Suzana de Azevedo Záchia

Percepções de um grupo de mulheres sobre a doença hipertensiva específica da gestação

The objective of this study was to identify the knowledge women in childbirth have regarding gestational hypertension disease (DHEG); to learn their perceptions of its risk and gravity; and to understand the repercussions of DHEG for these women and their families. This is a qualitative research aiming at an exploratory study. Data collection took place through individual semi-structured interviews with ten women in childbirth who were diagnosed with DHEG and data analysis was performed using the Analysis of Content. So, thematic categories emerged addressing the women´s knowledge of DHEG; their perceptions about the diagnosis and the professional care offered; and the repercussions DHEG had for them and their families. The study highlights the necessity to rethink and to reorganize the model of perinatal care, not only at the tertiary level but also at the basic health centers.Objetivou-se identificar o conhecimento das puerperas em relacao a doenca hipertensiva especifica da gestacao (DHEG), conhecer suas percepcoes quanto ao risco e gravidade da doenca e conhecer as repercussoes da DHEG para estas mulheres e suas familias. Trata-se de uma pesquisa qualitativa na perspectiva de um estudo exploratorio descritivo. A coleta de informacoes ocorreu com dez puerperas com diagnostico de DHEG por meio de entrevistas individuais semi-estruturadas, analisadas conforme referencial da Analise de Conteudo. Assim, emergiram categorias tematicas abordando o conhecimento sobre DHEG, percepcoes sobre o diagnostico e o cuidado profissional, e repercussoes da DHEG para as mulheres e suas familias. O estudo aponta a necessidade de se repensar e reorganizar o modelo de assistencia perinatal, nao apenas a nivel terciario, mas nas unidades basicas de saude.This study aims to identify the knowledge women in childbirth (puerperas) have regarding gestational hypertension disease (GHD), to learn how they perceive its risk and gravity, and to understand the repercussions of GHD for these women and their families. This is a descriptive exploratory study using qualitative research methods. Data collection took place through individual semi-structured interviews with ten women in childbirth (puerperas) who were diagnosed with GHD. The analysis of the data was performed using Content Analysis. Thematic categories emerged addressing the womens knowledge of GHD; how they perceive diagnosis and the professional care offered; and the repercussions GHD had for them and their families. The study highlights the necessity to rethink and to reorganize the model of perinatal care, not only at the tertiary level but also at primary healthcare centers.

CARACTERÍSTICAS DE GESTANTES ATENDIDAS EM CONSULTA DE ENFERMAGEM AMBULATORIAL DE PRÉ-NATAL: COMPARAÇÃO DE QUATRO DÉCADAS

The aim of the work was to identify characteristics of pregnant women cared for by an obstetric nurse in a visit to the prenatal outpatient nursing service and compare these over the period from 1972 to 2009. Sociodemographic and obstetric data were collected from the forms completed by the pregnant patients during their visit to the nursing service. A total of 1245 forms were analyzed 208 (16.7%) being from the 1970s, 323 (25.9%) from the 1980s, 329 (26.4%) from the 1990s, and 385 (30.0%) from year 2000. A significant difference was found between the previous decades and year 9000 in relation to the greater number of high-risk pregnancies, number of nursing consultations and obstetric ultrasounds performed during the prenatal exam. The characteristics of pregnant women were observed to change over time, as well as the care provided by the obstetric nurse during visits to the outpatient nursing service, remaining associated with the demands of patients and legal resolutions.O objetivo do trabalho foi identificar as caracteristicas das gestantes atendidas em consulta de enfermagem no pre-natal realizado por enfermeira obstetrica em consulta ambulatorial, e compara-las, no periodo de 1972 a 2009. Os dados sociodemograficos e obstetricos foram coletados das fichas de gestantes, preenchidas durante a consulta de enfermagem. Um total de 1245 fichas foi analisado, sendo 208 (16,7%) da decada de 1970, 323 (25,9%) de 1980, 329 (26,4%) de 1990 e 385 (30,0%) de 2000. Encontrou-se diferenca significativa entre as decadas anteriores com a de 2000, em relacao ao numero maior de: gestacoes de alto risco, numero de consultas de enfermagem e de ecografias realizadas durante o pre-natal. Observa-se que as caracteristicas das gestantes modificaram-se, ao longo do tempo, bem como o atendimento realizado por enfermeira obstetrica em consulta de enfermagem ambulatorial, mantendose vinculado as demandas das usuarias e as determinacoes legais.

