions. Conclusion: The results may support discussions and decision making for the management of costs related to chemotherapy aimed at reducing expenses and eliminating waste without harm to the care provided.

OBJECTIVE: to comprehend the psychosocial and cultural repercussions of breast cancer and its treatment on the sexuality of women.METHOD: this is a qualitative study grounded in the Sexual Scripts Theory with the participation of 23 women who were interviewed and participated in focus groups discussion.RESULTS: each category was related to a level of the sexual scripts. At the cultural scenario level a discourse on sexuality that includes definitions of sexual attractiveness and sexuality was highlighted. The interpersonal scripts level focused on the communication regarding sexuality established with the partner and with healthcare professionals category; and at the subjectivity scripts level the reports of improvement, deterioration and no change in the sexual life after cancer were analyzed.CONCLUSION: the experience of cancer involves cultural, relational, and subjective aspects that affect the sexual life, therefore, healthcare professionals should be aware of them to improve integral healthcare.

Identifying the barriers in the access to health care to breast cancer perceived by women undergoing chemotherapy.Method: An exploratory descriptive study. The sample consisted of 58 women with breast cancer receiving chemotherapy and registered in the public oncology ambulatory of Aracaju-Sergipe. Data collection was carried out between October 2011 and March 2012 by semistructured interviews, and data were processed using the SPSS, version 17.Results: Among the interviewed women, 37 (63.8%) reported at least a barrier in the trajectory of care for breast cancer. The organizational and health services barriers were the most reported in the periods of investigation and treatment of breast cancer.Conclusion: In face of these findings, the barriers should be considered in public health policies and programs for the control of breast cancer in Sergipe.

OBJECTIVES: to identify the prevalence, and describe the management of, neutropenia throughout the chemotherapy treatment among women with breast cancer.METHODS: observational study, cycles of chemotherapy. 116 neutropenic events were recorded, and 63.3% of the patients presented neutropenia at some point of their treatment, 46.5% of these presenting grade II. The management used was temporary suspension between the cycles and the mean number of delays was 6 days. The study was prospective and longitudinal, where the evaluation of the hematological toxicities was undertaken at each cycle of chemotherapy, whether neoadjuvant or adjuvant.RESULTS: 79 women were included, who received 572 cycles. However, the reasons for the suspensions were the lack of a space in the chemotherapy center, followed by neutropenia.CONCLUSION: neutropenia is one of the most common and serious adverse events observed during the chemotherapy. Nursing must invest in research regarding this adverse event and in management strategies for organizing the public health system, so as to offer quality care.

Objetivo deste estudo foi caracterizar o perfil sociodemográfico de mulheres com câncer de mama que apresentam feridas neoplásicas e identificar as coberturas mais utilizadas para o tratamento das feridas. Métodos: Trata-se de um estudo de abordagem quantitativa, de corte transversal e retrospectivo. Os dados foram coletados por meio de revisão de prontuários de mulheres com câncer de mama no período de 2000 a 2010. Resultados: A amostra constituiu-se de 62 mulheres com idade média de 55,4 anos; 75,8% eram de cor branca, 55% apresentaram carcinoma ductal invasor e 27,4%, estágio clínico IIIb. Dos óbitos registrados, 27% ocorreram em menos de um ano após o aparecimento da ferida. Os sintomas registrados foram dor (32,2%), sangramentos (35%) e necrose (21%). Os produtos utilizados foram a sulfadiazina de prata (23%) e o ácido graxo essencial (16,1%). Conclusão: Os resultados apontam para falta de sistematização da assistência de enfermagem relacionada às feridas oncológicas neste serviço.

Objective: identify scientific nursing evidence related to the experience of family caregivers of women who have breast cancer. Methodology: An integrative review was conducted following Ganong's guidelines. It included a database search of EMBASE, OVID, PUBMED, SAGE journals, SCIELO, Google Academic, ISI Web of Science and SCOPUS. The focus was on articles published between 2000 and 2016. Results: The review included 18 articles that are the result of qualitative primary studies; their theoretical-methodological references were phenomenology and the grounded theory. Semi-structured and in-depth interview were the data collection techniques used. The following categories are presented and discussed as findings: impact of the diagnosis; what it means to be a caregiver; effects on the caregiver; coping strategies; changes in roles and relationships; and social support. Conclusions: The characteristics of the caregivers vary and it is necessary to know about the culture and resources in each context. Caregivers require clear and timely information about their role and the skills they must develop, especially if they are to provide emotional support. It is necessary to research these experiences in the Mexican context. The relationship between parents and children in the families of women with breast cancer is a topic that has received little study, and future research on this subject is required. [ABSTRACT FROM AUTHOR]

