Mulher acometida pelo papilomavírus humano e repercussões na família

Abstract

O objetivo foi avaliar a estrutura, o desenvolvimento e o funcionamento da família composta por mulher acometida pelo Papilomavírus Humano, com base no Modelo Calgary. Foi realizado um estudo de caso no domicílio da participante por meio de entrevista semiestruturada com o casal, genograma e ecomapa da família. Em exame ginecológico, foram diagnosticadas na participante do estudo uma verruga externa e uma pequena lesão na junção escamocolunar do colo uterino. A esposa compartilhou o caso com o marido, culpando-o, mas posteriormente conseguiu conscientizá-lo da importância dos hábitos sexuais seguros. O casal conseguiu superar a fase crítica vivenciada, deixando como repercussão a mudança de hábitos e maior afeição familiar. Com relação ao tema estudado, verifica-se que muitas pessoas ainda o desconhecem, ficando a cargo dos profissionais de saúde difundirem o assunto. Assim como também promover a educação em saúde para que as pessoas reflitam a respeito da importância de utilizar o preservativo.

Genogram and ecomap: brazilian nursing contributions

“…[6][7][8][9][10][11][12][13][14][15] In 20052, [16][17][18][19] 24 Except one, 37 all papers included in the review used the genogram and ecomap as complementary tools for research data collection. One paper was identified in which the contribution of the genogram and the ecomap was explored in undergraduate nursing education and in childcare.…”

“…Papers were identified with "families" of: elderly people; 10,12,24,32 pregnant women with human papillomavirus; 23,27 women with human papillomavirus, in the form of a case study; 11 adults with arterial hypertension and diabetes mellitus; 8 nursing faculty members; 29 children who were victims of violence; 31 children with cancer 2 and chronic kidney failure; [9][10][11][12][13][14][15][16] patients with mental disorders; 3,14,28 users registered in the Family Health Program; 19 adults with chronic kidney failure; 13 hospitalized patients; 20 adolescent parents; 7 people living in rural areas 36 and, in one study, to understand the family context in the health-disease process. 25 "Individually", these instruments were used: with mental health service users; 15 with mothers of premature children; 6,21 mothers of pre-adolescents; 17 patients with traumatic spinal cord injury; 18 children in early childhood; 26 children with nephrotic syndrome; 30 stoma patients; 22 elderly people [33][34] and young victims of violence.…”

“…25 "Individually", these instruments were used: with mental health service users; 15 with mothers of premature children; 6,21 mothers of pre-adolescents; 17 patients with traumatic spinal cord injury; 18 children in early childhood; 26 children with nephrotic syndrome; 30 stoma patients; 22 elderly people [33][34] and young victims of violence. 35 With regard to its construction, in seven papers, the genogram and ecomap were elaborated based on an individual interview; 6,[17][18]21,23,33,35 in 17 during group meetings; [2][3][8][9][10][11][12][13][14][15][16][19][20][28][29]32,34 and, in three, 22,24,30 both individual and group interviews were used. In seven papers, 7,25-27,31,36-37 the authors did not mention how the instruments were constructed.…”

“…2,11,16,22,25,30 In four papers, the place where the interviews were held was not mentioned. 7,14,31,37 As regards the meetings with the families, in nine papers, 2,6,[9][10][11]20,28,32,36 it was mentioned that the data collection resulted from different meetings with the family; in one paper, a single meeting was sufficient to collect the data; 12 in two, it was reported that, first, a relation had to be established with the family; 19,22 in four, the construction of these instruments started during the initial contact with the family members. [2][3]17,36 The other 18 papers did not mention how these meetings took place.…”

“…In 12 papers, the construction process was not referred to. 7,[10][11][17][18][19]23,[26][27][28]31,37 The difficulties and facilities related to the use of the genogram and ecomap were described in 14 papers, 2,8,12,[15][16]19,[21][22]24,27,29,33,35,37 while the authors of the other 20 studies did not mention these aspects. Table 1 displays a summary of the papers included in the review, according to the characteristics of the authors, publication year, objectives, facilities and difficulties in the use of these instruments.…”