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Authors
Abstract(s)
Enquadramento: A gravidez é um momento onde a mulher vivência um conjunto de
modificações. Para que a grávida consiga vivenciar cada etapa da gravidez, torna-se
necessário a aquisição de informação, que lhe permita desenvolver a capacidade para
a tomada de decisões, ou seja, o Empoderamento.
Objetivos: Identificar as variáveis sociodemográficas e de contexto obstétrico que
afetam o empoderamento da grávida no último trimestre da gravidez; Determinar a
influência da Literacia no empoderamento da grávida.
Métodos: Estudo não experimental, transversal, quantitativo, descritivo e correlacional
com uma amostra não probabilística por conveniência, composta por 264 grávidas no
terceiro trimestre. Colheita de dados realizada com aplicação de um instrumento
composto pelo questionário sociodemográfico e dados obstétricos, escala HLS-EU-PT
(Escola Nacional de Saúde Pública, 2014) adaptada para grávidas por Ferreira et al.
(2017) e Escala de Empoderamento da Grávida (Kameda & Shimada, 2008), adaptada
por Ferreira et al. (2013).
Resultados: As grávidas apresentam um nível de empoderamento intermédio (40,9%)
sendo secundado pelo nível baixo e elevado com valores percentuais iguais (29,5% vs
29,5%). O índice geral do empoderamento é influenciado pelo rendimento mensal
familiar (p=0,001),planeamento da gravidez (p=0,045) e pela frequência ou intensão
de frequentar o curso de preparação para o parto e para a parentalidade (p=0,045). Os
cuidados de saúde (t=4,258;p=0,000), a promoção de saúde (t=3,564;p=0,000) e a
idade da grávida (t=2,345;p=0,020) predizem o Empoderamento da grávida.
Conclusões: O empoderamento da grávida é determinado pelos conhecimentos
adquiridos e experiências vividas ou partilhadas, este pode ser influenciado por fatores
extrínsecos e intrínsecos à grávida. A assistência em saúde pré-natal surge como
promotora do empoderamento, sendo o enfermeiro especialista saúde materna e
obstetrícia, um elemento fundamental no empoderamento da grávida, dada a sua
formação específica que coloca a mulher no centro do seu cuidar, ao longo de todo o
seu ciclo de vida.
Palavras – chave: Empoderamento da grávida, literacia em saúde, vigilância na
gravidez.
Abstract Background: Pregnancy is a time where the woman experiences a set of modifications. So that the pregnant woman can experience each step of her pregnancy, she needs to acquire information, which allows her to develop the capacity of decision making, i.e., the Empowerment. Objectives: Identify the socio demographic and of obstetrician context variables that affect the pregnant woman empowerment in the last trimester of pregnancy; determine the influence of literacy in the pregnant woman empowerment. Methods: Non-experimental, transversal, quantitative and correlational study with a non-probabilistic for convenience composed by 264 pregnant women in the third trimester. The data collection was carried out by applying a questionnaire consisting of sociodemographic questions, obstetric data, HLS-EU-PT scale (National School of Public Health, 2014) adapted for pregnant women by Ferreira et al. (2017) and Pregnancy Empowerment Scale (Kameda & Shimada, 2008) adapted by Ferreira et al. (2013). Results: The pregnant woman’s manifest a health empowerment level as intermediate (40, 9%), low and high (29, 5%). Health empowerment is influenced by family income (p=0,001),pregnancy planning (p=0,045) and frequency or intention of attending the preparation course for childbirth and parenting (p=0,045). Healthcare (t=4,258;p=0,000), Health promotion (t=3,564;p=0,000) and age of pregnancy (t=2,345;p=0,020) predict health empowerment. Conclusion: The pregnant woman’s empowerment is determined by her acquired knowledge and lived or shared experiences, which may be influenced by extrinsic and intrinsic factors to the pregnant woman. Pre-natal health assistance appears as the empowering’s promotor, being the maternal health and obstetrician specialist nurse a crucial element in the pregnant woman’s empowering, given its specific formation, who places the woman in the centre of his/her care throughout all his/her cycle of life. Key-words: pregnant woman’s empowerment, health literacy, pregnancy supervision.
Abstract Background: Pregnancy is a time where the woman experiences a set of modifications. So that the pregnant woman can experience each step of her pregnancy, she needs to acquire information, which allows her to develop the capacity of decision making, i.e., the Empowerment. Objectives: Identify the socio demographic and of obstetrician context variables that affect the pregnant woman empowerment in the last trimester of pregnancy; determine the influence of literacy in the pregnant woman empowerment. Methods: Non-experimental, transversal, quantitative and correlational study with a non-probabilistic for convenience composed by 264 pregnant women in the third trimester. The data collection was carried out by applying a questionnaire consisting of sociodemographic questions, obstetric data, HLS-EU-PT scale (National School of Public Health, 2014) adapted for pregnant women by Ferreira et al. (2017) and Pregnancy Empowerment Scale (Kameda & Shimada, 2008) adapted by Ferreira et al. (2013). Results: The pregnant woman’s manifest a health empowerment level as intermediate (40, 9%), low and high (29, 5%). Health empowerment is influenced by family income (p=0,001),pregnancy planning (p=0,045) and frequency or intention of attending the preparation course for childbirth and parenting (p=0,045). Healthcare (t=4,258;p=0,000), Health promotion (t=3,564;p=0,000) and age of pregnancy (t=2,345;p=0,020) predict health empowerment. Conclusion: The pregnant woman’s empowerment is determined by her acquired knowledge and lived or shared experiences, which may be influenced by extrinsic and intrinsic factors to the pregnant woman. Pre-natal health assistance appears as the empowering’s promotor, being the maternal health and obstetrician specialist nurse a crucial element in the pregnant woman’s empowering, given its specific formation, who places the woman in the centre of his/her care throughout all his/her cycle of life. Key-words: pregnant woman’s empowerment, health literacy, pregnancy supervision.
Description
Keywords
Conhecimentos, atitudes e prática em saúde Cuidado pré-natal Empoderamento Gravidez Literacia em saúde Promoção da saúde Empowerment Health knowledge, attitudes, practice Health literacy Health promotion Pregnancy Prenatal care