Maria Helena Soares da Nóbrega Mazzo

Instrumento para consulta de enfermagem à puérpera na atenção básica

Objective: To build a nursing instrument to attend mothers who have recently given birth in primary health care. Method: This is a methodological research developed in fi ve stages: identifi cation of empirical indicators associated with mothers who have recently given birth by reviewing integrative literature; evaluation of empirical indicators by focal group; instrument structuring by categorizing indicators; instrument validation using the Delphi technique; and application and development of diagnostic statements and nursing interventions. Results: The instrument comprises identifi cation data on mothers who have given birth recently, on the assessment of their human needs, and on nursing Care items. In the fi nal version, we selected 73 diagnoses and 155 nursing interventions. Conclusion: With the completion of this study, nurses will have an instrument for Nursing Care Systematization to attend mothers who have given birth recently in primary health care. Besides, this study will also work as a tool in research and teaching of Obstetric Nursing.Objetivo: construir un instrumento de Consulta de Enfermeria para puerperas en la atencion basica. Metodo: investigacion metodologica desarrollada en cinco etapas: identificacion de indicadores empiricos relativos a la puerpera mediante revision integrativa de literatura; evaluacion de indicadores empiricos por grupo focal; estructuracion del instrumento mediante categorizacion de los indicadores; validacion del instrumento por los especialistas aplicando tecnica Delphi; y aplicacion y desarrollo de las confirmaciones de diagnostico e intervenciones de Enfermeria. Resultados: el instrumento se conformo con datos de identificacion de la puerpera, evaluacion de necesidades humanas de la puerpera, e items del cuidado de Enfermeria. En la version final, fueron seleccionados 73 Diagnosticos y 155 Intervenciones de Enfermeria. Conclusion: con la conclusion del estudio, la enfermera dispondra de un instrumento para la Sistematizacion de la Atencion de Enfermeria a la puerpera en Atencion Basica. Ademas, el documento servira como herramienta de ensenanza e investigacion en Enfermeria Obstetrica.

Nursing instrument to attend mothers who recently gave birth in primary health care

Objective: To build a nursing instrument to attend mothers who have recently given birth in primary health care. Method: This is a methodological research developed in fi ve stages: identifi cation of empirical indicators associated with mothers who have recently given birth by reviewing integrative literature; evaluation of empirical indicators by focal group; instrument structuring by categorizing indicators; instrument validation using the Delphi technique; and application and development of diagnostic statements and nursing interventions. Results: The instrument comprises identifi cation data on mothers who have given birth recently, on the assessment of their human needs, and on nursing Care items. In the fi nal version, we selected 73 diagnoses and 155 nursing interventions. Conclusion: With the completion of this study, nurses will have an instrument for Nursing Care Systematization to attend mothers who have given birth recently in primary health care. Besides, this study will also work as a tool in research and teaching of Obstetric Nursing.Objetivo: construir un instrumento de Consulta de Enfermeria para puerperas en la atencion basica. Metodo: investigacion metodologica desarrollada en cinco etapas: identificacion de indicadores empiricos relativos a la puerpera mediante revision integrativa de literatura; evaluacion de indicadores empiricos por grupo focal; estructuracion del instrumento mediante categorizacion de los indicadores; validacion del instrumento por los especialistas aplicando tecnica Delphi; y aplicacion y desarrollo de las confirmaciones de diagnostico e intervenciones de Enfermeria. Resultados: el instrumento se conformo con datos de identificacion de la puerpera, evaluacion de necesidades humanas de la puerpera, e items del cuidado de Enfermeria. En la version final, fueron seleccionados 73 Diagnosticos y 155 Intervenciones de Enfermeria. Conclusion: con la conclusion del estudio, la enfermera dispondra de un instrumento para la Sistematizacion de la Atencion de Enfermeria a la puerpera en Atencion Basica. Ademas, el documento servira como herramienta de ensenanza e investigacion en Enfermeria Obstetrica.