Este estudo pretendeu caracterizar e localizar a dor nas mulheres submetidas ao tratamento por câncer de mama. Estudo de caráter exploratório, descritivo, com abordagem quantitativa, pelas medidas de tendência central e percentual. Pesquisa desenvolvida no Núcleo de Ensino e Pesquisa e Assistência na Reabilitação de Mastectomizadas com 30 mulheres. Os dados foram coletados no período de fevereiro a agosto de 2008, por meio de instrumento contendo variáveis capazes de caracterizar e localizar a dor, e foram tratados por meio de média, mediana, moda e desvio-padrão e percentual. Destacou-se que 56,7% mulheres referiram que a dor é diária, 46,7% mulheres referiram que a dor teve início após a cirurgia da mama, e para 40% a dor é constante. Conhecimento, reconhecimento e manejo do sintoma permitem ofertas terapêuticas alternativas para o alívio da dor, minimizando efeitos físicos e emocionais que podem ser causados na vida de mulheres submetidas ao tratamento por câncer de mama.

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O rastreamento para o câncer de mama ou a realização regular do exame de mamografia é uma realidade em países desenvolvidos. A enfermagem atua de diferentes maneiras neste processo, tendo importante papel no enfrentamento das barreiras relacionadas com a não adesão ao rastreamento; porém, sua efetividade é pouco comprovada, havendo limitado número de estudos clínicos sobre o tema. Realizou-se revisão integrativa sobre o tema na PubMed e na literatura latino-americana LILACS, avaliando estudos clínicos controlados que comprovassem a efetividade das ações de enfermagem, utilizando as palavras-chave rastreamento para o câncer de mama, enfermagem e estudos clínicos. Na PubMed foram identificadas 110 publicações sobre o tema, das quais 18 estudos clínicos apresentando as ações de enfermagem. Não se identificou nenhum estudo na LILACS. A presente revisão mostrou a efetividade da enfermagem no contexto do rastreamento do câncer de mama, apresentando novas perspectivas de atuação profissional, dentro de um contexto multidisciplinar de qualificação de ações relacionadas à saúde da mulher.

Objetivamos analisar a prevalência e fatores associados com a mamografia realizada por mulheres brasileiras. Este é um estudo epidemiológico transversal. Foram analisados dados secundários do Sistema Brasileiro de Informação do Câncer de Mama. Constatamos que 86,01% (n=742.004) das mulheres submetidas à mamografia em 2009 e 87,42% (n=2.231.668) em 2010 pertenciam à faixa etária de 40 a 69 anos. Em relação à escolaridade, a prevalência significativa de ensino fundamental incompleto atingiu 52,42% em 2009 e 54,24% em 2010. Nossos resultados indicam que 90,1% (n=777.194) de mulheres submetidas à mamografia em 2009 e 89,98% (n=2.297.490) em 2010 não relataram fatores de risco para câncer de mama. Um número maior apresentou atitudes favoráveis à mamografia, um fator que é considerado positivo para a prática do exame. ABSTRACT To analyze the prevalence and factors associated with the mammography exam undertaken by Brazilian women. This is an epidemiological cross-sectional study. We analyzed secondary data from the Brazilian Breast Cancer Information System. We found that 86.01% (n=742,004) of women undergoing mammography in 2009 and 87.42% (n=2,231,668) in 2010 were 40 to 69 years old. Regarding education, a significant prevalence of incomplete primary education was seen among those who were examined, reaching 52.42% in 2009 and 54.24% in 2010. Our findings indicate that 90.1% (n=777,194) of women who underwent mammography in 2009 and 89.98% (n=2,297,490) in 2010 did not report high risk factors for breast cancer. A greater number of women show positive attitudes about mammography, a factor that is considered critical for mammography’s compliance. RESUMEN Objetivamos analizar la prevalencia y factores asociados con la mamografía realizada por mujeres brasileñas. Es um estudio epidemiológico transversal. Se analizaron datos secundarios del Sistema de Información sobre el Cáncer de Mama. Encontramos 86,01% (n=742.004) de las mujeres sometidas a una mamografía en 2009 y 87,42% (n=2.231.668) en 2010 eran de La franja etaria de 40 a 69 años. En cuanto a la educación, la prevalencia significativa de la educación primaria incompleta alcanzó 52,42% en 2009 y 54,24% en 2010. Nuestros resultados indican que 90,1% (n=777.194) de las mujeres que se sometieron a uma mamografía en 2009 y 89,98% (n=2.297.490) en 2010, informaron factores de riesgo para cáncer de mama. Un mayor número de mujeres reveló actitudes positivas sobre la mamografía, un factor que es fundamental para el cumplimiento de la mamografía.

