Telephone interventions for adherence to colpocytological examination

Abstract

Objective:to test the effects of behavioral and educational intervention by telephone on adherence of women with inappropriate periodicity to colpocytological examination. Method:quasi-experimental study with a sample of 524 women, selected with the following inclusion criteria: be aged between 25 and 64 years, have initiated sexual activity, have inappropriate periodicity of examination and have mobile or landline phone. The women were divided into two groups for application of behavioral and educational intervention by telephone. It was used an intervention script according to the principles of Motivational Interviewing. Results:on comparing the results before and after the behavioral and educational interventions, it was found that there was a statistically significant change (p = 0.0283) with increase of knowledge of women who participated in the educational intervention. There was no change in the attitude of women of any of the groups and there was an increase of adherence to colpocytological examination in both groups (p < 0.0001), with greater adherence of women participating in the behavioral group (66.8%). Conclusion:the behavioral and educational interventions by phone were effective in the adherence of women to colpocytological examination, representing important strategies for permanent health education and promotion of care for the prevention of cervical cancer.

Avaliação da não realização do exame Papanicolaou por meio do Sistema de Vigilância por inquérito telefônico

“…Permanent health education is important for preventing cervical cancer. Health workers' intervention by telephone with a reminder about the examination and subsequent scheduling is a possible strategy for adjusting the adherence of women who do not have the appropriate periodicity of the Pap test (25) .…”

Recursos e competências para gestão de práticas educativas por enfermeiros: revisão integrativa

“…This finding corroborates a study developed with patients who underwent chemotherapy and conducted nursing consultations over the telephone, which pointed out that the continuity of care through this resource generated a higher level of satisfaction, reduced stress, improved the relationship with the professional and adherence to treatment (27) . In this sense, it can be affirmed that behavioral and educational interventions by telephone are effective in adherence to preventive health practices (28) .…”

Intervenções de enfermagem na prevenção do câncer cérvico-uterino: perspectivas das clientes [Nursing interventions in cervical-uterine cancer prevention: clients’ perspectives]

“…Trata-se de um momento de troca de informações, de realização de exames preventivos e do fortalecimento do vínculo entre o usuário e o profissional [24][25][26] . Perguntou-se quais seriam os profissionais da equipe da ESF que cotidianamente faziam busca ativa das mulheres para a realização do rastreamento e detecção para CCU junto à comunidade e se recebiam visitas domiciliares (VD) dos profissionais, e se esses, durante as visitas realizadas, lembravam ou orientavam acerca da prevenção para o CCU.…”

“…O rastreamento e a detecção para CCU devem atender às recomendações do MS, para alcançar as metas e aumentar a cobertura acima de 80%, com efetivação do conjunto de ações programadas, com população e periodicidade definidas. A procura ocasional para a realização da prevenção do CCU pelas mulheres é uma prática de rastreamento oportunístico, considerada pouco eficiente na redução das taxas de incidência e mortalidade deste tipo de câncer 3,5,26 As orientações individuais e a realização da consulta de enfermagem com exame citopatológico são intervenções que fazem as participantes mudarem de comportamento e hábitos de vida, tornando-os mais saudáveis e adotando medidas preventivas para IST e CCU.…”