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Publication
Qualidade do aconselhamento contracetivo realizado por enfermeiros
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Advisor(s)
Abstract(s)
A análise às características populacionais relacionadas com a contraceção e
gravidez indesejada, expõe a problemática relativa ao aconselhamento contracetivo
realizado às mulheres, numa instituição dos cuidados de saúde primários, na região da
grande Lisboa, Portugal, onde foi desenvolvido o estudo.
Assim, pretendemos responder à questão: Qual a qualidade do aconselhamento
contracetivo realizado pelos enfermeiros obstetras?
Delineamos objetivos e o desenho do estudo.
Trata-se de um estudo transversal, descritivo e misto. Na abordagem quantitativa
foram estudadas 100 mulheres que receberam aconselhamento contracetivo com
enfermeiros obstetras e na abordagem qualitativa foi realizado um grupo focal com 7
enfermeiros obstetras.
Os resultados obtidos dizem-nos que as mulheres tiveram a perceção que
receberam aconselhamento contracetivo de qualidade. No entanto, mulheres com mais
escolaridade e mais velhas, têm menos perceção de terem recebido aconselhamento
contracetivo de qualidade, do que as restantes. As mulheres portuguesas têm uma
perceção maior de qualidade do aconselhamento contracetivo recebido. Na dimensão
do Relacionamento Interpessoal, mulheres com mais gravidezes e mais abortos
espontâneos, têm uma perceção inferior de qualidade do aconselhamento contracetivo
recebido.
O enfermeiro obstetra tem um contributo importante para a tomada de decisão
da mulher. A cultura e a religião da mulher são os fatores que mais interferem na
tomada de decisão. O preconceito e a coação poderão ser um fator importante na
qualidade do aconselhamento contracetivo realizado pelos enfermeiros obstetras. A
formação em aconselhamento contracetivo é valorizada pelos enfermeiros obstetras,
embora não na componente relacional.
Em conclusão, o aconselhamento contracetivo pode sofrer influência da
demografia, da cultura e religião da população. O preconceito e a coação poderão estar
presentes no aconselhamento contracetivo. A importância da formação abrange não só
a componente técnico-científica da contraceção, mas também a componente relacional,
social e psicológica do aconselhamento contracetivo.
The analysis of population characteristics related to contraception and unwanted pregnancy exposes the problem regarding contraceptive counseling provided to women, in a primary health care institution, in the Lisbon region, Portugal, where the study was developed. Therefore, we intend to answer the question: What is the quality of contraceptive counseling provided by midwives? We defined objectives and study design. This is a cross-sectional, descriptive and mixed study. In the quantitative approach, 100 women who received contraceptive advice from obstetric nurses were studied and in the qualitative approach, a focus group was carried out with 7 obstetric nurses. The results obtained tell us that women perceived that they received quality contraceptive advice. However, more educated and older women have less perception of having received quality contraceptive advice than the rest. Portuguese women have a higher perception of the quality of the contraceptive advice they receive. In the dimension of Interpersonal Relationships, women with more pregnancies and more spontaneous abortions have a lower perception of the quality of the contraceptive advice received. The midwife has an important contribution to the woman's decision-making. Women's culture and religion are the factors that most interfere in decision-making. Prejudice and coercion may be an important factor in the quality of contraceptive advice provided by midwives. Training in contraceptive counseling is valued by midwives, although not in the relational component. In conclusion, contraceptive advice may be influenced by the demographics, culture and religion of the population. Prejudice and coercion may be present in contraceptive advice. The importance of training covers not only the technical-scientific component of contraception, but also the relational, social and psychological component of contraceptive counseling.
The analysis of population characteristics related to contraception and unwanted pregnancy exposes the problem regarding contraceptive counseling provided to women, in a primary health care institution, in the Lisbon region, Portugal, where the study was developed. Therefore, we intend to answer the question: What is the quality of contraceptive counseling provided by midwives? We defined objectives and study design. This is a cross-sectional, descriptive and mixed study. In the quantitative approach, 100 women who received contraceptive advice from obstetric nurses were studied and in the qualitative approach, a focus group was carried out with 7 obstetric nurses. The results obtained tell us that women perceived that they received quality contraceptive advice. However, more educated and older women have less perception of having received quality contraceptive advice than the rest. Portuguese women have a higher perception of the quality of the contraceptive advice they receive. In the dimension of Interpersonal Relationships, women with more pregnancies and more spontaneous abortions have a lower perception of the quality of the contraceptive advice received. The midwife has an important contribution to the woman's decision-making. Women's culture and religion are the factors that most interfere in decision-making. Prejudice and coercion may be an important factor in the quality of contraceptive advice provided by midwives. Training in contraceptive counseling is valued by midwives, although not in the relational component. In conclusion, contraceptive advice may be influenced by the demographics, culture and religion of the population. Prejudice and coercion may be present in contraceptive advice. The importance of training covers not only the technical-scientific component of contraception, but also the relational, social and psychological component of contraceptive counseling.
Description
Keywords
Enfermagem obstétrica Enfermeiras obstétricas Planeamento familiar Idade gestacional Anticonceção