Outpatient nursing consultation and nursing diagnoses related to demographic and clinical characteristics

Trata-se de um estudo que verificou a relacao entre as caracteristicas demograficas e clinicas com os diagnosticos de enfermagem definidos durante a consulta com enfermeira em ambulatorio de um hospital geral. E um estudo transversal que avaliou 237 consultas de enfermagem de pacientes atendidos no Programa de Saude da Mulher (46 em enfermagem obstetrica e 24 em enfermagem em mastologia) e 167 no Programa de Educacao em Diabetes Melito. Foram identificados 49 diagnosticos de enfermagem. Os mais frequentes no programa de saude da mulher foram: Conhecimento deficiente, Conforto prejudicado, Integridade tissular prejudicada e Ansiedade; no programa de educacao em diabetes: Controle ineficaz do regime terapeutico e Nutricao desequilibrada: mais do que as necessidades corporais. Foi encontrada associacao significativa entre os diagnosticos mais frequentes com determinadas caracteristicas demograficas e clinicas. Os resultados confirmaram que a identificacao dos diagnosticos de enfermagem durante a consulta pode propiciar acuracia nos focos de cuidado ambulatorial.This study was aimed at verifyjing the relationship between demographic and clinicalfeatures and nursing diagnoses established during a nurse consultation in a general hospital. This is a cross-sectional study that assessed 237 nursing consultations of patients in two different programs Womens Health (46 in obstetrical nursing and 24 in mastology nursing) and 167 in diabetes mellitus education. A total of 49 nursing diagnoses were identified. The most frequent in the womens health program were: knowledge deficit, impaired comfort, impaired tissue, integrity and anxiety; in the program of diabetes education were: ineffective therapeutic regimen management, and imbalanced nutrition: more than body requirements. There was a significant association between the most common diagnoses with certain demographic and clinical features. The results confirmed that the identification of the nursing diagnoses during the consultation may provide accuracy in the focus of outpatient care.

Consulta de enfermagem ambulatorial e diagnósticos de enfermagem relacionados a características demográficas e clínicas

Trata-se de um estudo que verificou a relacao entre as caracteristicas demograficas e clinicas com os diagnosticos de enfermagem definidos durante a consulta com enfermeira em ambulatorio de um hospital geral. E um estudo transversal que avaliou 237 consultas de enfermagem de pacientes atendidos no Programa de Saude da Mulher (46 em enfermagem obstetrica e 24 em enfermagem em mastologia) e 167 no Programa de Educacao em Diabetes Melito. Foram identificados 49 diagnosticos de enfermagem. Os mais frequentes no programa de saude da mulher foram: Conhecimento deficiente, Conforto prejudicado, Integridade tissular prejudicada e Ansiedade; no programa de educacao em diabetes: Controle ineficaz do regime terapeutico e Nutricao desequilibrada: mais do que as necessidades corporais. Foi encontrada associacao significativa entre os diagnosticos mais frequentes com determinadas caracteristicas demograficas e clinicas. Os resultados confirmaram que a identificacao dos diagnosticos de enfermagem durante a consulta pode propiciar acuracia nos focos de cuidado ambulatorial.This study was aimed at verifyjing the relationship between demographic and clinicalfeatures and nursing diagnoses established during a nurse consultation in a general hospital. This is a cross-sectional study that assessed 237 nursing consultations of patients in two different programs Womens Health (46 in obstetrical nursing and 24 in mastology nursing) and 167 in diabetes mellitus education. A total of 49 nursing diagnoses were identified. The most frequent in the womens health program were: knowledge deficit, impaired comfort, impaired tissue, integrity and anxiety; in the program of diabetes education were: ineffective therapeutic regimen management, and imbalanced nutrition: more than body requirements. There was a significant association between the most common diagnoses with certain demographic and clinical features. The results confirmed that the identification of the nursing diagnoses during the consultation may provide accuracy in the focus of outpatient care.

Characteristics of pregnant women cared for in a visit to the prenatal oupatient nursing service: comparison of four decades

The aim of the work was to identify characteristics of pregnant women cared for by an obstetric nurse in a visit to the prenatal outpatient nursing service and compare these over the period from 1972 to 2009. Sociodemographic and obstetric data were collected from the forms completed by the pregnant patients during their visit to the nursing service. A total of 1245 forms were analyzed 208 (16.7%) being from the 1970s, 323 (25.9%) from the 1980s, 329 (26.4%) from the 1990s, and 385 (30.0%) from year 2000. A significant difference was found between the previous decades and year 9000 in relation to the greater number of high-risk pregnancies, number of nursing consultations and obstetric ultrasounds performed during the prenatal exam. The characteristics of pregnant women were observed to change over time, as well as the care provided by the obstetric nurse during visits to the outpatient nursing service, remaining associated with the demands of patients and legal resolutions.O objetivo do trabalho foi identificar as caracteristicas das gestantes atendidas em consulta de enfermagem no pre-natal realizado por enfermeira obstetrica em consulta ambulatorial, e compara-las, no periodo de 1972 a 2009. Os dados sociodemograficos e obstetricos foram coletados das fichas de gestantes, preenchidas durante a consulta de enfermagem. Um total de 1245 fichas foi analisado, sendo 208 (16,7%) da decada de 1970, 323 (25,9%) de 1980, 329 (26,4%) de 1990 e 385 (30,0%) de 2000. Encontrou-se diferenca significativa entre as decadas anteriores com a de 2000, em relacao ao numero maior de: gestacoes de alto risco, numero de consultas de enfermagem e de ecografias realizadas durante o pre-natal. Observa-se que as caracteristicas das gestantes modificaram-se, ao longo do tempo, bem como o atendimento realizado por enfermeira obstetrica em consulta de enfermagem ambulatorial, mantendose vinculado as demandas das usuarias e as determinacoes legais.

