Hudson Pires de Oliveira Santos Junior

Para além das grades e punições: uma revisão sistemática sobre a saúde penitenciária

A systematic review of scientific production on Prison Health was conducted, seeking to verify how the subject matter has been dealt with, establishing which is the most exploited focus and identifying possible gaps. The search was carried out in the Virtual Health Library. 1160 articles were located: 1104 on MEDLINE, 19 on LILACS and 37 on SciELO, published from 1993 to 2010. As MEDLINE and LILACS do not show the entire articles, the places, dates and languages of the texts were charted. In-depth analysis was restricted to works which were shown in their entirety and free of charge hosted on SciELO. It revealed that scientific production is present all over the world with a predominantly quantitative approach. It focuses on identifying the socio-demographic profile and health conditions of prisoners, the incidence of tuberculosis, Human Immunodeficiency and Hepatitis C virus infections. There is a predominance of studies carried out with male prisoners, in comparison with the female sex. It is clear that prisoner health is a public health problem on the rise, which demands research that can orient health policies and strategies.

Postpartum depression: the (in) experience of Brazilian primary healthcare professionals.

AIM This article reports experiences of Brazilian physicians and nurses caring for women with postpartum depression in primary healthcare settings. BACKGROUND Prevalence of postpartum depression in Brazil ranges from 12-37%, which fits with international claims about differences in the magnitude of the problem and consistency of screening. DESIGN Qualitative descriptive. METHOD This study was situated in health units of the Family Health Strategy in Campina Grande, Brazil. Data were collected from September 2010-January 2011 through open-ended interviews with ten nurses and seven physicians, observations, and field diary records. Inductive content analysis was used to develop categories. FINDINGS Three categories: (1) Limited professional exposure to postpartum depression; (2) Postpartum depression as the domain of psychiatry; and (3) Challenges dealing with postpartum depression demonstrated that few professionals felt postpartum depression merited their attention. Women, with signs of postpartum depression, were usually identified by family members who noticed behaviours that seemed abnormal. Care providers indicated they had inadequate time and access to screening techniques to identify women with depression attending unit-based pregnancy and postpartum groups. When identified, women were referred directly to psychiatric care. CONCLUSION Without consistent screening and diagnostic techniques, Brazilian health professionals are insecure about identifying and treating cases of postpartum depression. Referring women to psychiatric units entail more time for women to be diagnosed and treated and increased costs for health services. Primary healthcare professionals require training to screen, identify, and treat postpartum depression in primary healthcare settings.

Movimentação e dieta durante o trabalho de parto: a percepção de um grupo de puerpéras

Este estudo teve como objetivo conhecer a experiencia e a percepcao de um grupo de mulheres em relacao a deambulacao e a dieta durante o trabalho de parto. Pesquisa qualitativa descritiva, realizada em hospital de ensino de Sao Paulo. Os dados foram coletados por meio de entrevista com 35 mulheres que tiveram filhos de parto vaginal, em dois momentos dinstintos, no referido hospital. Os resultados apontam que, para algumas mulheres, a deambulacao contribui no alivio da dor e na progressao do parto, enquanto que para outras ha inseguranca para fazer forca, devido ao medo de o bebe cair no chao. Quanto a dieta, as mulheres que se alimentaram, relataram sentir mais forca durante o parto, e as que nao quiseram receber dieta, justificaram medo de atrapalhar no parto. Conclui-se que e crucial levar em consideracao a individualidade e a autonomia de escolha das mulheres; premissas basicas quando se busca a assistencia humanizada.The objective of this study was to better understand the experience and perceptions of a group of women with respect to walking and diet during labor. This is a qualitative, descriptive study, performed in a teaching hospital in Sao Paulo, Brazil. Data was collected through interviewing a sample of 35 women who had vaginal deliveries at two different moments in that hospital. The results show that walking helps some of these women to relieve pain and contributed to their labor progression, while others felt insecurity forcing themselves during delivery, due to fear of the baby falling to the floor. With respect to diet, the women who ate reported feeling stronger during childbirth, and those who declined food justified it through their fear of disturbing labor. One concludes that it is crucial to take into consideration the individuality and autonomy of the woman’s choice; basic premises when seeking humanized care. DESCRIPTORS: Humanizing delivery. Humanization of assistance. Obstetrical nursing. CAMINADA Y DIETA DURANTE EL PARTO: LA PERCEPCION DE UN GRUPO DE PUERPERAS RESUMEN: Este estudio intenta comprender la experiencia y percepcion de un grupo de mujeres en relacion a caminar y a la dieta durante el parto. Este es un estudio cualitativo descriptivo realizado en un hospital universitario en Sao Paulo. La recoleccion de datos se hizo mediante entrevistas a treinta y cinco mujeres que dieron a luz por via vaginal en dos momentos diferentes en el mismo hospital. Los resultados muestran que para algunas mujeres caminar ayuda a aliviar el dolor y la progresion del trabajo del parto, mientras que para otras hay inseguridad para hacer fuerza, debido al temor de que el bebe se caiga al piso. En relacion a la dieta, las mujeres que se alimentaron, manifestaron sentirse mas fuertes durante el parto y las que no la aceptaron, lo justifican por el temor de perjudicar el parto. Se concluye que es crucial tener en cuenta la individualidad y la autonomia de eleccion de las mujeres, los supuestos basicos en la busqueda de una atencion humanizada. DESCRIPTORES: Humanizacion del parto. Humanizacion de la assistencia. Enfermeria obstetrica. 717

