Abstract
Objective: To develop a tool for assessing the adherence of women performing the cytological examination of the cervix. Method: exploratory, descriptive with quantitative approach, which followed four steps for the construction of the instrument. Held between May and July 2015, using a sample of 384 women attending health facilities in Joao Pessoa city family. Data were analyzed by applying factor analysis and then correspondence analysis. Results: Scores were calculated from the influential factors reported by these women to perform the cytological examination, and then these scores were associated with the frequency of the examination. As for frequency, 37% performed annually, 25.1% every two years and 20.5% every six months, associated between the low and medium scores. While the high score was associated with a lower frequency, corresponding to 1.3% of those who underwent the test every three years and 15.9% who said they have set periods for their realization. Conclusion: The difficulties for not performing the examination, worse adherence to these women that health care, requiring effective interventions of professionals to minimize these barriers.
Highlights
MethodsThis is anexploratory, descriptive with quantitative approach, which followed four steps for the construction of the instrument
The instrument was structured in three parts, containing the approach to the socio-demographic data,a second part concerning issues related to realization of the cytological examination and the third part on the possible influential factors in their implementation (23 items) as presented in figure 1.To investigate these factors and better understanding of the chosen target audience, the dichotomous nature was adopted for items, facilitating and optimizing the instrument application
The ability to identify influential factors in women's adherence to completion of the cytological examination allows health professionals, especially nurses, joint strategies for combating the factors that act as barriers, and strengthen those recognized as adhesion facilitators
Summary
This is anexploratory, descriptive with quantitative approach, which followed four steps for the construction of the instrument. Held between May and July 2015, using a sample of 384 women attending health facilities in João Pessoa city family. Data were analyzed by applying factor analysis and correspondence analysis. It is a study of exploratory, descriptivewith a quantitative approach, aimed to build a delineated assessment tool from four stages. In the first stage a literature review was conducted, national and international, aiming to analyze the available evidence on the main factors influencing adherence of women performing the cytological examination. This article is available at: www.intarchmed.com and www.medbrary.com. After this step, the instrument was applied to the target population, women attending the Family Health Units (USF) the municipality of João Pessoa-PB. Based on the number of Units per District, It was possible to distribute the amount of services for the sample in proportion to: DSI -5, DS II - 4, DS III - 5, DSIV - 3, DSV - 3, totaling 20 health services
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