Papanicolaou tests (Pap smears) from a woman's perspective
DOI:
https://doi.org/10.33448/rsd-v11i10.32300Keywords:
Papanicolaou test; Alphapapillomavirus; Uterine cervical neoplasms.Abstract
This study seeks to attribute and correlate the importance of clinical Papanicolaou tests, also known as Pap smears, for both women's physical and mental health. Emphasis was given to woman's awareness and feelings related to these exams, and to educational interventions to promote greater awareness. Objectives: To emphasize women’s perspectives on the importance of Pap smears as a method for preventing and diagnosing neoplastic diseases and HPV. Specifically, the objective of this study was to emphasize women’s experiences, exam techniques, exam adherence levels, and orientations related to how the exam can aid in preventative care. This systematic review was developed following PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-analyses) guidelines. The inclusion criteria analyzed studies focused on the Pap smear from the female perspective, elucidating the feelings in the practice of the examination and interventions for cervical cancer screening. The analysis and screening of the studies indicated 29 articles with eligible potential. Of these, 23 were included in the study, 12 literature reviews, 9 original articles and 2 observational studies.We observed a general lack of awareness and guidance on the importance of Pap smears, along with infrequent testing levels, that could otherwise lead to diagnosing common and widespread diseases in adolescent and elderly women. Feelings of fear and shame were common barriers to examination adherence, meaning that educational interventions are necessary, along with other informative and qualitative actions.
References
Baptista A. D., Simão C. X., Santos V. C. G., Melgaço J. G., Cavalcanti S. M. B., Fonseca S. C., & Vitral C. L. (2019) Conhecimento sobre HPV e exame Papanicolau entre universitários brasileiros. Revista da Associação Médica Brasileira, 65(5):625-632. https://www.scielo.br/j/ramb/a/XtsPtfFDRqK7NQkFcNg5mZg/?format=pdf&lang=en
Chorley A. J., Marlow L. A. V., Forster A. S., Haddrell J. B., & Walle J. (2016) Experiences of cervical screening and barriers to participation in the context of an organised programme: a systematic review and thematic synthesis. Psycho-Oncology, 26(2):161-172. https://pubmed.ncbi.nlm.nih.gov/27072589/
Davim R. M. B., Torres G. V., Silva R. A. R., & Silva D. A. R. (2005) Conhecimento de mulheres de uma Unidade Básica de Saúde da cidade de Natal/RN sobre o exame de Papanicolau. Revista da Escola de Enfermagem da USP, 39(3):296-302. https://www.scielo.br/j/reeusp/a/kCNVpqyzj5cnGvxFNKYqpXG/?format=pdf&lang=pt
Gomes E. S., Rodrigues A. S., Dantas K. F. D., Nishida F. S., & Bernuci M. P. (2018) Ações de rastreio dos cânceres de mama e do colo do útero em uma região do Paraná. Revista de Epidemiologia e Controle de Infecção, 8(4): 392-400. https://pesquisa.bvsalud.org/portal/resource/pt/biblio-1010374
Naz M. S. G., Kariman N., Ebadi A., Ozgoli G., Ghasemi V., & Fakari F. R. (2018) Educational interventions for cervical cancer screening behavior of women: a systematic review. The Asian Pacific Journal of Cancer Prevention, 25;19(4):875-884. https://pubmed.ncbi.nlm.nih.gov/29693331/
Nogueira-Rodrigues A., Souza A. C. M., Barbosa A. B., Sousa C. F. P. M., Mansur-Pantuzzo E. R., & Bahia-Coutinho F. et al. (2019) Rastreio do câncer na prática clínica: recomendações para a população de risco habitual. Revista da Sociedade Brasileira de Clínica Médica, 17(4): 201-210. https://pesquisa.bvsalud.org/portal/resource/pt/biblio-1284256
Okunade K. S. (2020) Human Papillomavirus and Cervical Cancer. Journal of Obstetrics and Gynaecology, 40(5):602-608. https://pubmed.ncbi.nlm.nih.gov/31500479/
Silva J. P., Leite K. N. S., Souza T. A., Sousa K. M. O., Rodrigues S. C., & Alves J. P et al. 2018 Exame Papanicolau: fatores que influenciaram a não realização do exame em mulheres de 40 a 65 anos. Arquivos de Ciências da Saúde, 25(2) 15-19. https://docs.bvsalud.org/biblioref/2019/12/1046441/a3.pdf
Silveira N. S. P., Vasconcelos C. T. M., Nicolau A. I. O., Oriá M. O. B., Pinheiro P. N. C., & Pinheiro A. K. B. (2016) Conhecimento, atitude e prática do exame colpocitológico e sua relação com a idade feminina. Revista Latino-Americana de Enfermagem, 24: e2699. https://www.scielo.br/j/rlae/a/GmRMv747FdmJyDDq8LjpwQB/?format=pdf&lang=pt
Soares M. B. O., & Silva S. R. (2016) Intervenções que favorecem a adesão ao exame de colpocitologia oncótica: revisão integrativa. Revista Brasileira de Enfermagem, 69 (2). https://www.scielo.br/j/reben/a/qyTmwyLJfk4n4XFd6fPHbzf/abstract/?lang=pt
Stumbar S. E., Stevens M., & Feld Z. (2019) Cervical cancer and its precursors: a preventative approach to screening, diagnosis, and management. Primary Care, 46(1):117-134. https://pubmed.ncbi.nlm.nih.gov/30704652/
Thrall M. J. (2019) Automated screening of Papanicolaou tests: a review of the literature. Diagnostic Pathology, 47(1):20-27. https://pubmed.ncbi.nlm.nih.gov/29603675/
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Éric Silva Goulart; Mariléia Chaves Andrade
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.