A terapia ocupacional no contexto da assistência à mãe e à família de recém-nascidos internados em unidade de terapia intensiva

Dittz, Érika da Silva; Melo, Daniela Cristina Cardoso de; Pinheiro, Zélia Maria Machado

doi:10.11606/issn.2238-6149.v17i1p42-47

Cited by 15 publications

(23 citation statements)

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“…Several therapeutic strategies are used in order to assist women and their family in obtaining confidence and independence in care, which can have a significant effect on the development of the baby, such as the guidelines on basic activities with the NB (diaper change, bathing, sleeping, occupational routine). Thus, the mother and their family members will become safer and more able to perform baby care after hospital discharge (Dittz et al, 2006).…”

Section: Discussionmentioning

confidence: 99%

“…With regard to breastfeeding, considered an IADL, the occupational therapist together with the multidisciplinary team, performs care with the objective of informing, clarifying the difficulties and benefits about breastfeeding for the mother and baby. They offer measures of comfort to the puerperal women, with guidance of positions and adaptable resources, preventing diseases and pain complaints, promoting a satisfactory and pleasurable breastfeeding, as well as adequate nutrition for the NB (Dittz et al, 2006).…”

Section: Discussionmentioning

confidence: 99%

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Atuação terapêutica ocupacional em um centro obstétrico de alto risco

Conceição¹,

Brito²,

Silva³

et al. 2020

Cad. Bras. Ter. Ocup.

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Introduction:When the woman is in labor, childbirth and puerperium, they need to be accompanied by a medical team and a reliable companion. In this context, the occupational therapist promotes actions to occupational performance. Objective: To describe the possibilities of occupational therapist's interventions in a high-risk obstetric center. Method: A descriptive, documentary, retrospective, quantitative study carried out in a multiprofessional integrated residency health program at a reference hospital in Recife-PE, from April to June 2018. Sample composed of records of 10 occupational therapists residents from 2010 to 2017. The analysis was performed using Microsoft Excel, SPSS and Chisquared test. Results: A total of 351 records and 45 reports were evaluated, it was possible to observe more frequency of the interventions by R1 in labor and puerperium. While, among R2, the prevalence was in prenatal and other gynecological/obstetric situations. The interventions found in prenatal care were: activities of daily life -ADL (29.1%), psychosocial approach (27.4%) and health education (21.2%). In the labor were: assistance in labor and childbirth (71.8%), health education (11.3%) and psychosocial approach (10.3%). In puerperium were the ADL (43.1%), psychosocial approach (14.5%) and instrumental activity of daily living (12.4%). The occupational therapist elaborates actions to favor the functional and occupational performance of the woman, encompassing the different dimensions of the pregnancy-puerperal period in the hospital context. Conclusion: The practice of the occupational therapist in the HOC promotes paradigm changes, making the woman protagonist in their performance areas and favoring actions of health promotion.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Atuação terapêutica ocupacional em um centro obstétrico de alto risco

Conceição¹,

Brito²,

Silva³

et al. 2020

Cad. Bras. Ter. Ocup.

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“…In the neonatology context, it is possible to identify that the mothers live a similar situation. The need for hospitalization of the baby in a NICU has repercussions on the family daily life, in which the woman often abdicates from her other occupational roles to accompany the child during hospitalization (DITTZ; MELO; PINHEIRO, 2006). Also, studies show that hospitalization arouses different feelings in the woman, such as the fear of the unknown and the frustration of not having the baby in the family (DITTZ; MELLO; PINHEIRO, 2006;MORENO;JORGE, 2005).…”

Section: Introductionmentioning

confidence: 99%

“…Mothers are also stimulated to touch their babies and guided over their behavioral signals during their touch (DITTZ et al, 2011). Besides, there is the incentive to Kangaroo care and to breastfeeding and/or the administration of the newborn's diet when the baby does not suck the breast (MALAKOUTI et al, 2013;MELO;PINHEIRO, 2006).…”

Section: Introductionmentioning

confidence: 99%

“…The presence of the mother in the NICU and her participation in the care are very important for the recovery of the baby (MORENO; JORGE, 2005) and to promote human development (JOAQUIM et al, 2018). The involvement of the mother in the direct care of the newborn is better with the care provided by the health team, a better performance of the woman in the care of the child after discharge, and a reduction in the need for re-hospitalization (DITTZ; MELO; PINHEIRO, 2006). As a member of the team, the occupational therapist is recommended to assist the newborn and the family, seeking to promote, support and facilitate the process of insertion of the mother into the NICU, guaranteeing autonomy and maternal independence in care activities (DITTZ; MELO; PINHEIRO, 2006;VERGARA et al, 2006).…”

Section: Introductionmentioning

confidence: 99%

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A construção da co-ocupação materna na Unidade de Terapia Intensiva Neonatal

Fraga¹,

Dittz²,

Machado³

2019

Cad. Bras. Ter. Ocup.

