Nilza Alves Marques Almeida

Utilização de técnicas de respiração e relaxamento para alívio de dor e ansiedade no processo de parturição

La finalidad de este estudio fue evaluar el efecto de tecnicas de respiracion y relajacion sobre el dolor y la ansiedad durante el parto. Diecisiete primerizas (grupo control-GC) recibieron asistencia de rutina y diecinueve (grupo de experimento-GE) fueron orientadas y estimuladas a realizar tecnicas de respiracion y relajacion. Se evaluo el dolor a traves de la escala analogica visual y la ansiedad a traves de los inventarios de ansiedad-apariencia y estado. La intensidad del dolor aumento con la evolucion del trabajo de parto para ambos grupos. El nivel de la ansiedad, en la fase latente, fue bajo para ambos grupos; en la fase activa fue medio para el GC y bajo para el GE; en la fase de transicion fue medio y, en el post parto inmediato, bajo para ambos grupos. Se llego a la conclusion de que las tecnicas utilizadas no redujeron la intensidad del dolor, pero si promovieron al GE el mantenerse en un nivel bajo de ansiedad por mayor tiempo en el parto.This study aimed to evaluate the effect of respiration and relaxation techniques on pain and anxiety during labor. Seventeen parturients (Control Group--CG) received routine care and nineteen (Experimental Group--EG) were orientated and stimulated to perform respiration and relaxation techniques. Pain was evaluated by means of the visual analogy scale and anxiety by means of the anxiety inventories--trait and state. Pain intensity increased along with the evolution of the delivery for both groups. In the latent phase, anxiety levels were low for both groups; in the active phase, levels were average for CG and low for EG. In the transition phase, levels were average and, in the immediate post-labor phase, low for both groups. It was concluded that the techniques used did not reduce pain intensity, but provided EG with lower anxiety levels for a longer time during labor.

Programa educativo sobre sexualidade e DST: relato de experiência com grupo de adolescentes

The object of this study was to give an account of the experiment with a teenage group by using sexual education experiences of their own. Ten workshops were made with low-income teenagers of Municipio de Aparecida de Goiânia /GO, which happened because of the socialization and reflections about the contents of this study. The work was based on Paulo Freire’s Participative Methodology and made better by the attention of the coordinators to every single group, considering their special needs and possibilities. We conclude that for the success of this work, the coordinator must listen to the group with a very sensitive prospect, especially when dealing with a teenage group. It is necessary to stimulate the participation, so that more can be learnt and the citizen work can be able to change its social reality. Descriptors: Adolescent health; Health promotion; Risk groups; Sexually Transmitted Diseases.The object of this study was to give an account of the experiment with a teenage group by using sexual education experiences of their own. Ten workshops were made with low-income teenagers of Município de Aparecida de Goiânia /GO, which happened because of the socialization and reflections about the contents of this study. The work was based on Paulo Freires Participative Methodology and made better by the attention of the coordinators to every single group, considering their special needs and possibilities. We conclude that for the success of this work, the coordinator must listen to the group with a very sensitive prospect, especially when dealing with a teenage group. It is necessary to stimulate the participation, so that more can be learnt and the citizen work can be able to change its social reality.

The use of respiration and ralaxation techniques for pain and anxiety relief in the parturition process

La finalidad de este estudio fue evaluar el efecto de tecnicas de respiracion y relajacion sobre el dolor y la ansiedad durante el parto. Diecisiete primerizas (grupo control-GC) recibieron asistencia de rutina y diecinueve (grupo de experimento-GE) fueron orientadas y estimuladas a realizar tecnicas de respiracion y relajacion. Se evaluo el dolor a traves de la escala analogica visual y la ansiedad a traves de los inventarios de ansiedad-apariencia y estado. La intensidad del dolor aumento con la evolucion del trabajo de parto para ambos grupos. El nivel de la ansiedad, en la fase latente, fue bajo para ambos grupos; en la fase activa fue medio para el GC y bajo para el GE; en la fase de transicion fue medio y, en el post parto inmediato, bajo para ambos grupos. Se llego a la conclusion de que las tecnicas utilizadas no redujeron la intensidad del dolor, pero si promovieron al GE el mantenerse en un nivel bajo de ansiedad por mayor tiempo en el parto.This study aimed to evaluate the effect of respiration and relaxation techniques on pain and anxiety during labor. Seventeen parturients (Control Group--CG) received routine care and nineteen (Experimental Group--EG) were orientated and stimulated to perform respiration and relaxation techniques. Pain was evaluated by means of the visual analogy scale and anxiety by means of the anxiety inventories--trait and state. Pain intensity increased along with the evolution of the delivery for both groups. In the latent phase, anxiety levels were low for both groups; in the active phase, levels were average for CG and low for EG. In the transition phase, levels were average and, in the immediate post-labor phase, low for both groups. It was concluded that the techniques used did not reduce pain intensity, but provided EG with lower anxiety levels for a longer time during labor.

