A Risky Situation with Impact on the Whole Family: Teenage Pregnancy

Detalhes bibliográficos
Autor(a) principal: Bica, Isabel
Data de Publicação: 2016
Outros Autores: Esteves, Inês, Cruz, Sara, Andrade, Ana
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: https://doi.org/10.29352/mill0201.05.00085
Resumo: Introduction: Teenage pregnancy is a risky situation with impact on the whole family, which may cause crisis both in the teenager who gets pregnant – due to the inexperience and consequent difficulty in taking care of a child – and in the transgerational perspective. Objectives: Applying the Dynamic Model of Family Assessment and Intervention (MDAIF) by Figueiredo (2009) and assessing the impact of nursing care in a family in clinical and community context. Methods: Qualitative case study based on MDAIF in clinical context in Primary Health Care. This study was focused on family intervention process developed within a family of a 16-year-old who gets pregnant from a casual encounter with a 25-year-old boy she met on social networks (Facebook). Instruments: Genogram, Ecomap, Family Apgar and Graffar Scale. Results: Middle-class extended family with different subsystems and strict limits. According to Duvall (1977), the family is at the life cycle stage - Family with teenage children. Despite the unplanned pregnancy and the fact that the young woman and her mother have a controversial relationship, her mother became an important support in the teenager’s life path and the newborn’s development. Conclusions: The MDAIF’s use allowed the development of nurses’ skills for a family approach, contributing to meet the family’s needs, seen as care unit. In addition, it allowed the teenager to keep accomplishing her life project. It is suggested the continued use of MDAIF.
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spelling A Risky Situation with Impact on the Whole Family: Teenage PregnancySituacion de Riesgo con Impacto en Toda la Familia: Embarazo en la AdolescenciaSituação de Risco com Impacto em Toda a Família: Gravidez na AdolescênciaLife and Healthcare SciencesIntroduction: Teenage pregnancy is a risky situation with impact on the whole family, which may cause crisis both in the teenager who gets pregnant – due to the inexperience and consequent difficulty in taking care of a child – and in the transgerational perspective. Objectives: Applying the Dynamic Model of Family Assessment and Intervention (MDAIF) by Figueiredo (2009) and assessing the impact of nursing care in a family in clinical and community context. Methods: Qualitative case study based on MDAIF in clinical context in Primary Health Care. This study was focused on family intervention process developed within a family of a 16-year-old who gets pregnant from a casual encounter with a 25-year-old boy she met on social networks (Facebook). Instruments: Genogram, Ecomap, Family Apgar and Graffar Scale. Results: Middle-class extended family with different subsystems and strict limits. According to Duvall (1977), the family is at the life cycle stage - Family with teenage children. Despite the unplanned pregnancy and the fact that the young woman and her mother have a controversial relationship, her mother became an important support in the teenager’s life path and the newborn’s development. Conclusions: The MDAIF’s use allowed the development of nurses’ skills for a family approach, contributing to meet the family’s needs, seen as care unit. In addition, it allowed the teenager to keep accomplishing her life project. It is suggested the continued use of MDAIF.Introducción: El embarazo em la adolescencia es una situación de riesgo con impacto en toda la familia, por lo que puede provocar una crisis no sólo en el adolescente embarazada – debido a la inexperiencia y a consiguiente dificultad que es cuidar de un niño – y en la perspectiva transgerational. Objetivos: Aplicación de Modelo Dinámico de Evaluación Familiar e Intervención (MDAIF) por Figueiredo (2009) y la evaluación del impacto de los cuidados de enfermería en una familia en el contexto clinico y comunitario. Metodos: Estudio de caso cualitativo basado en MDAIF en el contexto clinico en la atención primaria. Este estudio se entró en processo de intervención familiar elaborado con una familia de una joven de 16 años de edad, que queda embarazada de un encuentro casual con un niño de 25 años de edad, se encontró en las redes sociales (Facebook). Instrumentos: genograma, ecomapa, Apgar Familiar y Escala de Graffaar. Resultados: Familia extensa de clase media con diferentes subsistemas y limites estrictos. De acuerdo com Duvall (1977), la familia está en la etapa de ciclo de vida – Familia con hijos. A pesar de que el embarazo no planificado y el hecho de que la joven y su madre tienen una relación adversatial, su madre llegó a ser una ayuda importante en la ruta de la vida del adolescente y en el desarrollo del recién nacido. Conclusiones: El uso de MDAIF permitió el desarrollo de las habilidades de las enfermeras para un enfoque familiar, lo que contribuye a satisfacer las necesidades de la familia, considerada como unidad de cuidados. Además, permitió que el adolescente a mantener el cumplimiento de su proyecto de vida. Se sugiere el uso continuado de MDAIF.Introdução: A gravidez na adolescência constitui uma situação