Instrumento para consulta de enfermería de la puérpera en la atención básica

Objective: To build a nursing instrument to attend mothers who have recently given birth in primary health care. Method: This is a methodological research developed in fi ve stages: identifi cation of empirical indicators associated with mothers who have recently given birth by reviewing integrative literature; evaluation of empirical indicators by focal group; instrument structuring by categorizing indicators; instrument validation using the Delphi technique; and application and development of diagnostic statements and nursing interventions. Results: The instrument comprises identifi cation data on mothers who have given birth recently, on the assessment of their human needs, and on nursing Care items. In the fi nal version, we selected 73 diagnoses and 155 nursing interventions. Conclusion: With the completion of this study, nurses will have an instrument for Nursing Care Systematization to attend mothers who have given birth recently in primary health care. Besides, this study will also work as a tool in research and teaching of Obstetric Nursing.Objetivo: construir un instrumento de Consulta de Enfermeria para puerperas en la atencion basica. Metodo: investigacion metodologica desarrollada en cinco etapas: identificacion de indicadores empiricos relativos a la puerpera mediante revision integrativa de literatura; evaluacion de indicadores empiricos por grupo focal; estructuracion del instrumento mediante categorizacion de los indicadores; validacion del instrumento por los especialistas aplicando tecnica Delphi; y aplicacion y desarrollo de las confirmaciones de diagnostico e intervenciones de Enfermeria. Resultados: el instrumento se conformo con datos de identificacion de la puerpera, evaluacion de necesidades humanas de la puerpera, e items del cuidado de Enfermeria. En la version final, fueron seleccionados 73 Diagnosticos y 155 Intervenciones de Enfermeria. Conclusion: con la conclusion del estudio, la enfermera dispondra de un instrumento para la Sistematizacion de la Atencion de Enfermeria a la puerpera en Atencion Basica. Ademas, el documento servira como herramienta de ensenanza e investigacion en Enfermeria Obstetrica.

Empirical indicators of the affected human needs of puerperal women: a methodological study

Problema : durante la fase puerperal, las necesidades biologicas, psicologicas y psicosociales de la mujer estan alteradas. Eso la coloca en situacion de vulnerabilidad. Objetivo validar la relacion de los indicadores empiricos con las necesidades humanas afectadas en el puerperio. Metodo : estudio de validacion realizado con cinco especialistas por grupo focal. Resultados : fueron identificados y categorizados 78 indicadores empiricos. De ese proceso, se relacionaron 27 necesidades humanas afectadas, siendo 16 en el nivel psicobiologico, 10 en el psicosocial y 01 en el psicoespiritual. Los resultados del grupo focal demostraron un consenso de opiniones de los jueces en todos los articulos presentados, ya que obtuvieron 70% del indice de acuerdo. Conclusion : a partir de la identificacion de los indicadores empiricos en el puerperio, fue posible establecer una relacion con las necesidades humanas de Horta, y validarlos por medio de la opinion de especialistas.

Puerpério e revisão pós-parto: significados atribuídos pela puérpera

The study was an exploratory, descriptive, qualitative approach that aimed to understand the meaning given by women about the postpartum and post-delivery review in the context of the Family Health Strategy. The study was conducted in Lajes, RN, Brazil, involving 15 mothers, after the consent of the Rio Grande do Norte Federal University Ethics Committee and the informed consent was signed by participants. Data were collected through semi-structured interviews, grounded on the basis of content analysis according to Bardin, and analyzed within the principles of Symbolic Interactionism as per Blumer. The women attributed a meaning to the puerperium and recognized the importance of rest after giving birth and the post delivery review to prevent complications. Within an interactional process, the puerperium acquired a meaning that leaned toward that of rest. It is necessary to address, discuss and reflect together with professionals, women and their families about the issues that permeate the post delivery review.The study was an exploratory, descriptive, qualitative approach that aimed to understand the meaning given by women about the postpartum and post-delivery review in the context of the Family Health Strategy. The study was conducted in Lajes, RN, Brazil, involving 15 mothers, after the consent of the Rio Grande do Norte Federal University Ethics Committee and the informed consent was signed by participants. Data were collected through semistructured interviews, grounded on the basis of content analysis according to Bardin, and analyzed within the principles of Symbolic Interactionism as per Blumer. The women attributed a meaning to the puerperium and recognized the importance of rest after giving birth and the post delivery review to prevent complications. Within an interactional process, the puerperium acquired a meaning that leaned toward that of rest. It is necessary to address, discuss and reflect together with professionals, women and their families about the issues that permeate the post delivery review.