Perspectivas de dor do parto normal de primigestas no período pré-natal

Estudo descritivo de abordagem qualitativa com o objetivo de analisar as perspectivas de dor do parto normal de primigestas e suas relacoes com o contexto sociocultural e de assistencia pre-natal. Primigestas de uma maternidade publica de Goiânia-GO, Brasil foram entrevistadas no terceiro trimestre de gestacao, e suas falas, analisadas pelo Metodo de Interpretacao de Sentidos. As dez participantes apresentaram-se com faixa etaria entre 18 e 31 anos e gestacao normal. Por meio da retratacao social da dor do parto normal, ora como fenomeno natural inerente ao parto, ora como fenomeno de sofrimento para a mulher, as primigestas construiram percepcoes e sentimentos ambiguos. Mesmo assim, elas sustentaram suas expectativas no sentido da dor como fenomeno natural inerente ao parto, com a perspectiva de ter uma vivencia parturitiva saudavel e satisfatoria. Estes resultados podem subsidiar acoes educativas no pre-natal que favorecam um olhar direcionado a integralidade da mulher como agente do parto.

Concentração plasmática do hormônio adrenocorticotrófico de parturientes submetidas a método não farmacológico de alívio da ansiedade e dor do parto

This study aimed to analyze the plasma ACTH levels and the correlation between the ACTH levels and pain and anxiety during parturition. Seventeen parturients received routine nursing care (control group--CG) and nineteen (Experimental Group--EG) were stimulated and guided to perform respiration and relaxation techniques. ACTH levels, pain intensity and state-trait anxiety were evaluated. ACTH levels were lower at the beginning of labor, peaked at the end and decreased again in the immediate postpartum period. There was no significant statistical difference between the groups. Lower ACTH levels and partial stress relief in the EG suggest the interference of breathing and relaxation techniques; ACTH levels did not show any correlation with anxiety or pain in any of both groups.Objetivo: analisar os niveis sericos do hormonio adrenocorticotrofico (ACTH) e a correlacao entre esses niveis, a ansiedade e a dor na parturicao. Dezessete parturientes (grupo controle - GC) receberam assistencia de enfermagem de rotina, e dezenove (grupo experimental - GE) foram estimuladas e orientadas a realizar tecnicas de respiracao e relaxamento. Os niveis plasmaticos do ACTH, o traco e estado de ansiedade e a intensidade de dor foram avaliados. Os niveis de ACTH foram baixos no inicio do trabalho de parto, com pico no final e regressao no pos-parto imediato, sem diferenca estatisticamente significativa entre os grupos. A reducao do ACTH com alivio parcial do estresse do GE, sugere a interferencia das tecnicas de respiracao e relaxamento. Os niveis do ACTH, nao se correlacionaram a ansiedade e a dor, em ambos os grupos.

Educative program about sexuality and Sexually Transmitted Diseases: experience report with a group of adolescents

The object of this study was to give an account of the experiment with a teenage group by using sexual education experiences of their own. Ten workshops were made with low-income teenagers of Municipio de Aparecida de Goiânia /GO, which happened because of the socialization and reflections about the contents of this study. The work was based on Paulo Freire’s Participative Methodology and made better by the attention of the coordinators to every single group, considering their special needs and possibilities. We conclude that for the success of this work, the coordinator must listen to the group with a very sensitive prospect, especially when dealing with a teenage group. It is necessary to stimulate the participation, so that more can be learnt and the citizen work can be able to change its social reality. Descriptors: Adolescent health; Health promotion; Risk groups; Sexually Transmitted Diseases.The object of this study was to give an account of the experiment with a teenage group by using sexual education experiences of their own. Ten workshops were made with low-income teenagers of Município de Aparecida de Goiânia /GO, which happened because of the socialization and reflections about the contents of this study. The work was based on Paulo Freires Participative Methodology and made better by the attention of the coordinators to every single group, considering their special needs and possibilities. We conclude that for the success of this work, the coordinator must listen to the group with a very sensitive prospect, especially when dealing with a teenage group. It is necessary to stimulate the participation, so that more can be learnt and the citizen work can be able to change its social reality.

