Saúde sexual de adolescentes institucionalizadas: contribuições da enfermagem na perspectiva da teoria do Modelo de Promoção da Saúde de Nola Pender

• Autor(a) principal: Ribeiro, Liana Viana
• Data de Publicação: 2015
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da UERJ
• Texto Completo: http://www.bdtd.uerj.br/handle/1/11367
• topic: Nursing; Adolescent; Sexual health promotion; Nursing theory; Institutional care; Enfermagem; Adolescente; Promoção da saúde sexual; Teoria de enfermagem; Acolhimento institucional; CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM

The present study aims to the promotion of sexual health of adolescents in institutional care. The sexual health of institutionalized adolescents confer an intriguing theme. In a particular context, these young people have recently begun their sexual activities and are surrounded by social disparities that increase the risk of STD/ AIDS and early pregnancies. This situation raises concern regarding their own sexual behaviors and strategies developed relating to sexual health promotion. This study aimed as general propose to analyze the sexual health of adolescents ininstitucional care situation considering the Health Promotion Theory of Nola Pender and as specific objectives, identify and analyze the behavior and biological, psychological and sociocultural related to the sexual health of adolescents accepted; identify and analyze the feelings and factors that influence the immigrant adolescents associated with the promotion of sexual health; indicate possibilities of helper care in self-promotion / self-care of sexual health of adolescents in care. A descriptive and exploratory research with a qualitative approach. The theoretical and methodological framework used was the Health Promotion Model Theory of Nola Pender, which, from the identification of Psychosocial and behavioral factors, seeks to encourage healthy attitudes as a proposed health promotion. Participants were eight teenagers, institutionalized, female, and who had experienced sexually active. The study setting was a host institution located in the city of Rio de Janeiro. For the production of data, we used the semi-structured interview technique using a pre-designed questionnaire based on Nola Pender diagram. The analysis was based on Bardin (content analysis). From the analysis of the data, it was created two categories: a) Context of sexual health of adolescents received: characteristics and experiences; b) Feelings and knowledge of adolescents received about the promotion of sexual health. The adolescents had labile sexual behavior, using discontinuous contraception and a duality in protected sexual practices. Changes were perceived in sexual behavior by increasing the use of condoms during sexual intercourse, reducing the number of pregnancy compared to the period before and during the institutional care, a better sense of vulnerability and sexual attitudes of autonomy and empowerment strategies for health promotion sexual. Realized either, the influence of family, friends, media and host institution in promoting sexual health of young people. It was also observed, resilient positive behaviors and personal coping mechanisms to the history of sexual violence. The dialogic educational activities, that enhance the sexual health of institutionalized adolescents, based on Nola Pender's Health Promotion Model, are a viable and relevant proposal in search of citizenship of these adolescents, especially regarding the achievement of reproductive and sexual rights over their health.