Isabel Cristina Pacheco Van der Sand

Atendimento pré-natal na ótica de puérperas: da medicalização à fragmentação do cuidado

This qualitative and exploratory-descriptive study aimed to reveal the perceptions of puerperal women about prenatal service care. The data collected through semi-structured interviews were submitted to thematic analysis and consisted of the opinions of eight puerperal women. The access, booking of consultations and provision of priority services in case of complications were highlighted as qualifiers of the prenatal care. The study revealed limitations concerning the comprehensive care, humanization, sheltering, bond absence, indiscriminate use of technologies and unnecessary interventions, which can produce or enhance vulnerabilities. The results indicate the necessity of refocusing attention to the prenatal period and birth, under the longitudinality of care aspect, both in public and private services; pact of actions between the related sectors to promote womens health is necessary to support the formulation of more equitable and positive public policies for comprehensive care perspective.This qualitative and exploratory-descriptive study aimed to reveal the perceptions of puerperal women about prenatal service care. The data collected through semi-structured interviews were submitted to thematic analysis and consisted of the opinions of eight puerperal women. The access, booking of consultations and provision of priority services in case of complications were highlighted as qualifiers of the prenatal care. The study revealed limitations concerning the comprehensive care, humanization, sheltering, bond absence, indiscriminate use of technologies and unnecessary interventions, which can produce or enhance vulnerabilities. The results indicate the necessity of refocusing attention to the prenatal period and birth, under the longitudinality of care aspect, both in public and private services; pact of actions between the related sectors to promote womens health is necessary to support the formulation of more equitable and positive public policies for comprehensive care perspective.

Influência das avós na alimentação de lactentes: o que dizem suas filhas e noras

Objective: To identify practices of primiparas about infant feeding of infants learned from the mother and/or grandmother. Methods: This was a qualitative, descriptive research study. The subjects were 11 primiparas, who used the Unified Health System of Palmeira das Missoes/ RS. Data were collected through semi-structured interviews and analyzed using thematic analysis. Results: Three themes emerged: practices of infant feeding transmitted by grandmothers; influence of grandmothers on infant feeding; feelings of primiparas in regard to the actions of grandmothers on infant feeding. Conclusions: The grandmothers are important with regard to the transmission of knowledge, wisdom and experiences related to infant feeding. For nursing care focused on the subjects’ autonomy and responsibility that involves cultural congruence, the nurse should consider that the interactions of the family group, in its dialectical movement, modulate and are modulated byABSTRACT Objective: To identify practices of primiparas about infant feeding of infants learned from the mother and/or grandmother. Methods: Thiswas a qualitative, descriptive research study. The subjects were 11 primiparas, who used the Unified Health System of Palmeira das Missoes/RS. Data were collected through semi-structured interviews and analyzed using thematic analysis. Results: Three themes emerged: practicesof infant feeding transmitted by grandmothers; influence of grandmothers on infant feeding; feelings of primiparas in regard to the actionsof grandmothers on infant feeding. Conclusions: The grandmothers are important with regard to the transmission of knowledge, wisdomand experiences related to infant feeding. For nursing care focused on the subjects’ autonomy and responsibility that involves culturalcongruence, the nurse should consider that the interactions of the family group, in its dialectical movement, modulate and are modulated bytheir culture. Keywords: Breast feeding; Culture; Family; Nursing; Infant nutrition

Ações de saúde mental na região norte do Rio Grande do Sul, Brasil

The objective this study is to describe the actions and intervention projects in mental health in the health services of the cities that are part of Rio Grande do Suls 15th Regional Health Coordinating Body (15a Coordenadoria Regional de Saúde). This is an exploratory, descriptive and qualitative research. A questionnaire was applied to health professionals and managers who were part of regional mental health forums. From the content analysis as proposed by Minayo, the following categories emerged- one which describes mental health care in the health services of the municipalities, including aspects related to mental disorders, to the organization of the mental health team, to the main developed actions and to the difficulties found; the other category is about intervention projects in mental health that, according to the subjects, will be implanted in the cities. Relevant points the regional network of mental health care were identified which will be helpful in planning and improving care.O objetivo deste estudo e descrever as acoes e projetos de intervencao em saude mental nos servicos de saude existentes nos municipios da area de abrangencia da 15a Coordenadoria Regional de Saude. Trata-se de pesquisa qualitativa, exploratoria, descritiva. Os dados foram coletados por meio de questionario, com profissionais e gestores que participam de foruns regionais de saude mental. A partir da analise do conteudo emergiram categorias: uma aborda a descricao da atencao em saude mental nos servicos de saude, incluindo aspectos relativos aos transtornos mentais, a organizacao da equipe de saude mental, as acoes desenvolvidas e as dificuldades encontradas; a outra trata dos projetos de intervencao em saude mental que, de acordo com os sujeitos, deverao ser implementados nos municipios. Foram identificados pontos relevantes da rede regional de atencao na saude mental que poderao auxiliar no planejamento e na melhoria da assistencia.

