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Parturiente com cardiopatia :
| Name: | Description: | Size: | Format: | |
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| 7.09 MB | Adobe PDF |
Authors
Abstract(s)
Este relatório reflete o meu percurso de aprendizagem para a aquisição de competências
comuns e especificas do Enfermeiro Especialista em Enfermagem de Saúde Materna e
Obstétrica/Enfermeiro Obstetra (EEESMO/EO) e as inerentes ao grau de mestre,
desenvolvidas no âmbito da Unidade Curricular de Estágio com Relatório inserida no 10º
Curso de Mestrado em Enfermagem de Saúde Materna e Obstétrica.
As alterações hemodinâmicas derivadas do estado gravídico poderão causar eventos
cardiovasculares na mulher com cardiopatia e, como consequência, pôr em risco o bem-estar
materno-fetal. Sendo o EEESMO o profissional de saúde que cuida e intervém
longitudinalmente no percurso da mulher com cardiopatia que deseja engravidar, justifica-se
o desenvolvimento de competências especificas para intervir com qualidade. Neste sentido,
procurei enquadrar neste relatório a evidência científica relacionada com as intervenções do
EEESMO à parturiente com cardiopatia. Para nortear e sustentar este relatório tomei como
referência o Modelo Teórico de Betty Neuman que visualiza a pessoa de uma forma holística
em interação com o exterior e com tendência a procurar a estabilidade e o bem-estar. A
metodologia deste relatório teve por base a prática baseada na evidência com a realização de
uma Scoping Review conforme as diretrizes do Joanna Briggs Institute (2017), a fim de mapear
toda a evidência científica sobre o tema. A questão de pesquisa foi: “Quais as intervenções
do enfermeiro obstetra à parturiente com cardiopatia?”. Realizei uma pesquisa na
plataforma EBSCOhost, nas bases de dados CINAHL, MEDLINE e COCHRANE Database of
Systematic Reviews que fundamentou a prática de cuidados. Foram realizados registos sobre
os cuidados prestados a 2 parturientes com cardiopatia, no instrumento criado para o efeito
e posteriormente analisado parte do seu conteúdo identificando-se a categoria, cuidados
personalizados na gravidez e trabalho de parto e quatro subcategorias: profissional de saúde
de referência, satisfação, segurança e informação, que vão ao encontro da evidência
científica. Constata-se que o EEESMO/EO assume um papel fundamental na gestão dos
estressores destas clientes durante o parto e é visto como o profissional de saúde de
referência da equipa multidisciplinar que informa, transmite segurança potenciando a
satisfação com a experiência do parto.
This report describes my path of learning to acquire the general and specific skills of the Nurse Specialist in Maternal Health and Obstetrics/nurse midwife (EEESMO) in the Curricular Unit with Report that is part of the 10th Master’s Course in Maternal and Obstetric Health Nursing. Hemodynamic alterations resulting from pregnancy can cause cardiovascular events in women and, as a consequence, put maternal-fetal well-being at risk. The EEESMO/nurse midwife is the health professional who takes care of and is involved in all stages of the path of a woman with heart disease who wants to become pregnant, so the development of specific skills to provide high quality support is justified. Therefore, in this report, I have sought to set out the scientific evidence relating to the involvement of the EEESMO in the pregnancies of women with heart disease. To orientate and support this report, I used Betty Neuman's Theoretical Model as reference. This Model visualises the person in a holistic way in interaction with the outside and always with a tendency to seek stability and well-being. The foundation for the methodology of this report is evidence-based practice after conduction a Scoping Review in accordance with the guidelines of the Joanna Briggs Institute (2017) in order to map all scientific evidence on the subject. The question for my research was: “What involvement does the obstetric nurse have with the parturient with heart disease?” I carried out research on the EBSCOhost platform and in the CINAHL, MEDLINE databases and the COCHRANE Database of Systematic Reviews. Records were made on the care provided to two parturients with heart disease in the care interaction document created for this purpose. The content of these records was subsequently analysed to identify the category, personalised care in pregnancy and labour, and four subcategories: the contact health professional, satisfaction, safety and information, which are in line with the scientific evidence. From the analysis of the results obtained, we can see that the EEESMO plays a fundamental role in managing the stressors of these clients during childbirth and is seen as the key member of the multidisciplinary team who transmits a feeling of safety and of health benefits that enhance satisfaction in the experience of childbirth
This report describes my path of learning to acquire the general and specific skills of the Nurse Specialist in Maternal Health and Obstetrics/nurse midwife (EEESMO) in the Curricular Unit with Report that is part of the 10th Master’s Course in Maternal and Obstetric Health Nursing. Hemodynamic alterations resulting from pregnancy can cause cardiovascular events in women and, as a consequence, put maternal-fetal well-being at risk. The EEESMO/nurse midwife is the health professional who takes care of and is involved in all stages of the path of a woman with heart disease who wants to become pregnant, so the development of specific skills to provide high quality support is justified. Therefore, in this report, I have sought to set out the scientific evidence relating to the involvement of the EEESMO in the pregnancies of women with heart disease. To orientate and support this report, I used Betty Neuman's Theoretical Model as reference. This Model visualises the person in a holistic way in interaction with the outside and always with a tendency to seek stability and well-being. The foundation for the methodology of this report is evidence-based practice after conduction a Scoping Review in accordance with the guidelines of the Joanna Briggs Institute (2017) in order to map all scientific evidence on the subject. The question for my research was: “What involvement does the obstetric nurse have with the parturient with heart disease?” I carried out research on the EBSCOhost platform and in the CINAHL, MEDLINE databases and the COCHRANE Database of Systematic Reviews. Records were made on the care provided to two parturients with heart disease in the care interaction document created for this purpose. The content of these records was subsequently analysed to identify the category, personalised care in pregnancy and labour, and four subcategories: the contact health professional, satisfaction, safety and information, which are in line with the scientific evidence. From the analysis of the results obtained, we can see that the EEESMO plays a fundamental role in managing the stressors of these clients during childbirth and is seen as the key member of the multidisciplinary team who transmits a feeling of safety and of health benefits that enhance satisfaction in the experience of childbirth
Description
Keywords
Enfermagem obstétrica Gestantes Cardiopatias Cuidados de enfermagem