Lucia Helena Garcia Penna

Domestic violence in the conception of health professionals trainers

This article identifies the conceptions and suggestions of professors of medicine and nursing courses about the insertion of this subject in the formation of their students. An exploratory research was carried out using a questionnaire applied to coordinators of disciplines in such courses at public and private universities in the cities of Rio de Janeiro and Cuiabá. Many of them recognizes violence as a health problem, although 40.7% of medicine professors and 71.1% of nursing professors of the two cities discusses this subject in their classes. The medicine professors suggests the insertion of the violence subject in their students formation with visits to institutions, meeting groups with people in violence situations and interviews with experienced professionals of the area. The nursing professors prefer resources such as films and videos, seminaries and conferences. Gaps were also identified in the students and professors formation, which do not feel able to discuss this thematic. It is indicated that a renovation in the curriculum is urgently necessary.

Perfil epidemiológico de mulheres atendidas na consulta do pré-natal de um hospital universitário

Trata-se de um estudo descritivo em abordagem quantitativa tendo como objeto as gestantes atendidas na consulta de pre-natal e o objetivo de identificar esta clientela tracando seu perfil epidemiologico. O Ambulatorio de Obstetricia de um Hospital publico do municipio do Rio de Janeiro foi o cenario, onde foram investigadas 118 fichas de atendimento cadastradas de janeiro a junho de 2003. A analise dos resultados evidenciou que a maioria das mulheres estudadas concentra-se na faixa etaria de 19 - 25 anos (39,8%); casadas (38,9%); com ensino fundamental (29,6%); ocupacao do lar (33,8%); multiparas (58,4%); iniciaram o pre-natal com idade gestacional entre 14 e 17 semanas (18,6%); tiveram anteriormente partos vaginais (79) e nao referiram queixas na primeira consulta (39%). Podemos concluir que o atendimento obstetrico contribui de maneira significativa para a reducao da morbi-mortalidade das gestantes, possibilitando a orientacao de intercorrencias no ciclo gravido-puerperal e a prevencao de complicacoes.The characteristics of pregnant women in prenatal consultation are described in this article in a quantitative approach. The aim of this study is to identify this group by sketching its epidemiological profile. 118 attendance reports dated from January to June 2003 were investigated in the obstetrics service in a city of Rio de Janeiro public hospital. The analysis showed that the highest percentage is comprised of women in the age group of 19-25 years (39.8%); that are married (38.9%); have basic consultation between 14 and 17 weeks of pregnancy (18.6%); had previous vaginal birth (79%); have basic school education (29.6%); are housewives (33.8%); have more than one child (58.4%); and did not mention complaints in the first consultation (39%). It can be concluded that obstetric consultation can substantially help reduce morbi-mortality of pregnant women, since it makes possible the guiding of intercurrences and the prevention of troubles during and after the period of pregnancy.

Representações sociais da vida sexual de mulheres no climatério atendidas em serviços públicos de saúde

The present study aimed at studying the social representations of the sexual life of climacteric women. Its theoretical- methodological referential was based on the Theory of Social Representations. Study participants were 40 women between 45 and 65 years of age, who were divided into two groups: perimenopause and postmenopause. Scenarios were two public units of health services for women in the municipality of Rio de Janeiro. Data were collected through the semistructured interview technique and treated according to the analysis of thematic content. Results indicated three representation fields. Two fields emerged in the perimenopause group: continuity of sensuality and sexuality, and representation of the negativity in climacteric leading to a sexual life without pleasure. The postmenopause group was organized into one representational field: sexual life based on the aging process. The authors concluded that the representations regarding sexual life in climacteric are being redesigned by some women despite many conceptions that still persist in association with traditional socio-historical-cultural values regarding women and the aging process. DESCRIPTORS: Nursing. Womens health. Climacteric. Sexuality.Tiene el objetivo de estudiar las representaciones sociales de la vida sexual de la mujer en el climaterio. El referencial teorico-metodologico se apoya en la Teoria de las Representaciones Sociales. Participaron 40 mujeres entre 45 a 65 anos, divididas en dos grupos: perimenopausia y postmenopausia. Los escenarios fueron dos unidades publicas de atencion a la mujer en el municipio del Rio de Janeiro. La tecnica de recoleccion de datos fue la entrevista semi-estructurada. Los datos fueron tratados segun el analisis de contenido tematico. Los resultados senalaron tres campos de representaciones. En el grupo de la perimenopausa emergieron dos campos: continuidad de la sensualidad y sexualidad y representacion de la negatividad del climaterio llevando a una vida sexual sin placer. El grupo de la postmenopausa se organizo en un campo representacional: vida sexual anclada en el proceso de envejecimiento. Se concluyo que las representaciones sobre la vida sexual en el climaterio vienen siendo redisenadas por algunas mujeres a pesar de que muchas concepciones persisten agregadas a los valores socio-historico-culturales tradicionales a lo femenino y al envejecimiento.

