Giovanna Rosário Soanno Marchiori

Manejo clínico da amamentação: Valoração axiológica sob a ótica da mulher-nutriz

Objective: To analyze the axiological value of nurturing women regarding the clinical management of breastfeeding. Methods: This is a phenomenological qualitative study based on the theory of Max Schelers values, conducted between May and June 2014 in the joint quarters of two university hospitals in Niteroi/RJ and Santa Maria/RS. Twenty nursing mothers participated in the study and The data was organized, subjected to the comprehensive analysis technique and was interpreted according to the value theory and the specific policies of breastfeeding. Results: Two thematic units emerged in the study: breastfeeding clinical management and its vital value and the health network to support breastfeeding care: a utility value. Conclusion: The management of breastfeeding enables a health care that goes beyond the interests, intentions and views of health professionals and institutions; human and existential questions must be seized by rational experiences, linked to those relating to the perception of the nurturer. This perception provides a reframing that is centered in the care provided to women, children and the family.Objective: To analyze the axiological value of nurturing women regarding the clinical management of breastfeeding. Methods: This is a phenomenological qualitative study based on the theory of Max Schelers values, conducted between May and June 2014 in the joint quarters of two university hospitals in Niterói/RJ and Santa Maria/RS. Twenty nursing mothers participated in the study and The data was organized, subjected to the comprehensive analysis technique and was interpreted according to the value theory and the specific policies of breastfeeding. Results: Two thematic units emerged in the study: breastfeeding clinical management and its vital value and the health network to support breastfeeding care: a utility value. Conclusion: The management of breastfeeding enables a health care that goes beyond the interests, intentions and views of health professionals and institutions; human and existential questions must be seized by rational experiences, linked to those relating to the perception of the nurturer. This perception provides a reframing that is centered in the care provided to women, children and the family.

A saúde física de mulheres privadas de liberdade em uma penitenciária do estado do Rio de Janeiro

Objetivo: Identificar fatores que interferem na saude fisica de mulheres encarceradas numa instituicao prisional no Estado do Rio de Janeiro. Metodos: Estudo descritivo, abordagem qualitativa, realizado com quarenta encarceradas, utilizando-se entrevistas semiestruturadas que foram submetidas a analise tematica. Resultados: Fatores como dificuldade relacionada a alimentacao, falta de atividade fisica, sedentarismo, tabagismo e restricao a exposicao ao sol, afetam a saude fisica das mulheres entrevistadas. Conclusao: Mesmo que o entendimento dessas mulheres sobre a propria saude esteja condicionado a ausencia de doencas, torna-se fundamental a existencia de politicas publicas que incentivem acoes de prevencao de agravos e promocao e atencao integral a saude, pois, no cotidiano da instituicao pesquisada as mulheres encarceradas convivem com dificuldades que interferem nas condicoes de saude. Desse modo, ao longo do tempo, poderao surgir concepcoes de saude ampliadas, que estimulem a garantia de melhores condicoes de saude e de vida para esse grupo vulneravel de mulheres.Objective: To identify factors that influence the physical health of women imprisoned in a prison institution in the State of Rio de Janeiro. Methods: A descriptive study with a qualitative approach, undertaken with forty incarcerated women, using semistructured interviews, subjected to thematic analysis. Results: Factors such as difficulty related to diet, lack of physical activity, sedentary lifestyle, smoking and restriction of exposure to the sun affect the physical health of the women interviewed. Conclusion: Although these womens understanding regarding their own health is conditioned by the absence of diseases, it is fundamental to have public policies that encourage actions to prevent ill health and promote health and comprehensive health care, as, in the daily life of the institution studied, incarcerated women live with difficulties that influence health conditions. Thus, over time, expanded health concepts may emerge that will stimulate better health and living conditions for this vulnerable group of women.

