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街头外展办公室提供产前护理的可达性:巴西北部护士的看法。

Accessibility to prenatal care at the Street Outreach Office: nurse perceptions in northern Brazil.

机构信息

Universidade Federal de Juiz de Fora. Juiz de Fora, Minas Gerais, Brazil.

Universidade de São Paulo. São Paulo, São Paulo, Brazil.

出版信息

Rev Bras Enferm. 2024 Aug 30;77Suppl 2(Suppl 2):e20240090. doi: 10.1590/0034-7167-2024-0090. eCollection 2024.

DOI:10.1590/0034-7167-2024-0090
PMID:39230097
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11370769/
Abstract

OBJECTIVES

to understand nurse perspectives regarding homeless pregnant women's accessibility to prenatal care.

METHODS

a qualitative study, with analysis based on the concept of accessibility. Semi-structured interviews were carried out with 11 nurses who work at the Street Outreach Office in northern Brazil.

RESULTS

nurses are faced with geographic barriers and dangerous situations in border regions, recognizing that there is a context of physical, sexual and psychological violence that involves homeless pregnant women who seek care at the Street Outreach Office. Street Outreach Office nurses' work occurs in conjunction with other services in the Health Care Network. The implementation of educational measures is a powerful strategy, as is establishing links with women.

FINAL CONSIDERATIONS

the Street Outreach Office's work provides meetings with pregnant women on site in the territory, which can provide geographic and socio-organizational accessibility to prenatal care.

摘要

目的

了解护士对无家可归孕妇获得产前护理的看法。

方法

这是一项定性研究,其分析基于可及性的概念。对在巴西北部街头外展办公室工作的 11 名护士进行了半结构化访谈。

结果

护士在边境地区面临地理障碍和危险情况,认识到存在涉及寻求街头外展办公室护理的无家可归孕妇的身体、性和心理暴力的背景。街头外展办公室护士的工作与卫生保健网络中的其他服务相结合。实施教育措施是一项有力的策略,与妇女建立联系也是如此。

最终考虑

街头外展办公室的工作提供了在该地区现场与孕妇的会面,这可以提供地理和社会组织上获得产前护理的机会。

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本文引用的文献

1
Sexual assault and vulnerability to sexually transmitted infections among homeless Brazilian women: a cross sectional qualitative study.无家可归的巴西女性中的性侵犯和性传播感染易感性:一项横断面定性研究。
BMC Womens Health. 2023 Oct 31;23(1):561. doi: 10.1186/s12905-023-02723-3.
2
Social determinants of inadequate prenatal care utilization in sheltered homeless mothers in the Greater Paris area in France.法国大巴黎地区庇护性无家可归母亲中产前保健利用不足的社会决定因素。
Front Public Health. 2023 Mar 21;11:1080594. doi: 10.3389/fpubh.2023.1080594. eCollection 2023.
3
Pregnancy and sexual related problems among women living on the street in dire Dawa City, Eastern Ethiopia, 2021: qualitative study.2021 年,在埃塞俄比亚东部的达瓦市,对生活在街头的妇女进行的一项关于怀孕和性相关问题的定性研究。
BMC Womens Health. 2022 Nov 3;22(1):429. doi: 10.1186/s12905-022-02006-3.
4
Attention to Women's Sexual and Reproductive Health at the Street Outreach Office.关注街头外展办公室的妇女性健康和生殖健康。
Int J Environ Res Public Health. 2022 Sep 1;19(17):10885. doi: 10.3390/ijerph191710885.
5
Characteristics Associated with Homeless Pregnant Women in Columbus, Ohio.俄亥俄州哥伦布市无家可归孕妇的特征。
Matern Child Health J. 2022 Feb;26(2):351-357. doi: 10.1007/s10995-021-03227-y. Epub 2021 Oct 6.
6
The production of the common as a care strategy for complex users: a cartography with homeless women.将共同生产作为复杂使用者的关怀策略:与无家可归妇女的制图学。
Cien Saude Colet. 2021 Aug;26(8):3077-3086. doi: 10.1590/1413-81232021268.12972020. Epub 2020 Jun 17.
7
"Whose baby is this?": challenges for homeless women's right to motherhood.“这是谁的孩子?”:无家可归妇女的生育权面临的挑战。
Cad Saude Publica. 2021 May 28;37(5):e00269320. doi: 10.1590/0102-311X00269320. eCollection 2021.
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Project20: Does continuity of care and community-based antenatal care improve maternal and neonatal birth outcomes for women with social risk factors? A prospective, observational study.项目 20:连续护理和基于社区的产前护理是否能改善具有社会风险因素的妇女的母婴分娩结局?一项前瞻性、观察性研究。
PLoS One. 2021 May 4;16(5):e0250947. doi: 10.1371/journal.pone.0250947. eCollection 2021.
9
Desire for and barriers to obtaining effective contraception among women experiencing homelessness.无家可归女性对有效避孕措施的需求及获取障碍
Contracept Reprod Med. 2020 Aug 17;5:12. doi: 10.1186/s40834-020-00113-w. eCollection 2020.
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