Care protocol for fine-needle aspiration biopsy of breast and thyroid

Ivone Rosini,Nádia Chiodelli Salum

doi:10.1590/0104-07072014003520012

Abstract

This study had the aim of building a care protocol for fine-needle aspiration biopsy of breast and thyroid. Using a convergent-care type qualitative approach, it was developed in a teaching hospital in southern Brazil, between September 2010 and April 2011. The study participants were 88 patients and 20 professionals who work in the Radiology Service. The protocol was built in three stages: development of educational activities in the waiting room with the patients for the identification of doubts and anxieties in relation to the examination; meetings held with the professionals for the evaluation and validation of the protocol; and search for scientific evidence in data sources. The organization of data allowed to elaborate the flowchart of patient care and the care protocol, which was organized in sequential activities and included the executor, the activity and the scientific justification. The professionals expressed the importance of the protocol, which brings advantages for patient care, such as agility, organization and the humanization of the service.

Highlights

IntroductionAiming to define the diagnosis of the area altered by a tumor or cyst, the professed method is the biopsy of the lesion, which can be carried out through different techniques
Searching to improve and qualify the care for patients who look for the radiology service, as well as the legitimization of an educational space to be occupied by the nurse, looking to share the patients’ expectations and wishes, as well as highlighting the orientations regarding the procedure they are going to go through, the aim of this study was to build a care protocol for fine-needle aspiration biopsy of breast and thyroid
Ten weekly openings are available for the State Health Department (SHD) and four openings for patients receiving care in the Teaching Hospital (TH), who are referred by physicians specialized in the fields of head/neck surgery, endocrinology and mastology

Summary

Introduction

Aiming to define the diagnosis of the area altered by a tumor or cyst, the professed method is the biopsy of the lesion, which can be carried out through different techniques. Among these techniques there is the Fine-Needle Aspiration Biopsy (FNAB), which is noted as an efficient method in obtaining cytopathological material for support in the diagnosis of the biopsied lesion.[1,3,4,5]. Many researchers took it upon themselves to employ, enhance and analyze the advantages and disadvantages of this method, making it popular by showing it as an initial diagnosis method for the cytological evaluation of tumors in general.[3,4,5]

Objectives

Methods

Results