SABERES SOBRE PROCESSO DE ENFERMAGEM NO BANCO DE LEITE HUMANO

Objective: to analyze nurses’ knowledge regarding the nursing process as an instrument for Nursing Care Systematization in the Human Milk Bank. Method: descriptive, exploratory, qualitative study carried out in the second quarter of 2015 in seven Human Milk Banks in the State of Espirito Santo. With this perspective, nine nurses working in the health service were interviewed. The data were submitted to thematic content analysis. Results: the nursing process can be considered an organizer of work in the context of the Human Milk Bank. Such everyday knowledge and knowledge of the applicability of the nursing process needs to be an assumption in order to support the actions of nurses in the Human Milk Banks. Conclusion: the analyzes indicated that the nurses’ work and activities must be based on a scientific methodology, however there is a fragmentation in the effectiveness in the steps of the nursing process. It is necessary to elaborate an instrument that enables the implementation of the Nursing Assistance Systematization, through the nursing process instrument

Fatores de proteção da saúde mental das mulheres encarceradas: estudo descritivo-exploratório

Aim: to identify the activities that promote mental health carried out by women deprived of their liberty, given the difficulties encountered during the period of imprisonment. Method: descriptive, exploratory, qualitative study with forty women deprived of liberty in a female prison in the state of Rio de Janeiro, who were interviewed based on a semi - structured script. The data obtained, subject to the analysis of content in the thematic modality, gave rise to the category Protection factors of the mental health of the incarcerated women. Results: women have pointed to factors that protect their mental health: studying, working, performing leisure activities (singing, talking, reading) and religious activities. Conclusion: health promotion activities with a focus on mental health should be rethought in order to ensure the mental health of women deprived of their liberty .

Diabetes Gestacional e estado nutricional materno em um hospital universitário de Niterói

Objetivo: identificar o numero de casos de diabetes gestacional e correlacionar estado nutricional pre-gestacional e diabetes mellitus gestacional em mulheres atendidas no ambulatorio de Ginecologia e Obstetricia de um Hospital Universitario em Niteroi, Brasil. Metodo : transversal, analitico e retrospectivo. Pesquisa realizada em prontuarios de mulheres assistidas durante o parto no ano de 2013, que realizaram no minimo uma consulta de pre-natal na unidade. As analises estatisticas foram realizadas com o software estatistico Stata 20.0, considerando nivel de significância de 5%. Aprovado pelo Comite de etica em pesquisa sob parecer 1.354.164/2015. Resultados: 14% (n=25) desenvolveram diabetes gestacional; 24% iniciaram a gestacao com sobrepeso e 29,5%, com obesidade. Conclusao: estudos que evidenciam o numero de casos do diabetes gestacional a associacao a fatores de risco, sao importantes, principalmente para melhoria da assistencia prestada e elaboracao de novas estrategias de cuidado.

SAÚDE DE MULHERES NO CLIMATÉRIO EM SISTEMA PRISIONAL

The present study aimed to identify, based on reports, signs, symptoms and problems that affect the health of women in the climacteric period who are serving time in prison. Exploratory and descriptive study with a qualitative approach. Seven climacteric women incarcerated in a female prison in the State of Rio de Janeiro, Brazil, were interviewed from October 2014 to January 2015. After thematic analysis, two categories were identified: Symptoms related to the climacteric period and Problems that affect the health of women deprived of their liberty. Most interviewees reported feeling uncomfortable in the climacteric period, and having health problems in prison. Thus, climacteric, especially in situations of deprivation of liberty, should deserve greater attention of public health policies, to contribute to the improvement of the living conditions of this specific group.

Vivência das puérperas nutrizes frente à prática do aleitamento materno

Aim: To understand the practice of breastfeeding mothers regarding the breastfeeding process under the context of the guidance received at the Family Health Strategy (FHS) of the municipality of Silva Jardim. Method: descriptive exploratory study, with a qualitative approach, through semi-structured interviews with twenty-one breastfeeding mothers assigned to the FHS area of Silva Jardim. Data collection occurred from January to April 2014. Results: two categories emerged: difficulties of breastfeeding from the viewpoint of the breastfeeding mothers: the need of implementing a line of care on breastfeeding in FHS; Promotion and support to breastfeeding during postpartum: a challenge for FHS. Conclusion: in this study, the experience of breastfeeding mothers in the breastfeeding process is related to the lack of cohesive information, allowing the adoption of inappropriate practices.