Violência na gestação: um estudo da produção científica de 2000 a 2005

Violence against women during pregnancy and the prenatal repercussions is a topic that includes or comprises totality common situations of our daily life, including particular aspects that involve human relations and the socio-cultural context.The present study aims to contribute to the reflection (consideration) of the knowledge already produced about violence during pregnancy, providing the professionals with a broader view of this subject, making the understanding and the discussion about the theme possible. A bibliographical review of the scientific production in Latin America and the Caribbean about the violence against pregnant women in the public health area between the years of 2000 and 2005 is presented. The ways of caring for, listening to, counseling, giving comfort and relief to these women, having as an objective to improve their self-esteem and to favor the comprehension of their rights taking into consideration the reduction of the damages to the health of the binomial mother-son, is still a challenge in the assistance made by the health professionals.La violencia a la mujer durante la gestacion y sus repercusiones perinatales es un tema que abarca en su totalidad situaciones comunes de nuestro cotidiano, originando, en particular, aspectos que involucran las relaciones humanas y el contexto sociocultural. Esta investigacion tiene el objetivo de contribuir para una reflexion del conocimiento producido hasta ahora sobre la violencia durante el embarazo, ofreciendo a los profesionales un panorama sobre el asunto, siendo posible el entendimiento y el analisis del tema Se presenta un repaso bibliografico de la produccion cientifica en America Latina y El Caribe sobre violencia a la embarazada en el area de la salud publica en el periodo de 2000 a 2005. Las formas de asistir, escuchar, dar consejos, proporcionar bienestar y alivio a estas mujeres con la intencion de mejorar su autoestima y favorecer la comprension de sus derechos considerando la disminucion de los perjuicios a la salud del binomio madre-hijo, aun es un desafio en el atencion y cuidado realizado por los profesionales de la salud.

Enfermagem obstétrica no acompanhamento pré - natal

This study consists of a report about a research project which started in August, 1997. The project involved teachers from the maternal- paediatrics department with Faculdade de Enfermagem - UERJ (Nursing Faculty with State University of Rio de Janeiro) and professionals from the municipal health center in Rio de Janeiro - SMS/RJ. The introduction of prenatal nursing consultation as a new subject in the nursing graduation course, as well as its formation, and implementation in the referred municipal health center is reported in this paper. This study also proposers a review of the current biomedical consultation model, in order to motivate reflection, break paradigms, and increase the prenatal consultation process in Rio de Janeiro.This study consists of a report about a research project which started in August, 1997. The project involved teachers from the maternal-paediatrics department with Faculdade de Enfermagem--UERJ (Nursing Faculty with State University of Rio de Janeiro) and professionals from the municipal health center in Rio de Janeiro--SMS/RJ. The introduction of prenatal nursing consultation as a new subject in the nursing graduation course, as well as its formation, and implementation in the referred municipal health center is reported in this paper. This study also proposes a review of the current biomedical consultation model, in order to motivate reflection, break paradigms, and increase the prenatal consultation process in Rio de Janeiro.

Violência vivenciada pelas adolescentes acolhidas em instituição de abrigamento

Considering that female adolescents living in shelters may have a different view regarding the meaning of violence and the effect it has on their lives, in this study, we aimed at understanding violence from the perspective of these youths. This qualitative study was performed using semi-structured interviews with 11 female adolescents embraced by a municipal shelter in Rio de Janeiro. Their statements were subjected to content analysis (thematic), which revealed the violence they experienced in their usual environments: family, community, and the shelter. The adolescents have a precise and rather concrete understanding of violence, pertinent to their experience. They face difficulties to realize the complexity of the phenomenon, basically referring to the community and intrafamily violence tangible to them. The results point to the need for more investments to engage in discussions regarding the process of vulnerability and disaffiliation that these adolescents experience in life, their roots and effects. DESCRIPOTRS: Violence. Violence against women. Adolescent, institutionalized. Adolescent health.Considering that female adolescents living in shelters may have a different view regarding the meaning of violence and the effect it has on their lives, in this study, we aimed at understanding violence from the perspective of these youths. This qualitative study was performed using semi-structured interviews with 11 female adolescents embraced by a municipal shelter in Rio de Janeiro. Their statements were subjected to content analysis (thematic), which revealed the violence they experienced in their usual environments: family, community, and the shelter. The adolescents have a precise and rather concrete understanding of violence, pertinent to their experience. They face difficulties to realize the complexity of the phenomenon, basically referring to the community and intrafamily violence tangible to them. The results point to the need for more investments to engage in discussions regarding the process of vulnerability and disaffiliation that these adolescents experience in life, their roots and effects. DESCRIPTORS: Violence. Violence against women. Adolescent, institutionalized. Adolescent health.