Gravidez na adolescência: percepções das mães de gestantes jovens

Objective: To identify the experiences and perceptions of mothers whose daughters became pregnant during adolescence. Methods: Research of a qualitative approach, conducted in a teaching hospital in the city of Sao Paulo. Data were collected using semi-structured interviews, with ten mothers of adolescents. Results: Before pregnancy, mothers guided daughters about sexuality, which led to feelings of surprise when they learned of the pregnancy. Nevertheless, the mothers were present throughout the pregnancy and childbirth process. Significant changes in family relationships were not identified as a result of early pregnancy. Conclusion: The maternal figure emerges as a representative, both during and after adolescent pregnancy, a fact that provides support in a safer teen pregnancy, and the return to projects of their lives.

Práticas de cuidados produzidas no serviço de residências terapêuticas: percorrendo os trilhos de retorno à sociedade

Esta pesquisa objetivou buscar a visao dos profissionais do Servico de Residencias Terapeuticas, sobre a pratica de cuidado produzida neste dispositivo de atencao a saude mental. Para isso, optou-se pela abordagem qualitativa, exploratoria e analitica. Os instrumentos para a coleta de dados foram: formulario de observacao sistematica, diario de campo e roteiro de entrevista semiestruturada, realizada com 10 profissionais atuantes nas residencias. Como resultado, foi encontrado que o cuidado na moradia se da de modo mais humanizado, valorizando a singularidade dos moradores, seus valores e crencas, tentando (re)estabelecer as relacoes sociais dos individuos e estimula-los para a pratica do autocuidado. Percebe-se que esse modo de atencao vem alcancando uma (re)cidadanizacao e valorizacao da vida dos sofredores psiquicos.

Além dos muros manicomiais: conhecendo a dinâmica das residências terapêuticas

Trata-se de um estudo com abordagem qualitativa, cujo objetivo foi buscar a visao da equipe de profissional sobre a experiencia de implantacao das Residencias Terapeuticas no municipio de Campina Grande-PB. Utilizamos para coleta de dados a observacao sistematica, o diario de campo e o roteiro de entrevista semi-estruturada, a qual foi aplicada a 10 profissionais atuantes nas residencias. Como resultado da analise de conteudo das entrevistas, identificamos as seguintes categorias analiticas: as varias concepcoes sobre a saude mental; como se da o cotidiano nas Residencias Terapeuticas; as dificuldades encontradas pelos profissionais na pratica do cuidado; bem como as perspectivas desses para os usuarios.This is a study with qualitative approach, whose objective was to look for the vision of professionals team about the experience of implantation of the Therapeutic Residences in the municipal district of Campina Grande, PB, Brazil. For data collection the systematic observation, field diary and a semi-structured interview were used, which was applied to 10 active professionals in the residences. As a result of content analysis of the interviews, the following analytical categories were identified: the several conceptions about the mental health; the daily activities in therapeutic residences; the difficulties found by the professionals in practice of the care; as well as the perspectives of those for the users.

Adolescent pregnancy: perceptions of mothers of young pregnant women*

Objective: To identify the experiences and perceptions of mothers whose daughters became pregnant during adolescence. Methods: Research of a qualitative approach, conducted in a teaching hospital in the city of Sao Paulo. Data were collected using semi-structured interviews, with ten mothers of adolescents. Results: Before pregnancy, mothers guided daughters about sexuality, which led to feelings of surprise when they learned of the pregnancy. Nevertheless, the mothers were present throughout the pregnancy and childbirth process. Significant changes in family relationships were not identified as a result of early pregnancy. Conclusion: The maternal figure emerges as a representative, both during and after adolescent pregnancy, a fact that provides support in a safer teen pregnancy, and the return to projects of their lives.

