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Experiência de Snoezelen no trabalho de parto : Contributos do enfermeiro obstetra
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O presente trabalho tem como objetivo documentar o percurso de aquisição e desenvolvimento das competências do Enfermeiro Especialista em Enfermagem de Saúde Materna e Obstétrica (EEESMO), assim como a obtenção do grau de Mestre, com base em cuidados fundamentados na Teoria do Conforto de Katharine Kolcaba (2003).
Este relatório de estágio explora a utilização da experiência de Snoezelen como estratégia não farmacológica, para a promoção do conforto e alívio da dor durante o trabalho de parto. A intervenção Snoezelen tem expandido os seus campos de aplicação e mostra-se relevante na área da saúde materna, ao proporcionar experiências sensoriais que estimulam de forma natural o sistema sensorial das parturientes, visando a redução dos níveis de ansiedade, stress e dor ao longo do trabalho de parto.
Na primeira fase da investigação foi realizada uma Scoping Review segundo as orientações do Joanna Briggs Institute (2020), mapeando a evidência científica existente sobre quais as estratégias sensoriais promotoras de uma experiência positiva de gravidez, parto e pós-parto, que decorreu entre setembro e novembro de 2023. Na segunda fase, foi desenvolvido um estudo qualitativo descritivo exploratório, que decorreu entre abril e junho de 2024. Neste estudo, a experiência de Snoezelen foi promovida junto a cinco participantes, sendo realizadas entrevistas e aplicada de uma grelha de observação, com o intuito de analisar como esta estratégia multissensorial pode contribuir para o relaxamento e conforto das parturientes durante o trabalho de parto. Foi realizada análise de conteúdo seguindo as fases propostas por Bardin (2016).
Os resultados obtidos revelaram que a experiência de Snoezelen contribuiu para um aumento do conforto, traduzido no alívio da dor do trabalho de parto e relaxamento da parturiente. Emergiram como contributos da experiência de Snoezelen: melhoria do bem-estar físico e psicológico, gestão e redução da dor e do stress e a promoção da participação ativa da pessoa significativa no processo de trabalho de parto.
Finalizado este percurso, considero que tenho um longo caminho a percorrer no que respeita à divulgação e aplicação do Snoezelen no trabalho de parto.
This study aims to document the process of acquisition and development of competencies of the Maternal and Obstetric Health Nurse Specialist (EEESMO), as well as the attainment of a Master's degree, grounded in care based on Katharine Kolcaba's Comfort Theory (2003). This internship report explores the use of the Snoezelen experience as a non-pharmacological strategy to promote comfort and pain relief during labor. The Snoezelen intervention has expanded its fields of application and proves to be relevant in maternal health by offering sensory experiences that naturally stimulate the sensory system of laboring women, aiming to reduce anxiety, stress and pain levels throughout labor. In the first phase of the research, a Scoping Review was conducted following the guidelines of the Joanna Briggs Institute (2020) to map existing scientific evidence on sensory strategies that promote a positive experience of pregnancy, childbirth and postpartum, conducted between September and November 2023. In the second phase, a descriptive exploratory qualitative study was carried out between April and June 2024. In this study, the Snoezelen experience was provided to five participants, with interviews conducted and an observation grid applied to analyze how this multisensory strategy can contribute to relaxation and comfort during labor. Content analysis was performed following the stages proposed by Bardin (2016). The results showed that the Snoezelen experience sessions contributed to increased comfort, reflected in pain relief and relaxation for the laboring woman. Key contributions from the Snoezelen experience included improved physical and psychological well-being, pain and stress management, and the integration of a significant person in the labor process. Concluding this journey, I recognize that there is a long path ahead in promoting and applying Snoezelen in labor.
This study aims to document the process of acquisition and development of competencies of the Maternal and Obstetric Health Nurse Specialist (EEESMO), as well as the attainment of a Master's degree, grounded in care based on Katharine Kolcaba's Comfort Theory (2003). This internship report explores the use of the Snoezelen experience as a non-pharmacological strategy to promote comfort and pain relief during labor. The Snoezelen intervention has expanded its fields of application and proves to be relevant in maternal health by offering sensory experiences that naturally stimulate the sensory system of laboring women, aiming to reduce anxiety, stress and pain levels throughout labor. In the first phase of the research, a Scoping Review was conducted following the guidelines of the Joanna Briggs Institute (2020) to map existing scientific evidence on sensory strategies that promote a positive experience of pregnancy, childbirth and postpartum, conducted between September and November 2023. In the second phase, a descriptive exploratory qualitative study was carried out between April and June 2024. In this study, the Snoezelen experience was provided to five participants, with interviews conducted and an observation grid applied to analyze how this multisensory strategy can contribute to relaxation and comfort during labor. Content analysis was performed following the stages proposed by Bardin (2016). The results showed that the Snoezelen experience sessions contributed to increased comfort, reflected in pain relief and relaxation for the laboring woman. Key contributions from the Snoezelen experience included improved physical and psychological well-being, pain and stress management, and the integration of a significant person in the labor process. Concluding this journey, I recognize that there is a long path ahead in promoting and applying Snoezelen in labor.
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Enfermagem obstétrica Conforto do paciente Trabalho de parto