Objective Several factors might affect the health and the quality of life of women who had a severe maternal morbidity (SMM) or a maternal near-miss (MNM) episode. The objective of the present study was to explore the perspectives of the professionals on the repercussions of SMM or of MNM after interviewing women who survived such episodes.
Method Selected cases that captured the attention of professionals were reported. The professionals built individually 10 narratives, which were analyzed with the technique of content analysis.
Results According to the perspectives of the professionals, women surviving a severe maternal condition and their families experienced clinical and psychosocial consequences. Some cases portrayed the intense psychological distress in mourning for the loss of the fetus or of their reproductive capacity and changes in family dynamics generating emotional overload, depression, and gender violence.
Conclusion The analysis of narratives may offer an idea on the complexity of the perception of care by professionals and on the need for an interdisciplinary follow-up of women surviving an SMM or an MNM episode.
Objetivo: Apresentar o tratamento dado à saúde, quer pela Constituição Federal quer pela legislação infraconstitucional. No que se refere a esta última, o trabalho se debruça na legislação regente ao Sistema Único de Saúde (SUS), Lei Federal nº 8.080/90. Revisão bibliográfica: Todos os cidadãos, independentemente da nacionalidade, têm assegurado pela Constituição vigente, o direito à saúde. Neste diapasão, o Estado tem o dever de assegurar as ações e os serviços de saúde, com o fim de oportunizar assistência integral, universal e igualitária a todos os cidadãos. Considerações finais: Em síntese, o trabalho busca demonstrar que a saúde é direito fundamental e social de todos, dever do Estado, tendo por efeito prático o direito de o cidadão exigir do Estado o fornecimento deste direito a contento, especialmente porque o texto Constitucional sobrelevou a saúde ao status de cláusula pétrea (Art. 60, parágrafo 4º, da Constituição Federal), e que a Lei Federal nº 8.080/90 veio para complementar e dar efetividade às normas do poder constituinte originário.
Background: The coronavirus (COVID-19) pandemic corroborated a state of mental stress worldwide, in health students like health professionals, so it is essential to analyze the emotional stability of these students.
OBJECTIVE: To evaluate depression and anxiety among undergraduate healthcare students using validated scales, in addition to knowing their reactions and perceptions about the implementation of emergency remote education (ERS) in this period of isolation due to the COVID-19 pandemic.
METHODS: We invited by institutional e-mail, healthcare students regularly enrolled at the University of Campinas. After agreement and consent, a google form link was sent to access the data collection form.
RESULTS: We sent 1204 invitations and 270 (22.4%) students agreed to participate (medicine 17.4%, nursing 19.3%, pharmacy 36.3%, and phonoaudiology 27%). Most participants were female (83%), up to 22 years of age (63%), white (69%), and between the first and third years of the course (64. 5%). Regarding remote education, 51.1% of participants reported having some degree of difficulty to follow up. Regarding the perception of social relationships, 37.8% considered themselves to be compromised, and 72.2% reported not feeling able to act in the COVID pandemic. Regarding mental health, 74% had high levels of anxiety, and 37% had moderate or severe depression.
CONCLUSION: Healthcare students had high levels of severe anxiety and moderate/severe depression. Dissatisfaction with remote education contributed to the increase in depression rates in all courses. Healthcare students’ needs future strategies for mental health during pandemic conditions.
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