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Advisor(s)
Abstract(s)
Enquadramento: A imigração tal como o parto são processos de transição. Neste sentido, as
parturientes imigrantes poderão viver situações de ansiedade, e a forma como percepcionam os
cuidados que lhes são prestados pode variar consideravelmente num leque de significados diversos
mais ou menos gratificantes, ou pelo contrário, mais ou menos constrangedores. Desta forma tornase
fundamental que os enfermeiros de Saúde Materna e Obstetrícia, enquanto prestadores de
cuidados, conheçam as percepções das imigrantes parturientes ao longo do trabalho de parto e
parto,por forma a evitar interpretações erróneas que obstaculizam a prestação de cuidados
culturalmente congruentes.
Objetivo: Analisar a percepção em cuidados culturais de puérperas imigrantes durante o
trabalho de parto
Participantes e métodos: Estudo observacional de natureza quantitativa, transversal, de
carácter descritivo-correlacional, inserido num projeto de doutoramento. A amostra é constituída por
868 parturientes imigrantes internadas em 34 maternidades/hospitais com maternidade portuguesas,
da região Norte, Centro, Sul e Grande Lisboa. O instrumento de recolha de dados permite
caracterizar a amostra nas variáveis sociodemográficas, maternas/obstétricas e de vigilância da
gravidez. O protocolo inclui ainda a escala de percepção de cuidados culturais de Parreira (2010).
Resultados: As puérperas com 36 anos ou mais, as que possuem habilitações literárias de
nível superior, que foram assistidas em maternidades da região da Grande Lisboa, com rendimento
mensal familiar inferior a 500 euros, com índice de aglomeração fraco, que vigiaram a gravidez, que
não tiveram acompanhamento por pessoa significativa, que não tiveram analgesia e que não
assistiram às aulas de preparação para o parto discordaram de ter afirmaram não ter sido alvo de
cuidados culturais apropriados ao invés das que planearam a gravidez. Por sua vez, as participantes
cuja gravidez foi vigiada, que tiveram acompanhamento por pessoa significativa, que receberam
analgesia, que assistiram às aulas de preparação para o parto e as que foram assistidas na região do
Centro, ainda que tenham sido alvo de cuidados culturais apropriados não o foram em relação à
comunicação, ambiente, cultura material e tempo.
Conclusão: Parte de imigrantes que se encontram numa situação de maior vulnerabilidade
discorda ter sido alvo de cuidados culturalmente apropriados, o que poderá traduzir uma deficiente
sensibilidade e treino cultural dos enfermeiros especialistas de Saúde Materna e Obstetrícia, no
cuidar durante o trabalho de parto e parto, no sentido de ir ao encontro das necessidades
percepcionadas durante o trabalho de parto e parto, pelo que propomos formação em serviço
porforma a eliminar os obstáculos à prestação de cuidados culturalmente congruentes.
Palavras-chave: Percepção de cuidados culturais, Trabalho de parto, Imigração.
ABSTRACT Background: immigration as childbirth are transition processes. In this sense, the immigrant mothers may live situations of anxiety, and how care provided to them can vary considerably in a range of different meanings more or less rewarding, or quite the opposite, more or less embarrassing. Thus it becomes essential that nurses Maternal Health and Midwifery, while cares, know the perceptions that these mothers have over labor and delivery, and as such, prevent, misinterpretations that constitute obstacles to the provision of culturally congruent care. Objective: To analyze the cultural perception of postpartum care for immigrant labor Participants and Methods: Observational quantitative, cross-sectional, descriptive and correlational in nature, inserted in a PhD project. The sample consisted of 868 pregnant women admitted immigrants in 34 hospitals / maternity hospitals with Portuguese region of North, Central, South and Grand Lisbon. The instrument for data collection allows characterizing the sample in sociodemographic variables, maternal / obstetric and surveillance of pregnancy. The protocol also includes the perception scale cultural care Parreira (2008). Results: The women with 36 years or more, those with higher educational qualifications, which were served by hospitals in the Greater Lisbon area, with monthly household income below 500 euros, with weak agglomeration index, which oversaw the pregnancy, not were followed by significant person, who had no analgesia and not attended classes in preparation for childbirth disagreed have been subject to appropriate cultural care. The participants agreed that planned the pregnancy has been the subject of appropriate cultural care. Furthermore, participants whose pregnancy was monitored, which were followed by significant person who received analgesia, who attended classes in preparation for birth and they were assisted in Centre region, even agreeing to have been the target of cultural care disagreed appropriate in terms of communication, environment, material culture and time. Conclusion: Some of the participants, who are in a situation of greater vulnerability disagree have been the target of culturally appropriate care, which may reflect a deficient training and cultural sensitivity on the part of nurse specialists in Obstetrics and Maternal Health, in care during labor and delivery in order to meet the perceived needs during labor and delivery, we propose in-service training relating to eliminate barriers to the provision of culturally congruent care. Keywords: Perception of Cultural Care, Labor, Immigration.
ABSTRACT Background: immigration as childbirth are transition processes. In this sense, the immigrant mothers may live situations of anxiety, and how care provided to them can vary considerably in a range of different meanings more or less rewarding, or quite the opposite, more or less embarrassing. Thus it becomes essential that nurses Maternal Health and Midwifery, while cares, know the perceptions that these mothers have over labor and delivery, and as such, prevent, misinterpretations that constitute obstacles to the provision of culturally congruent care. Objective: To analyze the cultural perception of postpartum care for immigrant labor Participants and Methods: Observational quantitative, cross-sectional, descriptive and correlational in nature, inserted in a PhD project. The sample consisted of 868 pregnant women admitted immigrants in 34 hospitals / maternity hospitals with Portuguese region of North, Central, South and Grand Lisbon. The instrument for data collection allows characterizing the sample in sociodemographic variables, maternal / obstetric and surveillance of pregnancy. The protocol also includes the perception scale cultural care Parreira (2008). Results: The women with 36 years or more, those with higher educational qualifications, which were served by hospitals in the Greater Lisbon area, with monthly household income below 500 euros, with weak agglomeration index, which oversaw the pregnancy, not were followed by significant person, who had no analgesia and not attended classes in preparation for childbirth disagreed have been subject to appropriate cultural care. The participants agreed that planned the pregnancy has been the subject of appropriate cultural care. Furthermore, participants whose pregnancy was monitored, which were followed by significant person who received analgesia, who attended classes in preparation for birth and they were assisted in Centre region, even agreeing to have been the target of cultural care disagreed appropriate in terms of communication, environment, material culture and time. Conclusion: Some of the participants, who are in a situation of greater vulnerability disagree have been the target of culturally appropriate care, which may reflect a deficient training and cultural sensitivity on the part of nurse specialists in Obstetrics and Maternal Health, in care during labor and delivery in order to meet the perceived needs during labor and delivery, we propose in-service training relating to eliminate barriers to the provision of culturally congruent care. Keywords: Perception of Cultural Care, Labor, Immigration.
Description
Keywords
Emigrantes e imigrantes Enfermagem obstétrica Enfermagem transcultural Gravidez Modelos de enfermagem Parto Portugal Puerpério Trabalho de parto Emigrants and immigrants Labor, obstetric Models, nursing Obstetric nursing Parturition Postpartum period Pregnancy Transcultural nursing
Citation
Publisher
Instituto Politécnico de Viseu, Escola Superior de Saúde de Viseu