This study aimed to analyze the contributions of the Primary Healthcare nursing interventions, with primiparae in the promotion of breastfeeding. This is a quasi-experimental, longitudinal study, with a sample consisting of 151 primiparae, who had less than 28 weeks of pregnancy, with the child living for at least six months after the birth, performed between 15 October 2007 and 29 February 2008. Almost all the women initiated breastfeeding, with a sharp decline verified in the prevalence at six months. The mean duration of breastfeeding was 123.8±68.9 days. The intervention that began in the prepartum and continued into the postpartum period, using various strategies (individual consultation, preparation courses for parenting/childbirth, and domicile visits) and intervention contexts (health services and domicile) had significant effects on the duration of breastfeeding, which was not verified in the prevalence.

A transição para a maternidade caracteriza-se por um compromisso intenso e envolvimento ativo que requer a reestruturação de responsabilidades e comportamentos. Engloba tarefas relacionadas com a satisfação pessoal, relação com a família de origem e com o cônjuge/companheiro, aceitação do bebé e reestruturação da identidade materna. Enquanto a mulher não desenvolve a perícia e formas particulares de gerir as necessidades, os profissionais de saúde são um recurso importante para o desempenho do novo papel. No estudo analisamos o contributo de intervenções de enfermeiras de Cuidados de Saúde Primários, na promoção da transição para a maternidade. Trata-se de um desenho quasi-experimental, longitudinal, com uma amostra de 134 primíparas, com colheita de dados ao terceiro trimestre de gravidez, primeiro e sexto mês após o parto, tendo-se utilizado a escala Maternal Adjustment and Maternal Attitudes (Kumar, Robson e Smith, 1984), na versão portuguesa de Figueiredo, Mendonça e Sousa (2004). A variável independente assumiu os modos: consulta individual; curso de preparação para o parto/parentalidade; e visita domiciliária. Os resultados evidenciam evolução positiva do ajustamento à maternidade nas dimensões sintomas somáticos e atitudes perante a gravidez e o bebé e evolução negativa da imagem corporal e relação conjugal. A intervenção de Enfermagem não teve efeitos significativos.

Living Together With Dementia': preliminary results of a training programme for family caregivers The aim of this article was to present the preliminary results of a training programme for family caregivers of people with dementia at an early to moderate stage living at home-'Living Together With Dementia'. In this randomised controlled trial, 27 family caregivers who met the inclusion criteria were recruited from the neurology outpatient consultation clinic of a hospital in the north of Portugal and randomised into two groups (control and experimental) between October 2015 and March 2016. The programme 'Living Together With Dementia' was applied to the participants of the experimental group. The strategies used, overload, difficulties and satisfaction of the caregivers were assessed at three different stages (at the beginning and end of the intervention, as well as at follow-up). For the data analysis, quantitative parametric measures were applied. The Health Ethical Commission of the Hospital Centre approved the study, and its protocol and Helsinki Declaration ethical principles were considered throughout the process. In the final assessment, an improvement in the overload and difficulties was confirmed, as was an increase in the caregivers' satisfaction level and an improvement in coping/problem-solving strategies. In the follow-up stage, the results tended to revert towards those of the initial assessment. The programme 'Living Together With Dementia' appeared to be a major contribution enabling family caregivers of people with dementia, although there is a need to develop an efficacy study using a more substantial sample. The programme contributed to a reduction in the overload and difficulties borne by the family caregivers of people with dementia at an early to moderate stage living at home and to increased caregiver satisfaction.

No abstract