Papanicolaou tests (Pap smears) from a woman's perspective

Authors

DOI:

https://doi.org/10.33448/rsd-v11i10.32300

Keywords:

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/

Published

28/07/2022

How to Cite

GOULART, Éric S. .; ANDRADE, M. C. Papanicolaou tests (Pap smears) from a woman’s perspective. Research, Society and Development, [S. l.], v. 11, n. 10, p. e221111032300, 2022. DOI: 10.33448/rsd-v11i10.32300. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/32300. Acesso em: 18 apr. 2024.

Issue

Section

Health Sciences