The Phenomenon Lived by Women in Nursing Consultation in the Gynecological Brachytherapy

Abstract

Objective: to understand the phenomenon lived by women in the nursing consultation in gynecological brachytherapy.Method: a qualitative study, with an approach using the Sociological Phenomenology of Alfred Schutz. Thirteen women submitted to brachytherapy treatment participated in two radiotherapy services: one located in Rio de Janeiro and the other in São Paulo, Brazil. The data collection took place between February and November 2012, through a semi-structured interview. Results: two concrete categories emerged: Seeking guidance and Experiencing fear. The experience lived by patients is that people who need guidance, fear the illness and treatment caused by the diagnosis and by the performance of procedures.Conclusion: the nursing consultation for the patient aids the nurse to understand that each patient has a different degree of understanding and that it is effective to personalize this teaching in order to take care of others. Método: estudio cualitativo, con abordaje de Fenomenología Social de Alfred Schutz. Participaron 13 mujeres sometidas a tratamiento por braquiterapia de dos servicios de radioterapia: uno localizado en Rio de Janeiro y otro en San Paulo, Brasil. La recolección ocurrió entre febrero y noviembre de 2012, por medio de entrevista semi-estructurada. DESCRIPTORS:Resultados: surgieron dos categorías concretas de lo vivido: Buscar orientaciones y Vivenciar el miedo. El tipo vivido de las clientes es el de personas que necesitan de orientación, sienten miedo ante la enfermedad y ante el tratamiento, permeados por el diagnóstico y por la realización de los procedimientos.Conclusión: la consulta de enfermería para la cliente subsidia al enfermero a comprender que cada cliente tiene un grado de entendimiento y que se hace vigente personalizar este enseñar para cuidar del otro. DESCRIPTORES:Rol de la enfermera. Atención de enfermería. Neoplasias del cuello uterino. Braquiterapia. Investigación cualitativa.

Effectiveness of nursing interventions in preventing and treating radiotherapy side effects in cancer patients: a systematic review

“…The articles included in this review present nursing interventions focused on physical signs and symptoms and the care process related to radiotherapy. Only two studies were designed about effectiveness (13)(14) -one observational (15) and the other methodological (16) , four were cross-sectional (17)(18)(19)(20) , one was a systematic review (21) , one was a clinical report (22) , one was phenomenological (23) , and one was an action research (24) . The physical focus was skin care, oral care and nausea/ vomiting.…”

“…Only two qualitative studies were included in this systematic review (23)(24) . The first aimed to implement and evaluate a Care Program for Palliative Radiotherapy Effectiveness of nursing interventions in preventing and treating radiotherapy side effects in cancer patients: a systematic review Rev Esc Enferm USP • 2021;55:e03697 (CPPR) in the Outpatient Clinic of the Department of Radiotherapy at the Erasmus MC-Cancer Institute in Rotterdam using participatory action research (PAR).…”

“…The participants were two researchers from the Centre of Expertise for Innovations in Care of Rotterdam University, and eight healthcare professionals of the Department of Radiotherapy: a nurse manager, a staff nurse, a ward nurse, two radiotherapists, two radiographers and the nurse practitioner (project leader) (24) . The second was a sociological phenomenology study (23) based on Alfred Schutz with thirteen women submitted to brachytherapy in two radiotherapy services using a semi-structured interview.…”

“…It was good for me because I got rid of my doubts. I think if I had not come to the consultation with the nursing staff it would have been even worse to face all this" (23) .…”

Sexuality experiences of hysterectomized women

“…4 Hysterectomy can have positive or negative implications in the sexuality experience of these women, which may reflect on their self-image, marital and social relationship, or even revealed through depressive symptoms. 5,6 Sexuality is influenced by the socio-cultural construction, and is interrelated in gestures, words, behaviors, looks, attitudes, and in the silence of each one as well. It covers matters such as gender, identity, and sexual orientation, eroticism, pleasure, intimacy, and reproduction.…”