The educative practice of professional caregivers at shelters: coping with violence lived by female adolescents

This study aimed to identify strategies caregiving professionals at shelters discuss and use in care delivery to violence situations lived by female adolescents; and to discuss educative practice as a care technology for coping with violence. Based on qualitative research, the data were produced through interviews with caregivers at a municipal adolescent shelter and were interpreted according to content analysis. The results evidenced individual and institutional strategies for care delivery to the adolescents. In conclusion, educative actions are care technologies in the reframing process of lifes value by female adolescents living on the streets or in shelters, considering the cultural diversity - a dialogical action systemized and institutionalized for coping with the violence they experience.3Este estudo objetivou identificar estrategias discutidas e utilizadas pelos profissionais cuidadores de abrigo na atencao as situacoes de violencia, vividas pelas adolescentes, e discutir a pratica educativa como tecnologia de cuidado no enfrentamento da violencia. Com base na pesquisa qualitativa, os dados foram produzidos atraves de entrevistas a cuidadores de abrigo municipal para adolescentes e interpretados a luz da analise de conteudo. Os resultados evidenciaram estrategias individuais e institucionais para o atendimento das adolescentes. Concluindo, acoes educativas sao tecnologias de cuidado no processo de ressignificacao do valor da vida pelas adolescentes em situacao de rua ou abrigadas, considerando a diversidade cultural – uma pratica dialogica sistematizada e institucionalizada para o enfrentamento da violencia vivida.

A mulher no pós-parto domiciliar: uma investigação sobre essa vivência

Abstract Resumen Keywords:Period Postpartum. Woman’s Health. Housing. Nursing.Palabras clave:Periodo de Postparto. Salud de la Mujer. Vivienda. Enfermeria. A MULHER NO POS-PARTO DOMICILIAR:UMA INVESTIGACAO SOBRE ESSA VIVENCIA The woman in the home postpartum:A research about this existenceLa mujer en el posparto domiciliario:Una investigacion sobre esa vivencia Lucia Helena Garcia Penna Joana Iabrudi Carinhanha Raquel Fonseca RodriguesInvestigamos a vivencia do pos-parto domiciliar pela mulher a partir de sua percepcao acerca dos sentimentos, mudancase situacoes desse periodo. Numa abordagem qualitativa, entrevistamos oito puerperas, entre o 15o e o 30o dias de pos-parto, atendidas nas consulta de enfermagem de revisao puerperal numa Unidade Basica de Saude (UBS/SMS/RJ). A tecnicautilizada na analise foi a de Analise de Conteudo, na qual emergiu as seguintes categorias: Atendimento das expectativas,Situacao das Relacoes Interpessoais, Situacao da Relacao Intrapessoal (sentimentos e sensacoes; relacao com o corpo).Constatamos que as depoentes vivenciaram o pos-parto com satisfacao, porem identificamos tambem uma desvalorizacaodo ser mulher e do autocuidado em prol da atencao ao recem-nascido. Percebemos a importância da participacao familiarno processo maternal e a realizacao de um acompanhamento pos-parto que aborde os reais sentimentos desse periodo,o resgate da autonomia sobre si mesmas e outros aspectos da subjetividade das puerperas.

Opinião das gestantes sobre acompanhamento da enfermeira obstetra no pré-natal de um hospital universitário

Se trata de un estudio cualitativo, exploratorio, descriptivo que fue realizado en un hospital universitario en el municipio de Rio de Janeiro, con el objetivo de describir la percepcion de las gestantes en relacion con la atencion de la enfermera obstetra en el acompanamiento del prenatal. Posterior a la aprobacion de la investigacion por parte del Comite de Etica de la referida institucion, fueron investigadas dieciocho embarazadas que accedieron a responder una entrevista semiestructurada. El analisis tematico de los relatos revelo que la atencion de la enfermera es diferenciada, con acogida y atencion, facilitando la aclaracion de las dudas y el aprendizaje en relacion con el proceso de embarazo y parto. El vinculo establecido entre la enfermera obstetra y la gestante en el prenatal contribuye en el proceso de educacion para la salud de las mujeres, respetandose los habitos de vida y la cultura de la clientela.

CONSULTA COLETIVA DE PRÉ-NATAL: UMA NOVA PROPOSTA PARA UMA ASSISTÊNCIA INTEGRAL

This article describes the Collective Prenatal Consultation as a new healthcare methodology, which is performed according to government standards, but collectively. Relaxation and sensitization techniques are used, as well as group dynamics, including a collective exam of the pregnant women. The Collective Consultation is carried out in a welcoming environment, which provides clarification and socialization of experiences and information, centered on those women. The healthcare professional records every obstetric parameter and behavior in the patient’s prenatal card and history file. Priority is given to the principle of integrality and citizenship, with the aim to break the biomedical care paradigm, thus favoring humanized and comprehensive care to the women.This article describes the Collective Prenatal Consultation as a new healthcare methodology, which is performed according to government standards, but collectively. Relaxation and sensitization techniques are used, as well as group dynamics, including a collective exam of the pregnant women. The Collective Consultation is carried out in a welcoming environment, which provides clarification and socialization of experiences and information, centered on those women. The healthcare professional records every obstetric parameter and behavior in the patients prenatal card and history file. Priority is given to the principle of integrality and citizenship, with the aim to break the biomedical care paradigm, thus favoring humanized and comprehensive care to the women.