Objective: To identify self-care demands of men with sickle cell disease and priapism and describe self-care measures in light of Orem's Self-Care Theory. Method: This is a descriptive exploratory study with qualitative approach conducted with nine men with a history of sickle cell disease and priapism. Data were analyzed using Orem's Self-Care Theory. Results: Some demands were identified: from universal self-care - difficulty in social interaction and solitude, changes in self-image, self-esteem and sexual activity; from development - the experience with priapism and little knowledge about the pathophysiology of the disease; regarding health deviations - pain crises. Conclusion: Orem's theory allowed to identify self-care demands, which are essential for the nursing care provided for men with priapism. Nursing has an essential role in the measures for the different demands presented.
Objetivo: identificar a produção científica sobre as ações/intervenções que podem ser desenvolvidas pelo enfermeiro na atenção e prevenção de danos da depressão puerperal. Método: trata-se de um estudo bibliográfico, descritivo, tipo revisão integrativa, entre 2009 a 2018, nas Bases de Dados MEDLINE, LILACS, BDENF e BVS. Adotou-se a estratégia PICO. Sistematizaram-se os dados pela técnica da Análise de Conteúdo na modalidade Análise Temática Categorial. Resultados: compôs-se a amostra por 11 artigos. Identificaram-se as seguintes ações/intervenções: identificar sinais e sintomas da depressão puerperal; realizar consulta de pré-natal; realizar educação em saúde; incentivar o parto normal; apoiar condições psicológicas; encaminhar para serviço especializado. Conclusão: conclui-se que há a necessidade de que o enfermeiro tenha conhecimento sobre a depressão puerperal para, assim, acompanhar a mulher de maneira integral, a partir do período gestacional até o puerpério, devendo ofertar uma assistência adequada. Descritores: Depressão Pós-Parto; Gestantes; Enfermagem; Prevenção & Controle; Atenção à Saúde; Assistência Integral à Saúde.AbstractObjective: to identify the scientific production on the actions/interventions that can be developed by nurses in the care and prevention of damage from puerperal depression. Method: this is a bibliographic, descriptive, integrative review type study, between 2009 and 2018, in the MEDLINE, LILACS, BDENF and BVS databases. The PICO strategy was adopted. The data were systematized using the Content Analysis technique in the category Thematic Analysis. Results: the sample was composed of 11 articles. The following actions/interventions were identified: identifying signs and symptoms of puerperal depression; perform prenatal consultation; carry out health education; encourage normal birth; support psychological conditions; refer to specialized service. Conclusion: it is concluded that there is a need for nurses to have knowledge about puerperal depression in order, thus, to accompany the woman in a comprehensive way, from the gestational period until the puerperium, and must offer adequate assistance. Descriptors: Depression; Postpartum; Pregnant Women; Nursing; Prevention & Control; Health Care (Public Health); Comprehensive Health Care.ResumenObjetivo: identificar la producción científica sobre las acciones / intervenciones que pueden desarrollar el enfermero en el cuidado y prevención del daño por depresión puerperal. Método: este es un estudio de tipo de revisión bibliográfica, descriptiva e integradora, entre 2009 y 2018, en las bases de datos MEDLINE, LILACS, BDENF y BVS. La estrategia PICO fue adoptada. Los datos se sistematizaron utilizando la técnica de Análisis de Contenido en la modalidad Análisis Temático Categorial. Resultados: la muestra estuvo compuesta por 11 artículos. Se identificaron las siguientes acciones / intervenciones: identificación de signos y síntomas de depresión puerperal; realizar consultas prenatales; llevar a cabo educación sanitaria; alentar el parto normal; apoyar condiciones psicológicas; remitir a servicio especializado. Conclusión: se concluye que es necesario que el enfermero tenga conocimiento sobre la depresión puerperal para poder acompañar a la mujer de manera integral, desde el período gestacional hasta el puerperio, y debe ofrecer asistencia adecuada. Descriptores: Depresión Posparto; Mujeres Embarazadas; Enfermeira; Prevención & Control; Atención a la Salud; Atención Integral de Salud.
Objective: Identify the level of reproductive autonomy of quilombola women and associate it with sociodemographic characteristics and aspects of sexual and reproductive health. Methods: Cross-sectional census study carried out in quilombola communities in a municipality in Bahia. Data was collected through questionnaires from the National Health Survey and the Reproductive Autonomy Scale, applied to quilombola women who agreed to participate. Descriptive statistics procedures were used and associations were made between reproductive autonomy scores and sociodemographic and reproductive characteristics. Results: The average total score for reproductive autonomy was 2.06. An association was found between the “decision-making” score and marital status. The score for “total reproductive autonomy” was associated with the use of contraceptive method. Conclusion: The reality of the study participants converges with the literature regarding the interference of sociodemographic and reproductive factors in the reproductive autonomy of black women.
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