Walking and diet during labor: perceptions from a group of postpartum women

Este estudo teve como objetivo conhecer a experiencia e a percepcao de um grupo de mulheres em relacao a deambulacao e a dieta durante o trabalho de parto. Pesquisa qualitativa descritiva, realizada em hospital de ensino de Sao Paulo. Os dados foram coletados por meio de entrevista com 35 mulheres que tiveram filhos de parto vaginal, em dois momentos dinstintos, no referido hospital. Os resultados apontam que, para algumas mulheres, a deambulacao contribui no alivio da dor e na progressao do parto, enquanto que para outras ha inseguranca para fazer forca, devido ao medo de o bebe cair no chao. Quanto a dieta, as mulheres que se alimentaram, relataram sentir mais forca durante o parto, e as que nao quiseram receber dieta, justificaram medo de atrapalhar no parto. Conclui-se que e crucial levar em consideracao a individualidade e a autonomia de escolha das mulheres; premissas basicas quando se busca a assistencia humanizada.The objective of this study was to better understand the experience and perceptions of a group of women with respect to walking and diet during labor. This is a qualitative, descriptive study, performed in a teaching hospital in Sao Paulo, Brazil. Data was collected through interviewing a sample of 35 women who had vaginal deliveries at two different moments in that hospital. The results show that walking helps some of these women to relieve pain and contributed to their labor progression, while others felt insecurity forcing themselves during delivery, due to fear of the baby falling to the floor. With respect to diet, the women who ate reported feeling stronger during childbirth, and those who declined food justified it through their fear of disturbing labor. One concludes that it is crucial to take into consideration the individuality and autonomy of the woman’s choice; basic premises when seeking humanized care. DESCRIPTORS: Humanizing delivery. Humanization of assistance. Obstetrical nursing. CAMINADA Y DIETA DURANTE EL PARTO: LA PERCEPCION DE UN GRUPO DE PUERPERAS RESUMEN: Este estudio intenta comprender la experiencia y percepcion de un grupo de mujeres en relacion a caminar y a la dieta durante el parto. Este es un estudio cualitativo descriptivo realizado en un hospital universitario en Sao Paulo. La recoleccion de datos se hizo mediante entrevistas a treinta y cinco mujeres que dieron a luz por via vaginal en dos momentos diferentes en el mismo hospital. Los resultados muestran que para algunas mujeres caminar ayuda a aliviar el dolor y la progresion del trabajo del parto, mientras que para otras hay inseguridad para hacer fuerza, debido al temor de que el bebe se caiga al piso. En relacion a la dieta, las mujeres que se alimentaron, manifestaron sentirse mas fuertes durante el parto y las que no la aceptaron, lo justifican por el temor de perjudicar el parto. Se concluye que es crucial tener en cuenta la individualidad y la autonomia de eleccion de las mujeres, los supuestos basicos en la busqueda de una atencion humanizada. DESCRIPTORES: Humanizacion del parto. Humanizacion de la assistencia. Enfermeria obstetrica. 717

Que eles falem por si: relatos dos profissionais sobre a experiência nas residências terapêuticas

This paper deals with qualitative research conducted in the Therapeutic Residency Service in the municipality of Campina Grande, State of Paraiba, Brazil, the objective being to ascertain the difficulties encountered by the professionals in the healthcare practices defined by the aforementioned service and identify the prospects identified by them for the residents. A semi-structured interview routine was conducted with ten professionals for the data collection, along with analysis of field records and systematic observation. The main difficulties faced are of a structural nature, namely lack of human resources and/or training and social support. Social reintegration, insertion in the workplace and autonomy are the expectations singled out by the professionals. In light of the results, it can be affirmed that, in spite of the difficulties experienced, it is possible to see progress, such as the autonomy of some residents. Nevertheless, as it is a recent service, it needs to be constantly evaluated.

Health-care practices performed at assisted living facilities: pursuing the paths back to society

Esta pesquisa objetivou buscar a visao dos profissionais do Servico de Residencias Terapeuticas, sobre a pratica de cuidado produzida neste dispositivo de atencao a saude mental. Para isso, optou-se pela abordagem qualitativa, exploratoria e analitica. Os instrumentos para a coleta de dados foram: formulario de observacao sistematica, diario de campo e roteiro de entrevista semiestruturada, realizada com 10 profissionais atuantes nas residencias. Como resultado, foi encontrado que o cuidado na moradia se da de modo mais humanizado, valorizando a singularidade dos moradores, seus valores e crencas, tentando (re)estabelecer as relacoes sociais dos individuos e estimula-los para a pratica do autocuidado. Percebe-se que esse modo de atencao vem alcancando uma (re)cidadanizacao e valorizacao da vida dos sofredores psiquicos.