Consulta en ambulatorio y diagnóstico de enfermería relacionados con las características demográficas y clínicas

Trata-se de um estudo que verificou a relacao entre as caracteristicas demograficas e clinicas com os diagnosticos de enfermagem definidos durante a consulta com enfermeira em ambulatorio de um hospital geral. E um estudo transversal que avaliou 237 consultas de enfermagem de pacientes atendidos no Programa de Saude da Mulher (46 em enfermagem obstetrica e 24 em enfermagem em mastologia) e 167 no Programa de Educacao em Diabetes Melito. Foram identificados 49 diagnosticos de enfermagem. Os mais frequentes no programa de saude da mulher foram: Conhecimento deficiente, Conforto prejudicado, Integridade tissular prejudicada e Ansiedade; no programa de educacao em diabetes: Controle ineficaz do regime terapeutico e Nutricao desequilibrada: mais do que as necessidades corporais. Foi encontrada associacao significativa entre os diagnosticos mais frequentes com determinadas caracteristicas demograficas e clinicas. Os resultados confirmaram que a identificacao dos diagnosticos de enfermagem durante a consulta pode propiciar acuracia nos focos de cuidado ambulatorial.This study was aimed at verifyjing the relationship between demographic and clinicalfeatures and nursing diagnoses established during a nurse consultation in a general hospital. This is a cross-sectional study that assessed 237 nursing consultations of patients in two different programs Womens Health (46 in obstetrical nursing and 24 in mastology nursing) and 167 in diabetes mellitus education. A total of 49 nursing diagnoses were identified. The most frequent in the womens health program were: knowledge deficit, impaired comfort, impaired tissue, integrity and anxiety; in the program of diabetes education were: ineffective therapeutic regimen management, and imbalanced nutrition: more than body requirements. There was a significant association between the most common diagnoses with certain demographic and clinical features. The results confirmed that the identification of the nursing diagnoses during the consultation may provide accuracy in the focus of outpatient care.

Características de las gestantes atendidas en consulta de enfermería en ambulatorio de prenatal: comparación de cuatro décadas

The aim of the work was to identify characteristics of pregnant women cared for by an obstetric nurse in a visit to the prenatal outpatient nursing service and compare these over the period from 1972 to 2009. Sociodemographic and obstetric data were collected from the forms completed by the pregnant patients during their visit to the nursing service. A total of 1245 forms were analyzed 208 (16.7%) being from the 1970s, 323 (25.9%) from the 1980s, 329 (26.4%) from the 1990s, and 385 (30.0%) from year 2000. A significant difference was found between the previous decades and year 9000 in relation to the greater number of high-risk pregnancies, number of nursing consultations and obstetric ultrasounds performed during the prenatal exam. The characteristics of pregnant women were observed to change over time, as well as the care provided by the obstetric nurse during visits to the outpatient nursing service, remaining associated with the demands of patients and legal resolutions.O objetivo do trabalho foi identificar as caracteristicas das gestantes atendidas em consulta de enfermagem no pre-natal realizado por enfermeira obstetrica em consulta ambulatorial, e compara-las, no periodo de 1972 a 2009. Os dados sociodemograficos e obstetricos foram coletados das fichas de gestantes, preenchidas durante a consulta de enfermagem. Um total de 1245 fichas foi analisado, sendo 208 (16,7%) da decada de 1970, 323 (25,9%) de 1980, 329 (26,4%) de 1990 e 385 (30,0%) de 2000. Encontrou-se diferenca significativa entre as decadas anteriores com a de 2000, em relacao ao numero maior de: gestacoes de alto risco, numero de consultas de enfermagem e de ecografias realizadas durante o pre-natal. Observa-se que as caracteristicas das gestantes modificaram-se, ao longo do tempo, bem como o atendimento realizado por enfermeira obstetrica em consulta de enfermagem ambulatorial, mantendose vinculado as demandas das usuarias e as determinacoes legais.

