de Melo Mônica Cecília Pimentel, Coelho Edméia de Almeida Cardoso
Fundação Universidade Federal do Vale do São Francisco. Av. José de Sá Maniçoba s/no, Centro Universitário, Centro. 56304-917 Petrolina PE.
Cien Saude Colet. 2011 May;16(5):2549-58. doi: 10.1590/s1413-81232011000500025.
Prenatal adolescent care is characterized by technical actions seeking to provide assistance from the perspective of comprehensive care. The Community Health Agent Program/Family Health Program (PACS/PSF) is a strategy for implementing the changes envisaged, which motivated this scientific investigation. The scope of the research was to assess prenatal care to pregnant adolescents by health professionals of PACS/PSF and analyze it from the standpoint of comprehensive care. It is a qualitative study, with comprehensive care as its theoretical focus. It was conducted in PACS/PSF units in a city in the State of Bahia, and the subjects of study were the practitioners who treat pregnant adolescents. The empirical material was produced by means of semi-structured interviews and non-participative observation in consultations and homecare visits and was analyzed using the speech analysis technique. This revealed that prenatal care for adolescents is provided using the biomedical model, where compliance with institutional protocols and routines takes precedence over considering the specific aspects of the adolescent. Thus it is far removed from comprehensive care, in that the practices are guided by ideological adherence to a model that fails to grant pregnant adolescents the opportunity to be treated as individuals.
青少年孕期护理的特点是采取技术行动，旨在从全面护理的角度提供援助。社区卫生工作者项目/家庭健康项目（PACS/PSF）是实施预期变革的一项战略，这激发了本次科学调查。该研究的范围是评估PACS/PSF的卫生专业人员为青少年孕妇提供的孕期护理，并从全面护理的角度进行分析。这是一项定性研究，以全面护理作为其理论重点。研究在巴伊亚州一个城市的PACS/PSF单位进行，研究对象是治疗青少年孕妇的从业者。实证材料通过半结构化访谈以及在咨询和家庭护理访视中的非参与性观察产生，并使用言语分析技术进行分析。结果显示，青少年孕期护理采用的是生物医学模式，其中遵守机构规程和常规优先于考虑青少年的具体情况。因此，它与全面护理相差甚远，因为这些做法受一种意识形态的指导，即坚持一种未能给予青少年孕妇作为个体接受治疗机会的模式。