Estudo qualitativo que objetivou conhecer o itinerário terapêutico adotado pela mulher com câncer de mama. A coleta de dados, de agosto a dezembro de 2010, foi realizada com 13 mulheres atendidas exclusivamente pelo sistema público de saúde em instituição oncológica de Santa Catarina/Brasil. Utilizou-se a técnica entrevista semiestruturada, seguida pela análise de conteúdo. O Sistema de Cuidados à Saúde foi o referencial teórico adotado. Os relatos foram agrupados na categoria temática itinerário terapêutico e subcategorias: cuidado do corpo, cuidado do espírito, cuidado da mente. Os cuidados que compõem estas subcategorias representam cuidados significantes para a mulher com câncer de mama e devem ser incluídos no plano de cuidado de enfermagem e de outros profissionais da área da saúde. ABSTRACT Qualitative study which aimed to know the therapeutic itinerary adopted by women with breast cancer. Data were collected from 13 women through semi-structured interview, from August to December 2010 and were analyzed by content analysis. Health Care System was the theoretical reference chosen. The reports were grouped in thematic category therapeutic itinerary and subcategories: care of the body, care of the spirit, care of the mind. These cares represent significant care for women with breast cancer, nursing and health care. RESUMEN Estudio cualitativo que objetivó conocer el itinerario terapéutico adoptado por la mujer con cáncer de mama. La recopilación de datos, de agosto a diciembre de 2010, fue hecha con 13 mujeres atendidas por el sistema público de salud en institución oncológica de Santa Catarina/Brasil. Se usó la técnica entrevista semiestructurada, seguida por El análisis de contenido. El Sistema de Cuidados a la Salud fue el referencial teórico adoptado. Los relatos fueren agrupadas en la categoría temática itinerario terapéutico y subcategorías: cuidado del cuerpo, cuidado del espíritu y cuidado de La mente. Los cuidados que componen estas subcategorías representan cuidados significativos para la mujer con cáncer de mama y deben ser incluidos en el plan de cuidado de enfermería y de otros profesionales del área de la salud.

The objective of this study was to compare the quality of life of women who survived breast cancer and women who have not had the disease, and to identify associated factors. It is cross-sectional study in which the comparison group includes survivors of breast cancer aged between 40 and 69 years. One hundred and fifty-four women were included, 70 with breast cancer and 84 without the disease. The SF-36 was used to evaluate quality of life. The chi-square test and multivariate linear models were used to compare the groups. The estimated mean physical and mental components were significantly better for the group who survived the disease (51.10 and 52.25, respectively) compared to the group without cancer (47.26 and 47.93, respectively). The study indicates that survivors of breast cancer had a better quality of life compared to women without the disease.