Metodologia de atenção à gestante e família: relato de experiência com grupo operativo

Academic extension experience report, developed with pregnat women and their family members. This report aims to share the experience and discuss, according to Pichonian theory, about the reason that justifies the use of thematic triggers in pregnant women and family members. The activity is interdisciplinary, congregating teachers and students of Nursing, Nutrition, Physiotherapy and Psychology, who use the operative groups’ methodology. The use of the thematic triggers, in pregnant women and family members, has contributed to carry out the task, for therapeutic support to people who experience event that contributes to change their lives – the pregnancy. Because its interdisciplinary characteristic, the accounted activity, has stimulated the work in group and contributed to the formation of a new Operative Reference Conceptual Scheme to each teacher and student and to the group as a whole

Influence of grandmothers on infant feeding: what they say to their daughters and granddaughters

Objective: To identify practices of primiparas about infant feeding of infants learned from the mother and/or grandmother. Methods: This was a qualitative, descriptive research study. The subjects were 11 primiparas, who used the Unified Health System of Palmeira das Missoes/ RS. Data were collected through semi-structured interviews and analyzed using thematic analysis. Results: Three themes emerged: practices of infant feeding transmitted by grandmothers; influence of grandmothers on infant feeding; feelings of primiparas in regard to the actions of grandmothers on infant feeding. Conclusions: The grandmothers are important with regard to the transmission of knowledge, wisdom and experiences related to infant feeding. For nursing care focused on the subjects’ autonomy and responsibility that involves cultural congruence, the nurse should consider that the interactions of the family group, in its dialectical movement, modulate and are modulated byABSTRACT Objective: To identify practices of primiparas about infant feeding of infants learned from the mother and/or grandmother. Methods: Thiswas a qualitative, descriptive research study. The subjects were 11 primiparas, who used the Unified Health System of Palmeira das Missoes/RS. Data were collected through semi-structured interviews and analyzed using thematic analysis. Results: Three themes emerged: practicesof infant feeding transmitted by grandmothers; influence of grandmothers on infant feeding; feelings of primiparas in regard to the actionsof grandmothers on infant feeding. Conclusions: The grandmothers are important with regard to the transmission of knowledge, wisdomand experiences related to infant feeding. For nursing care focused on the subjects’ autonomy and responsibility that involves culturalcongruence, the nurse should consider that the interactions of the family group, in its dialectical movement, modulate and are modulated bytheir culture. Keywords: Breast feeding; Culture; Family; Nursing; Infant nutrition

ATIVIDADE GRUPAL OPERATIVA COM GESTANTES E FAMILIARES: Um Relato de Experiência

Este estudo tem como objetivo relatar experiencias relativas a atividades desenvolvidas no segundo semestre do ano de 2010 pelo projeto: “Atividade grupal operativa com gestantes e familiares: interlocucao de saberes no campus universitario do CESNORS/Palmeira das Missoes”. A gestacao caracteriza-se por um periodo de mudancas biopsicossociais, emocionais e culturais para mulher-gestante/familia. No sentido de dar suporte as pessoas que vivenciam esse processo, foi proposto o projeto de extensao universitaria, com carater interdisciplinar e interinstitucional vinculado ao Departamento de Ciencias da Saude da UFSM/CESNORS e Secretaria Municipal de Saude de Palmeira das Missoes/RS. A atividade de carater operativo contou com quatro gestantes, um familiar, professoras e academicas dos cursos de Enfermagem e Nutricao da UFSM/CESNORS, uma psicologa cedida pela Secretaria de Saude de Palmeira das Missoes. A participacao nessa atividade, em especial a atuacao em uma equipe interdisciplinar, nos fez repensar novas estrategias de atuacao na saude proporcionando aos sujeitos de nosso cuidado uma assistencia humanizada. Alem disso, proporcionou um espaco de troca de vivencias e experiencias entre os participantes, espaco de vinculo, melhoria de relacoes interpessoais e aprimoramento dos saberes teoricos, proporcionando aos academicos se produzirem educadores em saude/construtores de sujeitos sociais.

