Itinerários terapêuticos para tratamento do câncer de próstata na atenção básica : estratégias de promoção na saúde do homem

Abstract

Introduction: Cancer is a disease that has an impact on the world stage, configuring it as a public health problem to be faced, especially by developed countries. Thus, the estimated occurrence of cancer in the 2018-2029 biennium is 600 thousand new cases, of which, nonmelanoma skin cancer will present about 170,000 new cases. Prostate cancer is a disease that can arise with the aging of men from the age of 40. The latest worldwide estimate pointed to prostate cancer as the second most common type of cancer in men. Objective: To analyze therapeutic itineraries for the treatment of prostate cancer in the city of Carrapateira-Paraíba. Methodology: This study is a research of qualitative methodological approach, the method seeks a complex and detailed understanding, built through a direct interview between the research subjects, taking into account the environment and the context of the research. The study was conducted in the semester of 2019.2. The participants listed for the research were 07 hinterland men, who live in both urban and rural areas of the municipality of Carrapateira-PB, representing all men who underwent the total PSA exam (Quick Test) at the Family Health Unit of Carrapateira- PB (CNES: 2321947), which showed changes in the total PSA and were monitored by UBS between the years 2009 to 2019. An interview and a semi-structured questionnaire were used. Results: The 07 men interviewed, aged between 58 and 83 years of age, were white, illiterate, lived with family members (wife and children), received some social benefit and are retired; they were guided by the Community Health Agents after receiving the exams at UBS and found that the exam could be done in joint efforts or in the events that occur in the ¿November Blue¿ Prostate Cancer Campaign. When being interviewed with prostate cancer, the interviewees always reinforce the idea of disbelief, despair and death after having access to their new condition. The Therapeutic Itineraries reported were: herbal measures, healers and the search for religiosity. Conclusion: It is concluded that the whole process between the search for the health service until a possible diagnosis and treatment of cancer, demand from the male population a new vision about this reality that they, sometimes, are unaware of. Therefore, it is essential that more studies be proposed so that it is possible to monitor and understand the feelings experienced by men who are victims of cancer.