Without consistent screening and diagnostic techniques, Brazilian health professionals are insecure about identifying and treating cases of postpartum depression. Referring women to psychiatric units entail more time for women to be diagnosed and treated and increased costs for health services. Primary healthcare professionals require training to screen, identify, and treat postpartum depression in primary healthcare settings.
ABSTRACT:The aim of this study was to explore the challenges for primary healthcare professionals in caring for women with postpartum depression, in order to learn which tools are used for the identification of these women, as well as ways of working to restore their health. This qualitative descriptive study was conducted in healthcare units in Campina Grande, Paraíba. Data were collected by field observation and a semi-structured interview, which was administered to 16 healthcare professionals. The results describe healthcare professionals' difficulties in identifying and treating women with postpartum depression, because of the limited focus on physiological developmental aspects of gestation and postpartum. The professionals reported limited knowledge on how to assess emotional changes related to the postpartum period. Primary healthcare professionals need to be educated to identify and treat women with postpartum depression, and practice guidelines and protocols must be established to guide evidence-based practice. DESCRIPTORS:Depression, postpartum. Postpartum period. Women's health. Maternal-child nursing. Primary care nursing. DESAFIOS PARA PROFISSIONAIS DA ATENÇÃO PRIMÁRIA NO CUIDADO À MULHER COM DEPRESSÃO PÓS-PARTO RESUMO:O objetivo deste estudo foi conhecer os desafios dos profissionais da atenção primária no cuidado às mulheres com depressão pós-parto, buscando identificar quais as ferramentas utilizadas para a detecção dessas mulheres, bem como as formas de atuação para o restabelecimento da sua saúde. Trata-se de um estudo qualitativo-descritivo, realizado em unidades de saúde no município de Campina Grande, Paraíba. A coleta de dados ocorreu por observação e entrevista semiestruturada aplicada a 16 profissionais de saúde. Os resultados descrevem a dificuldade de profissionais para identificar e tratar a depressão pós-parto, pois o foco da assistência é limitado aos aspectos fisiológicos do desenvolvimento da gestação e do pós-parto. Os participantes relatam limitado conhecimento para avaliar alterações emocionais relacionadas a esse período. Os profissionais da atenção primária em saúde precisam ser capacitados para identificar e tratar mulheres com depressão pós-parto, bem como manuais e protocolos assistenciais precisam ser estabelecidos para guiar a prática baseada em evidências científicas. DESCRITORES:Depressão pós-parto. Período pós-parto. Saúde da mulher. Enfermagem materno-infantil. Enfermagem de atenção primária. DESAFÍOS PARA LOS PROFESIONALES DE ATENCIÓN PRIMARIA EN EL CUIDADO DE MUJERES CON DEPRESIÓN POSPARTORESUMEN: El objetivo de este estudio fue comprender los desafíos para los profesionales de la atención primaria en el cuidado de las mujeres con depresión posparto, con el fin de identificar cuales herramientas se utilizan para la detección de estas mujeres, así como los procedimientos utilizados para reestablecer su salud. Es un estudio cualitativo descriptivo realizado en las unidades de salud del municipio de Campina Grande, estado de Paraíba. Los datos fueron reunidos mediante ...
A normatização do cuidar da criança menor de um ano: estudo dos significados atribuídos pelos profissionais do Programa Saúde da Família (PSF)The normative of the caring on children above one-year-old: a study of meanings applied by the professionals of Family Health Program (FHP)
Objective: to identify the advances and difficulties in implementation and practice of humanization of parturition. Methodology: the study was conducted in a qualitative approach, and its sample was composed of 13 professionals directly involved with the care. Data were collected through semi-structured interview guide and observation from the participants. Processing of data, using the content analysis ― themes analysis. Results: advances in the process of humanization are considered least in comparison to the difficulties raised by the interviewees. The study has been approved by the Committee of Ethics in Research of the University of Paraiba State (CAAE – 0724.0.000.133-06). The resistance of professionals, the limited of the vacancies, high demand, accompanied by the small number of professionals, are the factors considered most difficult in the practice of humanization. Conclusion: the results show that the factors related to the difficulties and advances in humanization depend largely on professionalism and ethics on the attitude of managers and health professionals involved with care delivery, so that together can overcome the obstacles that put forward to humanized care in all its dimensions. Descriptors: women's health, parturition, humanization.
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