This study aimed to analyze the parameters used by the nursing staff of a public hospital in Bahia for pain assessment in premature newborns and to describe the interventions used to relieve the pain. This is a qualitative descriptive study that was carried out through semi-structured interviews with ten participants, in the period from December 2008 to January 2009. The data were analyzed through content analysis. The results showed the use of crying and facial expression as the clinical indications of pain premature newborns and that the interviewed participants use, on a non-systematic basis, non-pharmacological measures in order to ease this process. We suggest the introduction of pain as the fifth vital sign to be evaluated and the use of scales, contributing to excellence and humane care.
This study aimed to analyze the process of pain identification in premature by the professional staff of the Neonatal Intensive Care Unit of a public hospital in the interior of Bahia, Brazil. This is a quantitative descriptive exploratory study that was made through a form applied to twenty-four health professional of a Neonatal Intensive Care Unit. The data were analyzed in the Statistical Package for Social Sciences. The results showed 100% of professionals believed that newborns feel pain, 83.3% knew the pain as the fifth vital sign to be evaluated; 54,8% did not know the pain assessment scales; 70.8% did not use scales and highlighted behavioral and physiological signs of the newborn as signs suggestive of pain. Thus, it is important that professionals understand the pain as a complex phenomenon that demands early intervention, ensuring the excellence of care.
This study aimed to understand the fathers' experiences during the hospitalization of premature newborn in the Neonatal Intensive Care Unit at a public hospital in Feira de Santana, Bahia. This is a qualitative descriptive exploratory study that was approved by the Ethics Committee of the Faculty of Technology and Sciences, and carried out in a public hospital in Bahia, with nine fathers who accompanied their children hospitalized in the Neonatal Intensive Care Unit. The data were analyzed through content analysis. The results showed that premature births cause feelings of surprise, anxiety and fear in the fathers. It is needed rethink how does the inclusion of premature infants' fathers in the hospitalization process and about the changes in established routines for the visit and paternal participation in the context of premature care.
Objective: analyzing the perception of postpartum women, interned in the rooming-in at a public maternity in the interior of Bahia, about the participation of a companion during the birth process. Method: a descriptive qualitative study conducted through semi-structured interviews with ten interned mothers in the rooming-in at a public maternity in the interior of Bahia. We used the Content Analysis for data analysis. This study was approved by the Ethics Committee of the Faculty of Science and Technology (Salvador), with opinion number 0205/2008. Results: it was evidenced two categories, named: "I need a companion to feel safe myself" and "I'm scared of giving birth alone," that approach the perception of respondents about the participation of the companion in the process of childbirth as a way to ease the insecurity and fear of the delivery room. Conclusion: the involvement of the companion in this process goes through some pillars: the confidence, the physical and emotional safety of women and the fight against fear, especially in the presence of people from family life. Descriptors: humanization; the birth process; companion. RESUMO Objetivo: analisar a percepção da puérpera, internada no alojamento conjunto de uma maternidade pública do interior da Bahia, sobre a participação de um acompanhante durante o processo parturitivo. Método: trata-se de estudo descritivo e qualitativo, realizado por meio de entrevistas semi-estruturadas com dez puérperas, internadas no alojamento conjunto de um hospital público do interior da Bahia. Para a análise dos dados utilizou-se a Análise de Conteúdo de Bardin. O estudo foi aprovado pelo Comitê de Ética em Pesquisa da Faculdade de Tecnologia e Ciências, campus Salvador, sob o parecer de nº 0205-2008. Resultados: foram evidenciadas duas categorias, assim denominadas: “Preciso de um acompanhante para sentir-me segura” e “Tenho medo de parir sozinha”, que abordam a percepção das entrevistadas sobre a participação do acompanhante no processo da parturição como forma de amenizar a insegurança e o medo da sala de parto. Conclusão: a participação do acompanhante neste processo perpassa por alguns pilares, a saber, a confiança, a segurança física e emocional da mulher e o combate ao medo, com destaque à presença de pessoas do convívio familiar. Descritores: humanização; processo parturitivo; acompanhante. RESUMEN Objetivo: analizar la percepcion de la puérpera ingresada en el alojamiento conjunto de una maternidad pública del interior de la Bahia, sobre la participación de un acompañante durante el proceso parturitivo. Método: estudio descriptivo y qualitativo, realizado a través de entrevistas semi-estruturadas con diez puérperas, ingresadas en el alojamiento conjunto de un hospital público del interior de la Bahia. Para el análisis de los datos utilizamos el Análisis de Contenido. El estudio fue aprobado por el Comité de Ética en Investigación de la Facultad de Tecnología y Ciencias, campus Salvador, bajo el parecer de nº 0205-2008. Resultados: Fueron evidenciadas dos categorías, así denominadas: “Necesito de un acompañante para sentirme segura” y “Tengo miedo de parir sola”, que abordan la percepção de las entrevistadas sobre la participación del acompañante como forma de reducir la inseguridad y el miedo de la sala de parto. Conclusión: la participación del acompañante en este proceso, perpassa por algunos pilares, a saber, la confianza, la seguridad física y emocional de la mujer y el combate al miedo, con destaque a la presencia de personas de la convivencia familiar. Descriptores: humanización; proceso parturitivo; acompañante.
Este estudo buscou analisar o relacionamento entre profissionais de saúde e parturientes no centro obstétrico de uma maternidade pública do interior da Bahia. Tratou-se de um estudo descritivo, exploratório e qualitativo, realizado com treze puérperas através de entrevistas semiestruturadas, no período de fevereiro a abril de 2010 e que respeitou a resolução 196/96 do Conselho Nacional de Saúde. A Análise de Conteúdo dos dados demonstrou que as entrevistadas caracterizaram a assistência recebida como indiferente, pois os profissionais de saúde estabeleceram uma relação assimétrica e de poder, sendo o contato maior com a parturiente no período expulsivo. Há necessidade da adoção de ações que visem o acolhimento da parturiente, fazendo desta uma experiência humanizada, devolvendo à mulher o protagonismo deste tão sublime momento.
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