The experience of rural families who remain in halfway houses during cancer treatment

Objective to understand the experience of rural families who remain in halfway houses during the cancer treatment of an adult family member. Methods qualitative research based on Symbolic Interaction and narrative research. Seven rural families participated in the study, 14 people staying in halfway houses in Santa Maria, Rio Grande do Sul, Brazil. The data obtained through interviews from November 2010 to May 2011 were analyzed with emphasis on content. Results the three themes were: halfway houses as a reference for permanence during treatment, everyday life and living together in the halfway house. Conclusions the experience was marked by the need to adapt to a context other than the rural one, with specific rules and routines, with discomforts and confrontations with urban culture characteristics and with what is experienced by other families who are also facing disease, which contributed to reframe the experience itself.Objetivo: Compreender a experiencia de familias rurais que permanecem em casas de apoio durante o tratamento oncologico de um familiar adulto. Metodos: Pesquisa qualitativa fundamentada no Interacionismo Simbolico e na pesquisa narrativa. Participaram sete familias rurais, 14 pessoas hospedadas em casas de apoio em Santa Maria, Rio Grande do Sul, Brasil. Os dados obtidos por meio de entrevista, no periodo de novembro de 2010 a maio de 2011, foram analisados com enfase no conteudo. Resultados: Os tres temas abordados foram: casa de apoio como um local de referencia para ficar, o cotidiano e a convivencia na casa de apoio. Conclusoes: A experiencia foi marcada pela necessidade da familia adaptar-se a um contexto diferente do rural, com regras e rotinas especificas, com desconfortos e confrontos com caracteristicas da cultura urbana e com o vivido por outras familias tambem em situacao de adoecimento, o que contribuiu para ressignificar a propria experiencia. Palavras chave: Enfermagem. Familia. Populacao rural. Neoplasias. Apoio social.

Motivos e repercussões da participação de gestantes em grupo operativo no pré-natal

Doi: 10.5902/2179769210827 Aim: to identify the motivations of women-mothers and their relatives to join an operative group for pregnant women and the repercussions of their participation in this activity. Methods: it is a qualitative and descriptive research. The subjects of the study were selected among participants of operative groups in a city in the North of the state of Rio Grande do Sul, Brazil. The data were collected by semi-structured interviews and submitted to thematic analysis. Results: the reasons why the study subjects join an operative group can be summarized in little experience and difficulties related to maternity and its demands. The participation in the group emerged as a strategy to prepare for motherhood, make new friends, expand their interpersonal relations, build new social networks and make changes on lifestyle. Final considerations: the group consisted of a dialogue space, in which it was possible to exchange experiences and reflections on the care offer related to the birth process.

A DOENÇA MENTAL NA VOZ DE INDIVÍDUOS PSICÓTICOS

Trata-se de um estudo descritivo, qualitativo, com objetivo de conhecer os significados da doenca mental para individuos com enfermidades de carater psicotico, internados em um hospital geral. Constituiram a amostra cinco pessoas. Foi utilizada entrevista semi-estruturada para obtencao das informacoes. Os dados foram submetidos a analise do conteudo, na modalidade de analise tematica. Os pesquisados se reportaram a doenca mental, como: resultado de castigos divinos e de feiticaria; realidade carregada de sofrimento e dificuldades; fruto de perdas sofridas e de vivencias da infância; algo dificil de explicar; estigma, incompreensao, descredito e desqualificacao; presenca de sintomas; limitadora para atividades cotidianas e incapacitante para o trabalho. Conclui-se a necessidade de intervencoes que dirijam um olhar para as relacoes do doente mental com familia, trabalho e comunidade.

REPERCUSSÕES DA MASTECTOMIA NAS ESFERAS PESSOAL, SOCIAL E FAMILIAR PARA A MULHER MASTECTOMIZADA: Uma Revisão

Este estudo objetiva conhecer a producao cientifica, da area de saude, acerca das repercussoes da mastectomia nas esferas pessoal, social e familiar para a mulher mastectomizada. Trata-se de um estudo bibliografico, cuja fonte sao artigos publicados em periodicos de saude, nos ultimos dez anos. Para a busca utilizou-se o descritor mastectomia, encontrando-se 467 artigos. Esses foram refinados pelos seguintes criterios de inclusao: artigos completos, em portugues, sobre mastectomia feminina, publicados de 2000 a 2010. Dos 85 resultantes, buscou-se, via resumo, aqueles que evidenciavam aspectos referentes as repercussoes da mastectomia para a mulher mastectomizada. Apos analise de conteudo dos 14 artigos selecionados, emergiram tres temas, que tratam da repercussao da mastectomia sobre a propria mulher, a familia e repercussoes sociais. Apos a masctectomia, a mulher vivencia um processo de limitacoes e incertezas, levando-a, muitas vezes, a depressao, o que demanda uma rede de suporte familiar e de servicos de saude, para a superacao de medos e angustias e melhoria da qualidade de vida. A representacao social do câncer de mama, que se vincula a morte, desperta reacoes e sentimentos, na sociedade, que levam ao isolamento dessa mulher e representa dificuldades de retorno as atividades previas a cirurgia.