Perceptions of a group of women about gestational hypertension disease

The objective of this study was to identify the knowledge women in childbirth have regarding gestational hypertension disease (DHEG); to learn their perceptions of its risk and gravity; and to understand the repercussions of DHEG for these women and their families. This is a qualitative research aiming at an exploratory study. Data collection took place through individual semi-structured interviews with ten women in childbirth who were diagnosed with DHEG and data analysis was performed using the Analysis of Content. So, thematic categories emerged addressing the women´s knowledge of DHEG; their perceptions about the diagnosis and the professional care offered; and the repercussions DHEG had for them and their families. The study highlights the necessity to rethink and to reorganize the model of perinatal care, not only at the tertiary level but also at the basic health centers.Objetivou-se identificar o conhecimento das puerperas em relacao a doenca hipertensiva especifica da gestacao (DHEG), conhecer suas percepcoes quanto ao risco e gravidade da doenca e conhecer as repercussoes da DHEG para estas mulheres e suas familias. Trata-se de uma pesquisa qualitativa na perspectiva de um estudo exploratorio descritivo. A coleta de informacoes ocorreu com dez puerperas com diagnostico de DHEG por meio de entrevistas individuais semi-estruturadas, analisadas conforme referencial da Analise de Conteudo. Assim, emergiram categorias tematicas abordando o conhecimento sobre DHEG, percepcoes sobre o diagnostico e o cuidado profissional, e repercussoes da DHEG para as mulheres e suas familias. O estudo aponta a necessidade de se repensar e reorganizar o modelo de assistencia perinatal, nao apenas a nivel terciario, mas nas unidades basicas de saude.This study aims to identify the knowledge women in childbirth (puerperas) have regarding gestational hypertension disease (GHD), to learn how they perceive its risk and gravity, and to understand the repercussions of GHD for these women and their families. This is a descriptive exploratory study using qualitative research methods. Data collection took place through individual semi-structured interviews with ten women in childbirth (puerperas) who were diagnosed with GHD. The analysis of the data was performed using Content Analysis. Thematic categories emerged addressing the womens knowledge of GHD; how they perceive diagnosis and the professional care offered; and the repercussions GHD had for them and their families. The study highlights the necessity to rethink and to reorganize the model of perinatal care, not only at the tertiary level but also at primary healthcare centers.

Impresión de un grupo de mujeres sobre la enfermedad hipertensiva específica de la gestación

The objective of this study was to identify the knowledge women in childbirth have regarding gestational hypertension disease (DHEG); to learn their perceptions of its risk and gravity; and to understand the repercussions of DHEG for these women and their families. This is a qualitative research aiming at an exploratory study. Data collection took place through individual semi-structured interviews with ten women in childbirth who were diagnosed with DHEG and data analysis was performed using the Analysis of Content. So, thematic categories emerged addressing the women´s knowledge of DHEG; their perceptions about the diagnosis and the professional care offered; and the repercussions DHEG had for them and their families. The study highlights the necessity to rethink and to reorganize the model of perinatal care, not only at the tertiary level but also at the basic health centers.Objetivou-se identificar o conhecimento das puerperas em relacao a doenca hipertensiva especifica da gestacao (DHEG), conhecer suas percepcoes quanto ao risco e gravidade da doenca e conhecer as repercussoes da DHEG para estas mulheres e suas familias. Trata-se de uma pesquisa qualitativa na perspectiva de um estudo exploratorio descritivo. A coleta de informacoes ocorreu com dez puerperas com diagnostico de DHEG por meio de entrevistas individuais semi-estruturadas, analisadas conforme referencial da Analise de Conteudo. Assim, emergiram categorias tematicas abordando o conhecimento sobre DHEG, percepcoes sobre o diagnostico e o cuidado profissional, e repercussoes da DHEG para as mulheres e suas familias. O estudo aponta a necessidade de se repensar e reorganizar o modelo de assistencia perinatal, nao apenas a nivel terciario, mas nas unidades basicas de saude.This study aims to identify the knowledge women in childbirth (puerperas) have regarding gestational hypertension disease (GHD), to learn how they perceive its risk and gravity, and to understand the repercussions of GHD for these women and their families. This is a descriptive exploratory study using qualitative research methods. Data collection took place through individual semi-structured interviews with ten women in childbirth (puerperas) who were diagnosed with GHD. The analysis of the data was performed using Content Analysis. Thematic categories emerged addressing the womens knowledge of GHD; how they perceive diagnosis and the professional care offered; and the repercussions GHD had for them and their families. The study highlights the necessity to rethink and to reorganize the model of perinatal care, not only at the tertiary level but also at primary healthcare centers.