Estudo qualitativo, realizado em instituição oncológica de Santa Catarina/Brasil, que objetivou conhecer o significado do câncer de mama, na percepção da mulher, no intervalo de tempo do sintoma da doença ao tratamento adjuvante. Foram entrevistadas 13 mulheres, de agosto a dezembro de 2010. Os relatos foram submetidos à análise de conteúdo, sustentada pelo referencial Sistema de Cuidados à Saúde. Entre os significados, destacam-se: ansiedade no período do diagnóstico; dificuldade para aceitação da doença e da alteração da imagem; medo da morte; impossibilidade de trabalhar; repadronização dos hábitos. Para a mulher enfrentar o câncer de mama ela necessita de um sistema de saúde que atenda às demandas de cuidados que envolvem a vivência da doença. ABSTRACT This qualitative study was conducted in an oncological institution in Santa Catarina State, Brazil, to ascertain the meaning of breast cancer as perceived by the women concerned in the time interval from symptom to adjuvant therapy. Between August and December 2010, 13 women were interviewed. Data were treated by content analysis with the health care system as the frame of reference. Prominent among the meanings were: anxiety at time of diagnosis; difficulty in accepting the disease and altered image; fear of death; inability to work; and repatterning of habits. For women to face breast cancer, they need a health system capable of meeting the demands for care that arise from the experience of the disease. RESUMEN Estudio cualitativo, realizado en institución oncológica de Santa Catarina/Brasil, que tuvo por objetivo conocer el significado del cáncer de mama, en la percepción de la mujer, en el intervalo de tiempo entre los sintomas de la enfermedad y la terapia adyuvante. Han sido entrevistadas 13 mujeres entre agosto y diciembre de 2010. Los informes fueron sometidos al análisis de contenido, con el apoyo del referencial adoptado por el Sistema de Cuidado de la Salud. Entre ellos, se destaca: ansiedad en el momento del diagnóstico, dificultad para aceptar la enfermedad y para modificar la imagen, miedo a la muerte, incapacidad para trabajar; mudanza de hábitos. Para la mujer que enfrenta el cáncer de mama, se hace necesario profesionales y un sistema de salud capacitados para atender lãs demandas de la salud que entrañen el proceso de la enfermedad.

O estudo analisa as respostas comportamentais das mulheres durante o tratamento do câncer de mama utilizando o Modelo de Adaptação de Roy. Estudos demonstram que o câncer e sua terapêutica podem gerar estímulos que irão interferir na sexualidade. Conhecer os mecanismos de enfrentamento destas mulheres deve ser uma preocupação dos profissionais que prestam assistência, para que se possa oferecer o cuidado integral. Trata-se de pesquisa qualitativa na qual foi realizada entrevista semiestruturada com cinco mulheres sexualmente ativas. Foram identificados problemas de adaptação nos modos relacionados ao autoconceito, desempenho de papéis e interdependência. Contudo, essas mulheres puderam superar tal situação e melhorar a adaptação à sua nova condição. Conclui-se que a utilização do modelo de adaptação de Roy foi apropriada, pois permitiu apreender as alterações relacionadas aos modos adaptativos e visualizar de forma concreta quais os focos para as intervenções de enfermagem.El estudio examina el uso del Modelo de Adaptación de Roy en la comprensión de las respuestas de comportamiento de las mujeres durante el tratamiento del cáncer de mama. Los estudios demuestran que el cáncer y su tratamiento pueden crear incentivos que puedan interferir con la sexualidad. Conocer a los mecanismos de supervivencia de estas mujeres debe ser una preocupación de los profesionales que prestan asistencia para que se pueda ofrecer una atención integral. Se trata de una investigación cualitativa llevada a cabo a partir de entrevistas semestructuradas con cinco mujeres sexualmente activas. Se identificaron problemas en las modalidades de adaptación relacionadas con el concepto de sí mismo, el juego de roles y la interdependencia. Sin embargo, estas mujeres pudieron superar tal situación y mejorar la adaptación a su nueva condición. Se concluye que el uso del modelo de adaptación de Roy era adecuado, teniendo permitido comprender los cambios relacionados con los modos de adaptación, lo que permite la utilización de un enfoque concreto de las intervenciones en enfermería.The study analyzes the behavioural responses of women during treatment for breast cancer using the Roy Adaptation Model. Studies show that cancer and its treatment can generate stimuli that will interfere in the sexuality. Knowing the mechanisms these women face must be a concern of the healthcare professionals, so that comprehensive care can be provided. The study involved qualitative research where semi-structured interviews were conducted with five sexually active women. Problems were identified in the modes of adaptation related to self-concept, role playing, and interdependence. These women were nevertheless able to overcome such situations and improve adaptation to their new condition. It was concluded that use of the Roy Adaptation Model was appropriate, making it possible to grasp the changes related to modes of adaptation, and thus enabling the foci of nursing interventions to be concretely visualized.