RESUMO

A Unidade de Terapia Intensiva Neonatal (UTIN), embora seja um ambiente de cuidados especiais para garantir a sobrevivência de recém-nascidos, tende a suscitar, nas mães e familiares, percepções e sentimentos ambíguos sobre os eventos relacionados a internação e, ainda, alterar a saúde emocional dos envolvidos. O presente estudo teve como objetivo verificar a associação entre apoio social, estratégias de enfrentamento e tempo de internação, de mães de bebês em UTIN. Os dados foram obtidos de uma amostra de 50 mães de bebês, na maioria até 10 dias internados, que responderam a Escala Modos de Enfrentamento de Problemas e a Escala de Apoio Social. Observou-se que as mães perceberam maior apoio de familiares, principalmente nas dimensões material e afetivo. As estratégias de enfrentamento de maior recorrência foram as focalizadas no problema e na busca de prática religiosa e/ou pensamento fantasioso. Os resultados demonstraram a importância do apoio de diferentes dimensões e as dificuldades de enfrentamento das situações estressoras com o passar dos dias de internação. Os resultados apontaram para a necessidade de atenção e cuidado a essa população.(AU)

The Neonatal Intensive Care Unit (NICU), although it is an environment of special care to ensure the survival of newborns, tends to raise, in mothers and family members, ambiguous perceptions and feelings about events related to hospitalization and also change the emotional health of those involved. This study aimed to verify the association between social support, coping strategies and length of stay of mothers of babies in the NICU. Data were obtained from a sample of 50 mothers of babies, most of them within 10 days of hospitalization, who answered the Modes of Coping with Problems Scale and the Social Support Scale. It was observed that mothers perceived greater support from family members, especially in the material and affective dimensions. The coping strategies of greatest recurrence were those focused on the problem and the search for religious practice and / or fanciful thinking. The results demonstrate the importance of the support of different dimensions and the difficulties of coping with stressful situations with the passage of the days of hospitalization. The results highlight the need for attention and care to this population.(AU)

La Unidad de Cuidados Intensivos Neonatales (UCIN), si bien es un ambiente de cuidados especiales para asegurar la supervivencia de los recién nacidos, tiende a suscitar, en las madres y familiares, percepciones y sentimientos ambiguos sobre eventos relacionados con la hospitalización y también cambiar la salud emocional de los recién nacidos. los implicados. Este estudio tuvo como objetivo verificar la asociación entre apoyo social, estrategias de enfrentamiento y tiempo de estadía de madres de bebés en la UCIN. Los datos se obtuvieron de una muestra de 50 madres de bebés, la mayoría dentro de los 10 días de la hospitalización, que respondieron la Escala de Modos de Enfrentamiento de Problemas y la Escala de Apoyo Social. Se observó que las madres percibieron un mayor apoyo por parte de los familiares, especialmente en las dimensiones material y afectiva. Las estrategias de enfrentamiento más recurrentes fueron las centradas en el problema y la búsqueda de prácticas y / o fantasías religiosas. Los resultados demostraran la importancia de los apoyos de diferentes dimensiones y las dificultades para enfrentar situaciones estresantes durante los días de hospitalización. Los resultados destacaran la necesidad de atención y cuidado de esta población.(AU)

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RESUMO

RESUMO O presente estudo teve como objetivo descrever indicadores de saúde emocional de mães de bebês internados, considerando o tempo de internação em Unidade de Terapia Intensiva Neonatal (UTIN). Participaram 50 mães de bebês que estavam internados na UTIN da Maternidade Santa Isabel, em Bauru, SP. Para a caracterização da amostra utilizou-se de um questionário sociodemográfico com informações sobre as mães e os bebês. Para a avaliação da saúde emocional materna utilizou-se da Escala de Estresse Percebido (PSS - 14), o Inventário de Ansiedade Traço-Estado (IDATE) e o Inventário de Depressão de Beck (BDI-II). As mães responderam aos instrumentos em seus quartos ou nas dependências da UTI. Os resultados apontaram para índices mais altos de estresse (38%), ansiedade traço (54%) e ansiedade estado (64%). Das mães, 56% apresentaram dois ou mais indicadores clínicos de saúde emocional. Quanto maior o tempo de internação maior a depressão e a ansiedade estado. Os resultados sugerem atenção terapêutica às mães de bebês em UTIN.

ABSTRACT The present study aimed to describe the emotional health indicators of mothers of hospitalized infants, considering the length of hospital stay in Neonatal Intensive Care Unit (NICU). Fifty mothers of babies who were admitted to the NICU of the Maternidade Santa Isabel, in Bauru, SP, participated. To characterize the sample, a sociodemographic questionnaire was used with information about mothers and babies. For the evaluation of maternal emotional health, the Perceived Stress Scale (PSS-14), the Trait-State Anxiety Inventory (IDATE) and the Beck Depression Inventory (BDI-II) were used. Mothers responded to the instruments in their rooms or ICU facilities. The results pointed to higher rates of stress (38%), trait anxiety (54%) and state anxiety (64%). Of the mothers, 56% had two or more clinical indicators of emotional health. The longer the hospitalization time the greater the depression and the anxiety state. The results suggest therapeutic attention to the mothers of infants in NICUs.

RESUMO

BACKGROUND: Prescribing is a complex and challenging task that must be part of a logical deductive process based on accurate and objective information and not an automated action, without critical thinking or a response to commercial pressure. The objectives of this study were 1) develop and implement a discipline based on the WHO's Guide to Good Prescribing; 2) evaluate the course acceptance by students; 3) assess the impact that the Rational Use of Medicines (RUM) knowledge had on the students habits of prescribing medication in the University Hospital. METHODS: In 2003, the RUM principal, based in the WHO's Guide to Good Prescribing, was included in the official curriculum of the Botucatu School of Medicine, Brazil, to be taught over a total of 24 hours to students in the 4th year. We analyzed the students' feedback forms about content and teaching methodology filled out immediately after the end of the discipline from 2003 to 2010. In 2010, the use of RUM by past students in their medical practice was assessed through a qualitative approach by a questionnaire with closed-ended rank scaling questions distributed at random and a single semistructured interview for content analysis. RESULTS: The discipline teaches future prescribers to use a logical deductive process, based on accurate and objective information, to adopt strict criteria (efficacy, safety, convenience and cost) on selecting drugs and to write a complete prescription. At the end of it, most students considered the discipline very good due to the opportunity to reflect on different actions involved in the prescribing process and liked the teaching methodology. However, former students report that although they are aware of the RUM concepts they cannot regularly use this knowledge in their daily practice because they are not stimulated or even allowed to do so by neither older residents nor senior medical staff. CONCLUSIONS: This discipline is useful to teach RUM to medical students who become aware of the importance of this subject, but the assimilation of the RUM principles in the institution seems to be a long-term process which requires the involvement of a greater number of the academic members.

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