Madres de niños prematuros y sus redes sociales en tiempos de pandemia: investigación cualitativa
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https://doi.org/10.5902/2179769287289Palabras clave:
Red Social, Recién Nacido Prematuro, Salud Maternal-Infantil, Enfermería, Investigación CualitativaResumen
Objetivo: identificar la relación entre madres de niños prematuros y sus redes sociales en el cuidado de esos niños en tiempos de pandemia. Método: estudio cualitativo realizado con 12 madres de niños prematuros en seguimiento en un centro ambulatorio materno-infantil de alto riesgo en el interior de São Paulo, Brasil. La recolección de datos se realizó mediante entrevistas semiestructuradas y la creación de mapas de redes sociales, que se analizaron por medio de análisis temático reflexivo. Resultados: los mapas mostraron redes sociales reducidas y debilitadas siendo la familia la principal fuente de vínculos significativos. Se identificaron dos temas finales, titulados «Desafíos de adaptación en un contexto de soporte social debilitado» y «Relaciones sociales restringidas ante el COVID-19». Conclusión: es importante que la atención a la salud de los recién nacidos prematuros y sus familias incluya la atención y el soporte social de los cuidadores, con esfuerzos para implementar la intersectorialidad y la atención territorial y comunitaria.
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Chawanpaiboon S, Vogel JP, Moller AB, Lumbiganon P, Petzold M, Hogan D, et al. Global, regional, and national estimates of levels of preterm birth in 2014: a systematic review and modelling analysis. Lancet Glob Health. 2019;7(1):e37-46. doi: 10.1016/S2214-109X(18)30451-0.
Alberton M, Rosa VM, Iser BPM. Prevalence and temporal trend of prematurity in Brazil before and during the COVID-19 pandemic: a historical time series analysis, 2011-2021. Epidemiol Serv Saúde. 2023;32(2):e2022603. doi: 10.1590/S2237-96222023000200005.
Gonzaga ICA, Santos SLD, Silva ARV, Campelo V. Atenção pré-natal e fatores de risco associados à prematuridade e baixo peso ao nascer em capital do nordeste brasileiro. Ciênc Saúde Coletiva. 2016;21(6):1965-74. doi: 10.1590/1413-81232015216.06162015.
Silva RMM, Pancieri L, Zilly A, Spohr FA, Fonseca LMM, Mello DF. Follow-up care for premature children: the repercussions of the COVID-19 pandemic. Rev Latinoam Enferm. 2021;29:e3414. doi: 10.1590/1518-8345.4759.3414.
Maleki M, Mardani A, Harding C, Basirinezhad MH, Vaismoradi M. Nurses’ strategies to provide emotional and practical support to the mothers of preterm infants in the neonatal intensive care unit: a systematic review and meta-analysis. Women’s Health (Lond). 2022;18:17455057221104674. doi: 10.1177/17455057221104674.
Pinheiro SRCS, Gubert FA, Martins MC, Beserra EP, Gomes CC, Feitosa MR. Self-efficacy and social support of mothers of preterms in neonatal unit. Rev Bras Saúde Mater Infant. 2023;23:e20210289. doi: 10.1590/1806-9304202300000289-en.
Franck LS, Waddington C, O'Brien K. Family integrated care for preterm infants. Crit Care Nurs Clin North Am. 2020 Jun;32(2):149-65. doi: 10.1016/j.cnc.2020.01.001.
Petruccelli G, Oliveira AIB, Ruiz MT, Wernet M. Maternal home care for premature and/or low birth weight children born during the pandemic. Res Soc Dev. 2022 Nov 15;11(15):e233111537281. doi: 10.33448/rsd-v11i15.37281.
Reichert APS, Guedes ATA, Soares AR, Brito PKH, Bezerra ICS, Silva LCL, et al. Repercussões da pandemia da Covid-19 no cuidado de lactentes nascidos prematuros. Esc Anna Nery. 2022;26:e20210179. doi: 10.1590/2177-9465-EAN-2021-0179.
