Thesis (M.S.)--University of Michigan, 1981.

Thesis (M.S.)--University of Wisconsin--Madison, 1982. / Typescript. eContent provider-neutral record in process. Description based on print version record. Includes bibliographical references (leaves 77-80).

Thesis (M.S.)--University of Wisconsin-Madison. / Typescript. eContent provider-neutral record in process. Description based on print version record.

Thesis (M.S.)--University of Wisconsin, School of Nursing, 1973. / eContent provider-neutral record in process. Description based on print version record.

Thesis (M.S.)--University of Michigan, 1981.

Thesis (M.S.)--University of Michigan, 1981.

Orientadores: Maria Yolanda Makuch, Mary Angela Parpinelli / Dissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Ciencias Medicas / Made available in DSpace on 2018-08-14T02:44:34Z (GMT). No. of bitstreams: 1 Fleury_Camila.pdf: 1750197 bytes, checksum: ecab1a83258efefc9d0f99a995c1c71f (MD5) Previous issue date: 2009 / Resumo: Objetivo: Estudar as vivências e o desenvolvimento da preocupação materna primária de mulheres primíparas diagnosticadas com pré-eclâmpsia. Método: Como marco conceitual para compreender a relação mãe-filho utilizou-se o conceito preocupação materna primária desenvolvido por Winnicott. Foi realizado um estudo clínico-qualitativo. A construção da amostra foi feita por amostragem proposital de homogeneidade ampla, seguindo-se o critério de saturação de informação para a definição do número de participantes. Foram conduzidas entrevistas semidirigidas, utilizando-se um roteiro temático. Todas as entrevistas foram gravadas e transcritas na íntegra. Para a saturação dos dados foi utilizado o referencial teórico sobre a preocupação materna primária. Os dados foram analisados por meio da técnica de análise de conteúdo temática. Resultados: Participaram deste estudo 15 mulheres. O diagnóstico de PE foi uma surpresa para as mulheres, pois até então sua gravidez se desenvolvia sem problemas. Todas as mulheres relataram ter dificuldade para compreender o significado da doença e os episódios de internação. As participantes se referiram a vivências de angústia, solidão, tristeza e ansiedade; e algumas a sentimentos de culpa. A maioria das mulheres teve medo de que seu bebê pudesse morrer ou nascer com complicações ocasionadas por sua doença. O momento do parto foi sentido como um evento repentino e inesperado para as mulheres, distanciando-se de suas fantasias e expectativas e aumentando os sentimentos de falta de controle sobre a situação e medo. Todas relataram que não planejam ter mais filhos, devido ao receio de passarem novamente pela mesma situação. Observou-se nos relatos das participantes que o relacionamento com suas próprias mães influenciou o desenvolvimento de seu papel materno. O apoio da família, principalmente do parceiro, durante a gravidez, parto e puerpério, foi percebido como importante e facilitou a dedicação das mulheres às necessidades do bebê. O apoio dado pela equipe médica também foi sentido como importante. Todas as participantes deste estudo mostraram sinais do desenvolvimento da preocupação materna primária. Durante a gestação já referiam uma aproximação afetiva com o filho, que se manteve e se fortaleceu no puerpério. Na fala das mulheres observou-se o prazer em prestar os cuidados ao bebê, com uma facilidade para interpretar e compreender suas necessidades, além de uma abdicação dos interesses pessoais para se dedicar a esse filho. Conclusão: Mulheres primíparas diagnosticadas com PE, com bebês saudáveis e que permaneceram em contato com elas, sentiram o impacto da doença em suas vidas. Contudo, revelaram-se aptas ao desenvolvimento da preocupação materna primária / Abstract: Objective: Study the life experience of primiparous women diagnosed with pre-eclampsia (PE) and the development of primary maternal preoccupation. Methods: a clinical-qualitative study was performed. Women were selected by purposive sampling of broad homogeneity and the number of participants was determined following the criteria of information saturation. Semi-structured interviews were conducted using a thematic guide. All interviews were recorded and verbatim transcribed. For data analysis Winnicott theoretical concepts regarding the primary maternal preoccupation were used. Furthermore, data was analyzed through the thematic contents analysis technique. Results: A total of 15 women participated in the study. The diagnoses of PE was a surprise to participants because their pregnancy had been without problems. All women had difficulties to understand the meaning of the illness in their lives and of the episodes of hospitalization. Women referred to feelings of anguish, loneliness, sadness and anxiety, in some cases feelings of guilt. Most women felt fear that their baby might die or be born with complication because of their illness. All interviewed women referred that they did not plan on having more children due to the fear of going through the process again. Childbirth was felt as a sudden and unexpected event, different from their expectations and increased their feelings of lack of control and fear. The relationship of the participants with their mothers was related to the development of mother-child relationship. Family support, mainly of their partner during pregnancy, delivery and postpartum, was perceived as important and facilitated their dedication to babies necessities. The support given by health professionals was also perceived as important. All participants had developed signs of primary maternal preoccupation. During pregnancy emotional closeness was observed and this persisted and increased after the baby was born. These women had pleasure in taking care of their babies, were able to recognize and understand their babies' needs and abdicated their own needs and interests to be devoted to their babies. Conclusion: The results of this study show that primiparous woman with diagnosis of PE, whose babies were born healthy and remained with them during postpartum hospitalization, even though they felt the impact of their illness were able to develop a primary maternal preoccupation / Universidade Estadual de Campi / Ciencias Medicas / Mestre em Tocoginecologia

