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Advisor(s)
Abstract(s)
O processo de transição para a parentalidade pelas mudanças inerentes, tais como o reajustamento de papéis e aquisição de competências a vários níveis, condiciona o casal a fazer ajustamentos na relação, nomeadamente no âmbito da conjugalidade com o intuito de manter a satisfação conjugal, podendo causar vulnerabilidade e stress.
Foi utilizada a metodologia de projeto e para a implementação do projeto de intervenção contribuíram os resultados da revisão scoping efetuada para mapear a evidência científica sobre o contributo do enfermeiro de família na conciliação da conjugalidade com a parentalidade, em contexto de cuidados de saúde primários. Este projeto visava a manutenção da satisfação conjugal face aos desafios e às alterações provocadas pelo nascimento do primeiro filho e pelos desafios da sociedade atual. Desenvolveu-se um estudo de investigação quantitativo, transversal e descritivo, envolvendo 4 famílias grávidas e 6 famílias com filhos únicos até ao primeiro ano de vida, cujos resultados permitiram identificar 2 famílias com nível intermédio de stress parental e verificar que em relação ao medo do parto, as famílias salientaram o medo das complicações e de perder o controlo como causa de maior stress. As famílias identificadas com maior vulnerabilidade foram acompanhadas, planeadas intervenções de enfermagem recorrendo ao Modelo Dinâmico de Avaliação e Intervenção Familiar de Figueiredo que permitissem responder às dificuldades identificadas e após a implementação das intervenções, os resultados obtidos revelaram redução de stress parental, melhoria emocional, identificação e ativação da rede de apoio e melhoria na comunicação. Demonstrou-se assim a eficácia das intervenções de enfermagem de saúde familiar na promoção da capacitação familiar e do bem-estar familiar.
Como consideração final reforça-se o papel que o enfermeiro de família pode assumir na capacitação das competências parentais durante os períodos de gravidez e pós-parto aliadas à satisfação conjugal. A clarificação do que está a ser vivenciado em cada momento foi observada como facilitadora da confiança parental, contribuindo para a diminuição da ansiedade.
The process of transition to parenthood, due to the inherent changes, such as the readjustment of roles and acquisition of skills at various levels, conditions the couple to make adjustments in the relationship, particularly in the context of conjugality in order to maintain marital satisfaction, which can cause vulnerability and stress. The project methodology was used, and the results of the scoping review carried out to map the scientific evidence on the contribution of the family nurse in reconciling conjugality with parenthood, in the context of primary health care, contributed to the im-plementation of the intervention project. This project aimed to maintain marital satisfac-tion in the face of the challenges and changes caused by the birth of the first child and the challenges of today's society. A quantitative, cross-sectional and descriptive research study was developed, involving 4 pregnant families and 6 families with only children up to the first year of life, the results of which allowed the identification of 2 families with an intermediate level of parental stress and identify that in relation to the fear of childbirth, families highlighted the fear of complications and losing control as a cause of greater stress. The families identified as most vulnerable were monitored, nursing interventions were planned using Figueiredo's Dynamic Family Assessment and Intervention Model that allowed responding to the identified difficulties and after implementing the interventions, the results obtained revealed parental stress reduction, emotional improvement, identification and activation of the support network and improvement in communication. This demonstrated the effectiveness of family health nursing interventions in promoting family empowerment and family well-being. As a final consideration, the role that the family nurse can assume is reinforced in training parental skills during pregnancy and postpartum periods combined with mar-ital satisfaction. Clarifying what is being experienced at each moment was observed to facilitate parental trust, contributing to the reduction of anxiety.
The process of transition to parenthood, due to the inherent changes, such as the readjustment of roles and acquisition of skills at various levels, conditions the couple to make adjustments in the relationship, particularly in the context of conjugality in order to maintain marital satisfaction, which can cause vulnerability and stress. The project methodology was used, and the results of the scoping review carried out to map the scientific evidence on the contribution of the family nurse in reconciling conjugality with parenthood, in the context of primary health care, contributed to the im-plementation of the intervention project. This project aimed to maintain marital satisfac-tion in the face of the challenges and changes caused by the birth of the first child and the challenges of today's society. A quantitative, cross-sectional and descriptive research study was developed, involving 4 pregnant families and 6 families with only children up to the first year of life, the results of which allowed the identification of 2 families with an intermediate level of parental stress and identify that in relation to the fear of childbirth, families highlighted the fear of complications and losing control as a cause of greater stress. The families identified as most vulnerable were monitored, nursing interventions were planned using Figueiredo's Dynamic Family Assessment and Intervention Model that allowed responding to the identified difficulties and after implementing the interventions, the results obtained revealed parental stress reduction, emotional improvement, identification and activation of the support network and improvement in communication. This demonstrated the effectiveness of family health nursing interventions in promoting family empowerment and family well-being. As a final consideration, the role that the family nurse can assume is reinforced in training parental skills during pregnancy and postpartum periods combined with mar-ital satisfaction. Clarifying what is being experienced at each moment was observed to facilitate parental trust, contributing to the reduction of anxiety.
Description
Keywords
Enfermagem em saúde comunitária Cônjuges Parentalidade Gravidez Enfermeiras de saúde da família