Perspectives of normal delivery pain of primigravid during the antenatal period

Estudo descritivo de abordagem qualitativa com o objetivo de analisar as perspectivas de dor do parto normal de primigestas e suas relacoes com o contexto sociocultural e de assistencia pre-natal. Primigestas de uma maternidade publica de Goiânia-GO, Brasil foram entrevistadas no terceiro trimestre de gestacao, e suas falas, analisadas pelo Metodo de Interpretacao de Sentidos. As dez participantes apresentaram-se com faixa etaria entre 18 e 31 anos e gestacao normal. Por meio da retratacao social da dor do parto normal, ora como fenomeno natural inerente ao parto, ora como fenomeno de sofrimento para a mulher, as primigestas construiram percepcoes e sentimentos ambiguos. Mesmo assim, elas sustentaram suas expectativas no sentido da dor como fenomeno natural inerente ao parto, com a perspectiva de ter uma vivencia parturitiva saudavel e satisfatoria. Estes resultados podem subsidiar acoes educativas no pre-natal que favorecam um olhar direcionado a integralidade da mulher como agente do parto.

Parto domiciliario planeado: asistido por enfermero obstetra

Este artigo objetiva refletir acerca da atuacao do enfermeiro obstetra no parto domiciliar planejado. Neste sentido, reflete os desafios e tendencias para a provisao e promocao do cuidado a parturiente e ao recem-nascido. Aponta o papel do enfermeiro obstetra na assistencia planejada e a provisao e promocao da qualidade, efetividade e seguranca as parturientes e ao recem-nascido como tripe da humanizacao da assistencia ao parto e nascimento.

Perspectivas de dolor de parto normal de primerizas en el periodo prenatal

Estudo descritivo de abordagem qualitativa com o objetivo de analisar as perspectivas de dor do parto normal de primigestas e suas relacoes com o contexto sociocultural e de assistencia pre-natal. Primigestas de uma maternidade publica de Goiânia-GO, Brasil foram entrevistadas no terceiro trimestre de gestacao, e suas falas, analisadas pelo Metodo de Interpretacao de Sentidos. As dez participantes apresentaram-se com faixa etaria entre 18 e 31 anos e gestacao normal. Por meio da retratacao social da dor do parto normal, ora como fenomeno natural inerente ao parto, ora como fenomeno de sofrimento para a mulher, as primigestas construiram percepcoes e sentimentos ambiguos. Mesmo assim, elas sustentaram suas expectativas no sentido da dor como fenomeno natural inerente ao parto, com a perspectiva de ter uma vivencia parturitiva saudavel e satisfatoria. Estes resultados podem subsidiar acoes educativas no pre-natal que favorecam um olhar direcionado a integralidade da mulher como agente do parto.

Health Care Network: Service Flow of Women with Breast Cancer At Goiânia, Goiás

INTRODUCTION: The subject of Health Care Network (HCN) refers to the functionality of health services and has been the focus of discussion for its relevance in the organizational context of the Unified Health System (UHS). It aims to promote the integration of the system, actions, services and health care. In this context, uses structural tools, where highlights the organization of users assistance flows. OBJECTIVES: To analyze the flow of care for women with breast cancer from the perspective of the UHS and to identify factors that facilitate or hinder the flow. METHODOLOGY: This is an analytic transversal research, quantitative, carried out at a tertiary unit of public health system in Goiania, Goias, Brazil, between January and April 2012. The project was approved by the Ethics Committee of Hospital das Clinicas, Federal University of Goias (protocol No. 162/2011). Study participants were women over eighteen years, living in Goiania, diagnosed with breast cancer and in outpatient treatment. Questionnaires were applied with structured script through individual interviews. RESULTS: There were 92 women, aged between 29 and 82 years. The study revealed that women sought treatment through SUS flow consisting of the public system and through alternative flow system composed of public and private sectors. It was found that of 92 participants, 62 (67. 4%) used exclusively SUS flow, while 30 (32. 6%) using the alternate flow. It was found that of 92 participants, 62 (67. 4%) used exclusively SUS flow, while 30 (32. 6%) used the alternate flow. The research results related the access and accessibility to health services with the use or not of the flow exclusively SUS to obtain resolubility for the health problem. Demonstrated that the use of SUS exclusively flow is proportionally related to access to health services in the aged under 20 years and the fact of not being employed. The research showed that women who had access to gynecological care under the age of 20 years old, had a 2.55 times greater chance of using the flow SUS exclusively for the treatment of breast cancer and found that women who do not work had 3, 28 times more chance to use the flow exclusively SUS. Among the facilities mentioned, access related to the treatment of breast cancer in a hospital unit was found to be prevalent, being reported by 92.5% of women interviewed. CONCLUSIONS: Although there is the flow rate recommended in SUS for the care of women with breast cancer, this study demonstrated the need to improve integration between different levels of attention to health, with an investment in the system of reference and cross-reference and relevance of studies that address political, organizational and contextual factors on the SUS perspective, related to the flow of attendance of users.