Acurácia das características definidoras do diagnóstico de enfermagem Desempenho do Papel Ineficaz

Abstract

A pesquisa tem o objetivo de verificar a acurácia das características definidoras do diagnóstico de enfermagem Desempenho do Papel Ineficaz em puérperas. Trata-se de um estudo de acurácia diagnóstica realizado com 58 mulheres atendidas em Unidades de Saúde da Família (USF). Utilizou-se uma escala de rastreamento de Depressão Pós-parto para a identificação das características definidoras do referido diagnóstico. Foram calculadas as medidas de sensibilidade, especificidade e seus respectivos intervalos de confiança. O Desempenho do Papel Ineficaz esteve presente em 50,0% das participantes. As características definidoras Adaptação inadequada à mudança, Autocontrole insuficiente e Percepção de papel alteradas apresentaram, simultaneamente, sensibilidade e especificidade significantes, em termos estatísticos. Portanto, tais indicadores clínicos mostraram-se mais acurados para a verificação do diagnóstico de enfermagem Desempenho do papel ineficaz em puérperas.

Functioning and support networks during postpartum

“…The responsibilities emerging from motherhood cause women to go through a de-structuring of their own identity, often causing internal conflicts over their own unconscious desires and longings for the maternal role projected onto the world versus the self-perception of reality. 9 Furthermore, the socioeconomic and attitudinal context can amplify feelings of anxiety, fear, and insecurity. 14 When confronted with the benefits of virtual support, it is seen that it is generally linked to the search for a space for interaction, venting off, sharing information and doubts.…”

“…According to Jordão et al, 9 the puerperium provides risk factors for women: inadequate adaptation to change, insufficient self-control, role ambivalence, anxiety, depression, inadequate coping strategies, helplessness, dissatisfaction with the maternal role, insufficient motivation, pessimism, tension of responsibility. For this reason, it is necessary that there are frequent home visits by health professionals, especially in the immediate puerperium, for the reception and improved listening to doubts regarding the health of the woman-mother and the child.…”

“…13 Facilitating strategies during the whole pregnancy-puerperal cycle must be built together with a multi professional team, having the family to be constituted as the protagonist of this action. 9 Welcoming practices need to be encouraged, establishing humanization in health services and even within the social support around a woman-mother. 17 Using the results presented as a starting point, we conclude that the network of face-to-face support favors better functioning in the puerperal period.…”

“…8 Health professionals, on the other hand, have been considered only as informative agents, distant from a possible bond. 9 For the health and well-being of the woman and the effectiveness of the relationship with the new member of the family, the support network plays a positive role; social support helps to ease or overcome difficulties and to cope with the care of the newborn. 8 Therefore, the objective of the study was to investigate the functioning of puerperal women according to the assistance of the support networks of the nuclear family, extended family and extra-family, and how they contribute to a new look at health conditions in puerperium and care strategies in the Maternal and Child Network beyond the newborn.…”

Transtorno De Adaptação Decorrente Do Parto: Avaliação De Sinais E Sintomas Em Puérperas

“…Até 1987 o Manual diagnóstico e estatístico de transtornos mentais (DSM), afirmava que o TA possuía um diagnóstico transitório, não excedendo o período de seis meses, entretanto, em 2011 ao ser lançada a 4ª edição do DSM foi concebida a possibilidade da cronicidade do transtorno (3) . Entre os acontecimentos geradores do TA o processo da gestação, parto e puerpério pode proporcionar uma experiência assustadora, ansiosa e até mesmo traumática (2) .…”