de risco com impacto em toda a família, podendo gerar crises não apenas na jovem que engravida - em virtude da inexperiência e consequente dificuldade que surge para cuidar de um filho - , como do ponto de vista transgeracional. Objetivos: Aplicar o Modelo Dinâmico de Avaliação e Intervenção Familiar (MDAIF) Figueiredo (2009) e avaliar o impacto dos cuidados de enfermagem numa família em contexto clínico. Métodos: Estudo de caso qualitativo realizado com base no MDAIF em contexto clínico nos Cuidados de Saúde Primários. Este estudo focou-se no processo de intervenção familiar desenvolvido com uma família de uma adolescente de 16 anos que engravida, fruto de uma relação fugaz com um rapaz 9 anos mais velho que conheceu através das redes sociais (Facebook). Instrumentos: Genograma, Ecomapa, Apgar familiar e Escala de Graffar. Resultados: Família extensa, com diferentes subsistemas e limites rígidos. A família encontra-se na etapa do ciclo vital – família com filhos adolescentes, segundo Duvall (1977). Família de classe média. Com a gravidez não desejada da adoelscente, e apesar da relação conflituosa com a sua mãe, esta torna-se um apoio importante no percurso da vida da adolescente e no desenvolvimento do recém-nascido. Conclusões: A utilização do MDAIF permitiu o desenvolvimento das habilidades dos enfermeiros para uma abordagem familiar, contribuindo assim para dar resposta às necessidades da família, enquanto unidade alvo de cuidados. Além disto, permitiu à adolescente prosseguir com a realização do seu projeto de vida, com o apoio familiar e social. Sugere-se a continuidade da utilização do MDAIF.Polytechnic Institute of Viseu (IPV)2016-09-30info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttps://doi.org/10.29352/mill0201.05.00085eng1647-662X0873-3015Bica, IsabelEsteves, InêsCruz, SaraAndrade, Anainfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-06-15T15:01:34ZPortal AgregadorONG
dc.title.none.fl_str_mv A Risky Situation with Impact on the Whole Family: Teenage Pregnancy
Situacion de Riesgo con Impacto en Toda la Familia: Embarazo en la Adolescencia
Situação de Risco com Impacto em Toda a Família: Gravidez na Adolescência
title A Risky Situation with Impact on the Whole Family: Teenage Pregnancy
spellingShingle A Risky Situation with Impact on the Whole Family: Teenage Pregnancy
Bica, Isabel
Life and Healthcare Sciences
title_short A Risky Situation with Impact on the Whole Family: Teenage Pregnancy
title_full A Risky Situation with Impact on the Whole Family: Teenage Pregnancy
title_fullStr A Risky Situation with Impact on the Whole Family: Teenage Pregnancy
title_full_unstemmed A Risky Situation with Impact on the Whole Family: Teenage Pregnancy
title_sort A Risky Situation with Impact on the Whole Family: Teenage Pregnancy
author Bica, Isabel
author_facet Bica, Isabel
Esteves, Inês
Cruz, Sara
Andrade, Ana
author_role author
author2 Esteves, Inês
Cruz, Sara
Andrade, Ana
author2_role author
author
author
dc.contributor.author.fl_str_mv Bica, Isabel
Esteves, Inês
Cruz, Sara
Andrade, Ana
dc.subject.por.fl_str_mv Life and Healthcare Sciences
topic Life and Healthcare Sciences
description Introduction: Teenage pregnancy is a risky situation with impact on the whole family, which may cause crisis both in the teenager who gets pregnant – due to the inexperience and consequent difficulty in taking care of a child – and in the transgerational perspective. Objectives: Applying the Dynamic Model of Family Assessment and Intervention (MDAIF) by Figueiredo (2009) and assessing the impact of nursing care in a family in clinical and community context. Methods: Qualitative case study based on MDAIF in clinical context in Primary Health Care. This study was focused on family intervention process developed within a family of a 16-year-old who gets pregnant from a casual encounter with a 25-year-old boy she met on social networks (Facebook). Instruments: Genogram, Ecomap, Family Apgar and Graffar Scale. Results: Middle-class extended family with different subsystems and strict limits. According to Duvall (1977), the family is at the life cycle stage - Family with teenage children. Despite the unplanned pregnancy and the fact that the young woman and her mother have a controversial relationship, her mother became an important support in the teenager’s life path and the newborn’s development. Conclusions: The MDAIF’s use allowed the development of nurses’ skills for a family approach, contributing to meet the family’s needs, seen as care unit. In addition, it allowed the teenager to keep accomplishing her life project. It is suggested the continued use of MDAIF.
publishDate 2016
dc.date.none.fl_str_mv 2016-09-30
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
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dc.identifier.uri.fl_str_mv https://doi.org/10.29352/mill0201.05.00085
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dc.language.iso.fl_str_mv eng
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dc.relation.none.fl_str_mv 1647-662X
0873-3015
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dc.publisher.none.fl_str_mv Polytechnic Institute of Viseu (IPV)
publisher.none.fl_str_mv Polytechnic Institute of Viseu (IPV)
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
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