Qualidade dos registros de exames citopatológicos realizados em serviços de atenção primária à saúde.

Abstract

The cervical cancer is within all types of cancer which has a better prognosis when diagnosed early through examination by the Papanicolaou method performed during the consultation Gynaecological Nursing in Primary Health Care (PHC). In order to subsidize their care, nursing professionals involved in the health of women should document their practice during nursing consultations with proper and complete record of actions, respecting the legal profession. Because of the importance given to the subject, aimed to analyze the quality of nursing on the Pap smear performed in PHC services by identifying the percentage of tests performed and the appropriateness of annotations related to cervical specimen collection and results examinations performed in these units. This study, documentary, retrospective, descriptive, quantitative approach, was the backdrop of the PHC network in São José de Piranhas, state of Paraíba. The data collected in the research consisted of information obtained in the ledgers of Pap smears performed in the period from 2010 to 2012, the Basic Health Units of the municipality, in a total of 2.288 records, available in seven books. As for the results, it was observed that women aged 25 to 64 years were the most accomplished of the Papanicolaou (approximately 97%), highlighting the range 30-39 years (57%). The record of the clinical findings showed that the majority of uterine cervices examined was classified as amended (18%), however, most records of cytological results showed benign changes (53%). In both items, there was absence of some records of both rural area (43.4% and 43.8%, respectively) and urban areas (39.9% and 29.7%, respectively). Regarding the vaginal microflora found, a predominance of Candida sp. (8.2%), followed by Gardnerella vaginalis (7.5%) and Trichomonas vaginalis (0.5%). Unlike other findings, the most overlooked records were attributed to urban areas (16.7%). These results enable us to see that there is a deficiency in the quality of nursing services performed investigated, triggering the need for improvement on the part of professionals, as well as greater oversight of managers of APS. It is hoped that these results will contribute to the continuous improvement of nursing practice during gynecological, emphasizing the qualitative aspect of the actions, an essential requirement for improving the health care of the Brazilian woman.