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A experi?ncia da pr?-ecl?mpsia vivenciada por gestantes e profissionais de sa?de

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Previous issue date: 2009-10-06 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior / The aim of this study is to understand the perceptions of pregnant women, mothers and health professional about preeclampsia and the relation between professional and patient. A qualitative approach was chosen, together with semi-structured interviews, participative observation and Test of Free Association of Words (TFAW). The data were collected in February and June 2007 at Maternidade-Escola Janu?rio Cicco (MEJC), Natal, RN, Brazil with 61 pregnant women and 87 professionals, 20 of each group were interviewed. An interpretative and understanding perspective was used similar to that of Gadamer s hermeneutics and with the construction of themes and empirical categories. The pregnant women showed fear preeclampsia and its consequences, and to know very little about the subject and also a desire to know more. The changes that occurred with the illness were more related to the emotional order than to the healthy lifestyle they have adopted. Some lack of preparation of the basic units was observed, in order to meet and guide the pregnant women to the reference unit. Professionals knew the customers characteristics, about their fear and about their little knowledge on this illness. Nevertheless, they did not include them in the treatment. It was observed the absence of conversation over the illness between professionals and patients and also the inability of the former to deal with emotional issues. A new way of looking into the preeclampsia assistance is necessary. A way that focuses on the collective construction of intervention and approach strategies; one which includes subjective aspects in an hermeneutic perspective of health / O presente estudo objetivou compreender as percep??es de gestantes e profissionais de sa?de sobre a pr?-ecl?mpsia e a rela??o entre profissional e paciente. Optou-se por abordagem qualitativa, com entrevistas semi-estruturadas, observa??o participante e Teste de Associa??o Livre de Palavras (TALP). Os dados foram coletados entre fevereiro e junho de 2007, na Maternidade-Escola Janu?rio Cicco (MEJC), Natal-RN, com 61 gestantes e 87 profissionais, dos quais 20 de cada grupo participaram das entrevistas. Utilizou-se uma perspectiva interpretativa e compreensiva aproximada ? hermen?utica de Gadamer, com a constru??o de temas e categorias emp?ricas. As gestantes revelaram medo da pr?-ecl?mpsia e suas conseq??ncias e mostraram que sabiam pouco a respeito do tema e que gostariam de saber mais. As mudan?as ocorridas, decorrentes, da doen?a foram mais de ordem emocional, do que relacionada ? ado??o de estilo de vida saud?vel. Observou-se despreparo das unidades b?sicas em atender e encaminhar as gestantes com pr?-ecl?mpsia para unidade de refer?ncia. Os profissionais conheciam caracter?sticas da clientela, sabiam do medo que sentiam e do pouco conhecimento sobre a doen?a, por?m n?o as envolviam no tratamento. Na rela??o entre profissional e paciente observou-se aus?ncia de di?logo sobre a doen?a e inabilidade, por parte dos primeiros em lidar com quest?es emocionais. H? necessidade de um novo olhar para a assist?ncia ? pr?-ecl?mpsia priorizando a constru??o coletiva de estrat?gias de abordagem e interven??o que inclua aspectos subjetivos, numa perspectiva hermen?utica da sa?de

Identiferoai:union.ndltd.org:IBICT/oai:repositorio.ufrn.br:123456789/13159
Date06 October 2009
CreatorsAzevedo, Daniela Vasconcelos de
ContributorsCPF:70410798487, http://lattes.cnpq.br/7207146627442417, Moreira, Simone da N?brega Tom?z, CPF:00082593485, http://lattes.cnpq.br/3642294168997314, Maia, Eul?lia Maria Chaves, CPF:18112900434, http://lattes.cnpq.br/2021670670663453, Pereira, Maria L?cia Duarte, CPF:17258200304, http://lattes.cnpq.br/1204949768401883, Pinheiro, Patr?cia Neyva da Costa, CPF:48524344334, http://lattes.cnpq.br/3311923741926368, Ara?jo, Ana Cristina Pinheiro Fernandes de
PublisherUniversidade Federal do Rio Grande do Norte, Programa de P?s-Gradua??o em Ci?ncias da Sa?de, UFRN, BR, Ci?ncias da Sa?de
Source SetsIBICT Brazilian ETDs
LanguagePortuguese
Detected LanguageEnglish
Typeinfo:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/doctoralThesis
Formatapplication/pdf
Sourcereponame:Repositório Institucional da UFRN, instname:Universidade Federal do Rio Grande do Norte, instacron:UFRN
Rightsinfo:eu-repo/semantics/openAccess

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