A CONSTRUÇÃO DE UMA ELABORAÇÃO GRÁFICA DA REDE DE APOIO SOCIAL DE MÃES DURANTE A HOSPITALIZAÇÃO DE SEUS BEBÊS EM UTI

• Ano de defesa: 2017
• Autor(a) principal: Lima, Larissa Gress de
• Orientador(a): Smeha, Luciane Najar
• Banca de defesa: Siqueira, Aline Cardoso, Kruel, Cristina Saling, Ferreira, Carla Lizandra de Lima
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Centro Universitário Franciscano
• Programa de Pós-Graduação: Mestrado Profissional em Saúde Materno Infantil
• Departamento: Saúde Materno Infantil
• País: Brasil
• Palavras-chave em Português: Unidade de Terapia Intensiva Pediátrica; Unidade de Terapia Intensiva Neonatal; Criança Hospitalizada; Rede Social; Apoio Social; Maternidade.
• Palavras-chave em Inglês: Pediatric Intensive Care Unit; Neonatal Intensive Care Unit; Hospitalized Child; Social network; Social support; Maternity.
• Área do conhecimento CNPq: Saúde Materno Infantil
• Link de acesso: http://www.tede.universidadefranciscana.edu.br:8080/handle/UFN-BDTD/628

The experience of hospitalizing a baby in the Intensive Care Unit for mothers and their families is a difficult time. There are families that can overcome the difficulties of hospitalization, however, others are unstructured, since the hospitalization of the child can have repercussions throughout the family system. This is why, during the hospitalization of a baby, the support of the social network becomes essential for the mother and for the other relatives. There are several support networks that can be detected during the hospitalization of a baby: a network of relatives, friends, professionals and internal networks. Thus, the present study aimed to elaborate a graphical representation of the results of the social support network of mothers who had their babies hospitalized in a Pediatric or Neonatal Intensive Care Unit. As specific objectives, this study considered: elucidate the feelings of mothers regarding the experience of child care in a Pediatric or Neonatal Intensive Care Unit; to know the factors that favor or hinder the experience of mothers during the period of hospitalization of their baby; and, to know the relationships established by the mothers in the hospital environment. A qualitative research was conducted through a semi-structured interview and through the application of an adaptation of Sluzki's Minimal Relations Map (1997), with the participation of nine mothers of infants who were admitted to six different Pediatric and Neonatal ICUs. Data collection was performed from June to September 2016, and originated two articles. In the first article. Data resulting from the interview were coded by content analysis and resulted in three categories: When the real does not correspond to the expected: the mother facing the need for hospitalization of the baby in the ICU; The exchange of a lullaby pack by a roller coaster of emotions; and, What can mitigate the strong emotions of the roller coaster?: the importance of support. In the second article, already from the analysis of the map, which was given by incidence, it was highlighted in the family quadrant, that the husband was the most cited as being the closest relative and that most supported the mother; in the friends' quadrant, some participants mentioned having close friends and receiving support from them during the baby's hospitalization; in the family quadrant of other patients: some participants mentioned that they had a close relationship with the other mothers and that they supported her during ICU stay; And in the ICU team quadrant, among the professionals, the nurse perceived the closest one perceived by the mothers. It was concluded that it is difficult for mothers not to be able to take their babies home after birth. They revealed feelings such as fear, insecurity, fear of the baby's death, impotence and guilt. The mothers experienced a sense of loss of control of the situation, concern for other children and need for support. It was possible to elucidate that the husband, in most cases, plays the most important role of support, both socially and emotionally, and failing him, the second person closest is the maternal grandmother of the baby, but the other family and friends also play the role of social support and material aid. Proximity to other mothers is greater when hospitalization is long or occurs outside the home city, and the team also exerts important support for mothers. Professionals can minimize the suffering of mothers and their families through simple initiatives, with a view to greater reception, always prioritizing clear and welcoming communication. As a way to broaden the reflections, according to the objective, a graphic representation of the results of the Minimum Adapted Relationship Map was prepared, which was presented to the students of the health area and will be exposed in the halls of the Teaching Institution Centro Universitário Franciscano. Descriptors: Pediatric Intensive Care Unit; Neonatal Intensive Care Unit; Hospitalized Child; Social network; Social support; Maternity