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Promoção da saúde mental no ciclo gravídico-puerperal: intervenções do enfermeiro especialista em enfermagem de saúde materna e obstétrica
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Em Portugal, as perturbações mentais representam 11,75% do total das doenças que afetam a população, comparativamente a 13,74% das doenças cerebrovasculares e 10,38% das doenças oncológicas.
Apesar da crescente evidência científica e das recomendações nacionais e internacionais, persistem lacunas na integração da saúde mental na prática clínica, nomeadamente na identificação precoce de fatores de risco e na implementação de intervenções consistentes. Neste contexto, o Enfermeiro Especialista em Enfermagem de Saúde Materna e Obstétrica encontra-se numa posição privilegiada para intervir, dada a proximidade e continuidade de cuidados prestados à mulher e casal.
O relatório integra o enquadramento teórico que aborda a saúde mental na gravidez, trabalho de parto, parto e puerpério, incluindo fatores de risco e ainda desafios da atualidade como a gestão de informação consumida e o burnout parental. É também explorado o Modelo de Promoção da Saúde de Nola Pender como referencial teórico orientador da prática.
São ainda descritas as intervenções do EE-ESMO na promoção da saúde mental, destacando-se a importância da relação terapêutica, a educação sobre as alterações emocionais no ciclo gravídico-puerperal, a promoção da criação da rede de apoio e a valorização do papel ativo da mulher. Por fim, reflete-se criticamente sobre o percurso formativo, evidenciando o desenvolvimento de competências comuns, específicas e de mestre, sustentadas na prática clínica e na evidência científica.
In Portugal, mental disorders account for 11.75% of the total burden of disease affecting the population, compared to 13.74% for cerebrovascular diseases and 10.38% for oncological diseases. Despite the growing body of scientific evidence and national and international recommendations, gaps persist in the integration of mental health into clinical practice, particularly in the early identification of risk factors and in the implementation of consistent interventions. Within this background, midwives are well placed to intervene, as they maintain a close and continuous care relationship with women and their partners. This clinical placement report includes a theoretical framework addressing mental health during pregnancy, labour, childbirth and the postpartum period, including risk factors, as well as current challenges such as digital information overload and parental burnout. Nola Pender’s Health Promotion Model is also explored as a theoretical framework guiding practice. Midwife-led interventions in promoting mental health are also described, highlighting the therapeutic relationship, education on emotional changes throughout the pregnancy-postpartum continuum, the promotion of support networks, and the empowerment of women's active role in their own care. Finally, a critical reflection on the training pathway is presented, highlighting the development of common, specific and master's-level competencies, grounded in clinical practice and scientific evidence.
In Portugal, mental disorders account for 11.75% of the total burden of disease affecting the population, compared to 13.74% for cerebrovascular diseases and 10.38% for oncological diseases. Despite the growing body of scientific evidence and national and international recommendations, gaps persist in the integration of mental health into clinical practice, particularly in the early identification of risk factors and in the implementation of consistent interventions. Within this background, midwives are well placed to intervene, as they maintain a close and continuous care relationship with women and their partners. This clinical placement report includes a theoretical framework addressing mental health during pregnancy, labour, childbirth and the postpartum period, including risk factors, as well as current challenges such as digital information overload and parental burnout. Nola Pender’s Health Promotion Model is also explored as a theoretical framework guiding practice. Midwife-led interventions in promoting mental health are also described, highlighting the therapeutic relationship, education on emotional changes throughout the pregnancy-postpartum continuum, the promotion of support networks, and the empowerment of women's active role in their own care. Finally, a critical reflection on the training pathway is presented, highlighting the development of common, specific and master's-level competencies, grounded in clinical practice and scientific evidence.
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enfermeiro especialista em enfermagem de saúde materna e obstétrica saúde mental saúde mental materna promoção da saúde mental fatores de rsico intervenções de enfermagem midwife mental health maternal mental health mental health promotion risk factors nursing interventions
Contexto Educativo
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Licença CC
Sem licença CC