Sluzki CE. A rede social na prática sistêmica: alternativas terapêuticas. São Paulo: Casa do Psicólogo; 1997.
Weyers S, Rigó M. Child health and development in the course of the COVID-19 pandemic: are there social inequalities? Eur J Pediatr. 2023 Mar;182(3):1173-81. doi: 10.1007/s00431-022-04799-9.
Minayo MCS. O desafio do conhecimento: pesquisa qualitativa em saúde. 13ª ed. São Paulo: Hucitec; 2014.
Hennink MM, Kaiser BN, Marconi VC. Code saturation versus meaning saturation: how many interviews are enough? Qual Health Res. 2017;27(4):591-608. doi: 10.1177/1049732316665344.
Souza VRS, Marziale MHP, Silva GTR, Nascimento PL. Translation and validation into Brazilian Portuguese and assessment of the COREQ checklist. Acta Paul Enferm. 2021;34:eAPE02631. doi: 10.37689/acta-ape/2021AO02631.
Braun V, Clarke V. Reflecting on reflexive thematic analysis. Qual Res Sport Exerc Health. 2019;11(4):589-97. doi: 10.1080/2159676X.2019.1628806.
Alves AB, Pereira TRC, Aveiro MC, Cockell FF. Functioning and support networks during postpartum. Rev Bras Saúde Mat Infantil. 2022;22(3):667-73. doi: 10.1590/1806-9304202200030013.
Miranda LL, Ferrari RAP, Assunção RC, Zani AV. Paternal living of premature son hospitalized through photographic record. Esc Anna Nery. 2021;25(4):e20200314. doi: 10.1590/2177-9465-EAN-2020-0314.
Aubel J. Grandmothers - a neglected family resource for saving newborn lives. BMJ Glob Health. 2021 Feb;6(2):e003808. doi: 10.1136/bmjgh-2020-003808.
Leahy-Warren P, Coleman C, Bradley R, Mulcahy H. The experiences of mothers with preterm infants within the first-year post discharge from NICU: social support, attachment and level of depressive symptoms. BMC Pregnancy Childbirth. 2020;20(1):260. doi: 10.1186/s12884-020-02956-2.
Carvalho NAR, Santos JDM, Sales IMM, Araújo AAC, Sousa AS, Morais FF, et al. Care transition of preterm infants: from maternity to home. Acta Paul Enferm. 2021;34:eAPE02503. doi: 10.37689/acta-ape/2021AR02503.
Lutkiewicz K. Social support, perceived stress, socio-demographic factors and relationship quality among polish mothers of prematurely born children. Int J Environ Res Public Health 2020;17(11):3876. doi: 10.3390/ijerph17113876.
Patriksson K, Selin L. Parents and newborn "togetherness" after birth. Int J Qual Stud Health Well-being. 2022 Dec;17(1):2026281. doi: 10.1080/17482631.2022.2026281.
Sekhavatpour Z, Reyhani T, Heidarzade M, Moosavi SM, Mazlom SR, Dastoorpoor M, et al. The effect of spiritual self-care training on the quality of life of mothers of preterm infants: a randomized controlled trial. J Relig Health. 2020 Apr;59(2):714-24. doi: 10.1007/s10943-018-0620-4.
Cai Q, Wang H, Chen D, Xu W, Yang R, Xu X. Effect of family-centred care on parental mental health and parent-infant interactions for preterm infants: a systematic review protocol. BMJ Open. 2022;12(10):e062004. doi: 10.1136/bmjopen-2022-062004.
Jantsch LB, Alves TF, Arrué AM, Toso BRGO, Neves ET. Health care network (dis)articulation in late and moderate prematurity. Rev Bras Enferm. 2021;74(5):e20200524. doi: 10.1590/0034-7167-2020-0524.
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Derechos de autor 2024 Revista de Enfermagem da UFSM
Esta obra está bajo una licencia internacional Creative Commons Atribución 4.0.
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