Trata-se da análise de 2222 consultas de enfermagem para o binômio mãe-filho executadas por 14 enfermeiras obstetras, no ano de 1983 em um Hospital Universitário, com o propósito de verificar se os procedimentos normatizados na consulta de enfermagem estão possibilitando o levantamento de informações relativas à clientela atendida e direcionando as intervenções da enfermeira, permitindo efetiva individualização das condutas de enfermagem. Foram levantados 5024 problemas, dos quais 3548 nos recém-nascidos e 1476 nas puérperas. Quanto às condutas de enfermagem executadas, estas foram em número de 4768 e conforme o registro, assim distribuídas: 714 - cuidados executados; 3270 - orientações ministradas; 252 - encaminhamentos para nova consulta com enfermeira; 458 - encaminhamentos para consulta médica; 48 - encaminhamentos para nutricionista, e 26 - encaminhamentos para a assistente social. Não tiveram suas condutas registradas, 1485 problemas. Os tipos de problemas levantados pelas enfermeiras não variaram: a atuação das enfermeiras não se restringe às condutas estabelecidas no guia de orientação e as orientações independentes do registro dos problemas foram em número bastante significativas. A maneira como a consulta de enfermagem se desenvolveu, possibilitou a caracterização da enfermeira na sua função independente, mas utilizando a interdependência de forma coerente, científica e individualizando a clientela. / This paper reviews 2.222 nursing consultations for the mother-child binomial, carried out by 14 obsteinic-nurses in 1983, at a teaching Hospital with the objective to find out if the standardized procedures for the nursing consultations are enabling the survey of information related to the clientele assisted and if the said procedures are directing the nurse\'s interference, to the actual individualization of the nursing approach. 5024 problems have been surveyed, of which 3548 in newborns and 1476 in mothers. As to the nursing approach utilized, there were 4768 and, according to the data, they were distributed as follows: 714 - care services performed; 3270 - instructions given; 252 - references to a new nursing consultation; 458 - references to medical consultation; 48 - references to nutritionists; and 26 - references to social workers. 1485 problems did not have their related nursing approach registered. The types of problems surveyed by the nurses did not show any variation; the nurse\'s activities are not limited to the ones established in the instructions manual and the number of orientations, regardless of the registration of problems, was significant. The way in which the nursing consultation was developed characterizes the nursing approach, as an independent function using, however, the interdependent function in a consistent and scientific manner as well as the individualization of the clientele.

Philosophiae Doctor - PhD / The objective of this study was to determine if introducing acceptance and commitment therapy in the prevention of mother to child HIV transmission (PMTCT) program using weekly mobile phone messages would result in improved mental health status of HIV-positive, pregnant women in Nigeria. The study used a quantitative approach using a Solomon four-group (two intervention and two control groups) randomised design to evaluate the impact of an acceptance and commitment therapy program. The study population was 132 randomly selected (33 per site), HIV-positive pregnant women attending four randomly selected PMTCT centres in Nigeria. Two were Intervention and two were Control sites which functioned as Intervention and Control groups. The intervention groups were exposed to one session of acceptance and commitment therapy with weekly value-based health messages sent by mobile phone for three months during pregnancy. The control groups received only post-HIV test counselling.

At present very little is known of the various problems mothers experience when their children are admitted to a day care unit in terms of the increased responsibility which is placed upon them for the preparation of their children and their care at home following discharge. The purpose of this study was to identify some of the major concerns expressed by mothers who participated in a day care unit in a children's hospital in Vancouver. A sample of twenty mothers was selected and the kinds of nursing activities in which they participated in the unit were assessed and rated by a participation scale. The data were collected by the researcher who took on the role of participant observer in the day care unit. Field notes were written on the mothers while they were in the unit and post hospital interviews recorded approximately one week to ten days following discharge. The participation scales, field notes and post hospital interviews were analyzed and the frequency and percentages of the expressed concerns determined. Seventy per cent of the mothers in the study group needed help in assisting with the care of their children in the unit. Concerns expressed by the mothers were centered on the notion of time and a desire for information related to the child's diagnosis, the anaesthetic, and operation performed. Postoperatively they expressed concerns related to symptoms caused by the anaesthetic, operation or examination. They seemed particularly apprehensive about the anaesthetic and its possible effects on the children. Seventy-five per cent of the mothers had previous experience with the hospitalization of their children. This factor seemed most characteristic of the group and influenced their participation in the day care activities. Only two mothers had prior knowledge of the day care unit and they participated independently, requiring little assistance from the nurse. Ninety per cent of the mothers were satisfied with the day care experience. Two mothers were unhappy about the arrangements and would have preferred having their children in hospital for a few days postoperatively. These mothers would have benefited from a home visit by a nurse. The remaining 90 per cent stated they did not feel they needed a visit from a nurse postoperatively. All mothers appreciated a telephone call from the hospital following surgery. The mothers contacted their doctors if problems arose at home. They felt the instructions they received by mail prior to admission were adequate. The success of surgical day care units for children is dependent upon the interest and support of parents. Mothers can prepare their children for surgery and cope with post hospital care, if they receive help and support from the nursing staff. Mothers whose children have been treated in a day care unit are most enthusiastic about this type of hospital care. / Applied Science, Faculty of / Nursing, School of / Graduate