Abstract
Objective: to analyze the practice of integrality in mother-baby welcoming in the context of primary health care. Methods: It is a cross-sectional descriptive study. Data were collected from medical records of children treated by nurses in a primary care unit in Rio de Janeiro, in the years 2009 and 2011, with 421 and 275 records, respectively. Results: The results showed that, in both years, more than70% of the mothers were between 20 and 35 years old and that, in 2011, there was a significant increase in cesarean births records, children with physiological jaundice and the number of women that were exclusively breastfeeding. Conclusion: It was concluded that comprehensive child careactions constitute one of the dimensions of nursing practice in primary health care and contribute to improve the quality of life of the clients. 1 Universidade Federal do Rio de Janeiro. Rio de Janeiro RJ, Brazil. 2 Universidade Federal do Rio de Janeiro. Rio de Janeiro RJ, Brazil. 3 Universidade Federal do Rio de Janeiro. Rio de Janeiro RJ, Brazil. 4 Universidade Federal do Rio de Janeiro. Rio de Janeiro RJ, Brazil. 5 Universidade Federal do Rio de Janeiro. Rio de Janeiro RJ, Brazil. 6 Universidade Federal do Rio de Janeiro. Rio de Janeiro RJ, Brazil. RESEARCH PESQUISA INVESTIGACION Integralidade como uma dimensao da pratica assistencial do enfermeiro no acolhimento mae-bebe Esc Anna Nery (print)2013 Sep-Dec; 17 (4):677 682 Maria Helena do Nascimento Souza1, Elisabete Pimenta Araujo Paz2, Sheila Nascimento Pereira Farias3, Liane Gack Ghelman4, Camille Xavier de Mattos5, Rebecca Rodrigues de Barros6 Integralidad como una dimension de la practica asistencial del enfermero en el acogimiento madre-bebe Comprehensive health care; Child health; Primary health care; Nursing.
Highlights
In the comprehensive care context, child healthcare is a constitutional premise and an important step in the acknowledgement of children's rights in the Unified Health System (SUS)[1]
The inclusion criterion was focused on patient files that contained the Mother-Baby Welcoming Consultation Activity Script, with completion dates in 2009 and 2011, as this was the period during which nursing students developed activities at the service under the supervision of a faculty member of Anna Nery School of Nursing at Universidade Federal do Rio de Janeiro
The analysis of the results obtained for the MotherBaby Welcoming consultations shows that the nurses' actions in this Strategy converge towards the integrality of mother-infant care delivery in primary health care[1], involving the supply of educative actions for child health promotion, the early diagnosis of problems and the prevention of postnatal complications, in view of knowledge about the clients' characteristics
Summary
In the comprehensive care context, child healthcare is a constitutional premise and an important step in the acknowledgement of children's rights in the Unified Health System (SUS)[1]. The integrality principles represents the population's right to have its needs attended to, and the State is responsible for offering health services that have been organized to deliver comprehensive care to the population, which is closely related to the conception of health and disease. In this sense, the SUS should respond to the needs originating in all complexity levels of the system, through health promotion, protection and recovery actions, as well as through rehabilitation, overcoming the dichotomy between preventive and curative, individual and group actions. The way the service supply is programmed demands articulation among health team professionals and among the different levels in the technological hierarchy of care delivery[3]
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