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Introduction: The term co-occupation has been used by occupational therapists to define the implicit involvement of two or more individuals in an occupation. In this perspective, maternal care is considered a co-occupation, and occupational therapists seek to promote the insertion of the mother in the Neonatal Intensive Care Unit (NICU), maternal guaranteeing autonomy and independence in the care of the baby. Objective: To analyze how the construction of maternal co-occupation in the NICU takes place. Method: A qualitative, multiple-case study conducted at a philanthropic hospital in Belo Horizonte, Minas Gerais, Brazil, and attended by six mothers of infants admitted to the NICU. Semi-structured interviews and the participant's diary were used as instruments of data collection. The data were submitted to content analysis in thematic modality with the use of MAXQDA software. The themes were grouped giving rise to two categories with their respective subcategories. Results: It was verified that the mothers experience different feelings related to the baby's hospitalization in the NICU, and their involvement in co-occupations in this context happens gradually, intensifying from the clinical improvement of the baby. Conclusion: The way mothers construct co-occupation during the infant's hospitalization in the NICU is based on their understanding and previous experience about motherhood, as well as on aspects related to the context of the NICU. It is necessary that occupational therapists know the expectations of mothers in order to build with them possibilities of involvement in co-occupations that meets their expectations.Resumo: Introdução: O termo co-ocupação tem sido utilizado por terapeutas ocupacionais para definir o envolvimento implícito de dois ou mais indivíduos em uma ocupação. Nessa perspectiva, o cuidado materno é considerado uma co-ocupação, sendo que os terapeutas ocupacionais buscam promover a inserção da mãe na Unidade de Terapia Intensiva Neonatal (UTIN), garantindo a autonomia e independência materna nos cuidados do bebê. Objetivo: Analisar como se dá a construção da co-ocupação materna na UTIN. Método: Estudo de caso múltiplo, descritivo-exploratório de abordagem qualitativa, realizado em um Hospital filantrópico de Belo Horizonte, Minas Gerais e que teve como participantes seis mães de bebês internados na UTIN. Utilizou-se como instrumentos de coleta de dados a entrevista semiestruturada e o diário da participante. Os dados foram submetidos à análise de conteúdo na modalidade temática com a utilização do software MAXQDA. Resultados: Verificou-se que as mães vivenciam diferentes sentimentos relacionados à internação do bebê na UTIN, sendo que seu envolvimento em co-ocupações, nesse contexto, acontece de forma gradativa, se intensificando a partir da melhora clínica do bebê. Conclusão: O modo como as mães constroem a co-ocupação durante a internação do bebê na UTIN baseia-se no seu entendimento e na sua vivência prévia acerca da maternidade, bem como nos aspectos relacionados ao contexto da UTIN. ...

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Terapia ocupacional com puérperas em enfermaria obstétrica

Oliveira

2019

Rev. Ter. Ocup. Univ. São Paulo (Online)

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Esta pesquisa objetivou conhecer a opinião de discentes da graduação em Terapia Ocupacional e de profissionais residentes terapeutas ocupacionais sobre a atuação da Terapia Ocupacional junto à puérperas em contexto hospitalar, a partir de suas vivências práticas em enfermaria obstétrica de um hospital universitário da Paraíba. Trata-se de estudo exploratório, descritivo e qualitativo, com 11 discentes de Terapia Ocupacional e 5 residentes terapeutas ocupacionais. Os dados foram coletados por meio de ficha de caracterização do perfil dos participantes e entrevista semiestruturada com o propósito de conhecer a percepção dos participantes sobre a atuação da Terapia Ocupacional com puérperas em enfermaria obstétrica. A partir da Análise de Conteúdo surgiram dois eixos temáticos: “Potencialidades da Terapia Ocupacional com puérperas em enfermaria obstétrica” e “Fragilidades e desafios da Terapia Ocupacional no campo”. Resultados revelam contribuições da Terapia Ocupacional para puérperas hospitalizadas ao minimizar impactos causados pelo contexto hospitalar, ajudando-as a ressignificar esse espaço e cotidiano, e a desempenharem o papel ocupacional da maternidade, além de apontarem para a necessidade da inserção de terapeutas ocupacionais e de publicações especí icas no campo

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A terapia ocupacional no contexto da assistência à mãe e à família de recém-nascidos internados em unidade de terapia intensiva

Cited by 15 publications

References 0 publications

Atuação terapêutica ocupacional em um centro obstétrico de alto risco

Atuação terapêutica ocupacional em um centro obstétrico de alto risco

A construção da co-ocupação materna na Unidade de Terapia Intensiva Neonatal

Terapia ocupacional com puérperas em enfermaria obstétrica

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