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| Tese | 1.49 MB | Adobe PDF | ||
| Anexo 4 | 24.07 KB | Adobe PDF | ||
| Anexo 5 | 585.66 KB | Adobe PDF | ||
| Anexo 6 | 246.49 KB | Adobe PDF |
Advisor(s)
Abstract(s)
Introdução: O tabagismo é conhecido como a maior causa evitável de morbilidade e mortalidade nos países desenvolvidos. O actual aumento da sua prevalência no sexo feminino é preocupante pelas implicações que tem na progressão de uma gravidez saudável. O monóxido de carbono destaca-se como um dos componentes tóxicos do tabaco que mais interfere na gravidez. É reconhecido como um marcador biológico de tabagismo eficaz e facilmente determinável. Sabe-se que a exposição do feto ao fumo de tabaco ambiental acarreta várias consequências negativas ao seu desenvolvimento. A intervenção dos profissionais de saúde no aconselhamento comportamental durante a gravidez é importante, já que é nesta fase que as mulheres estão mais propensas à mudança. Contudo, esta abordagem é ainda insuficiente, muito breve e, muitas vezes, ineficaz.
Objectivo: Avaliar a abordagem do comportamento tabágico pelos profissionais de saúde, durante a gravidez, a exposição do feto ao monóxido de carbono e os seus efeitos nos parâmetros antropométricos do recém-nascido.
Metodologia: Estudo descritivo, observacional, transversal, de carácter exploratório. As 94 grávidas participantes preencheram um questionário que englobava: a sua caracterização sociodemográfica, o seu comportamento tabágico durante a gravidez, o comportamento tabágico do seu companheiro, a exposição ao fumo ambiental de tabaco, a abordagem e aconselhamento por profissionais de saúde, em relação ao comportamento tabágico e os dados obstétricos. Fez-se a determinação do monóxido de carbono no ar expirado (com recurso ao Baby-CO) e recolheram-se os parâmetros dos recém-nascidos nos processos clínicos hospitalares.
Resultados: 80% das participantes fumadoras mudaram o seu comportamento tabágico durante a gravidez. De acordo com o teste do Baby-CO, 7,4% das participantes obtiveram valores de monóxido de carbono no ar expirado entre 7 e 10 ppm. Houve abordagem do comportamento tabágico, pelos profissionais de saúde, em 67% dos casos e o aconselhamento à redução do consumo tabágico mostrou-se eficaz (p<0,05). Os recém-nascidos das participantes fumadoras nasceram, em média, 231,30 g mais leves e com menos 0,76 cm de perímetro cefálico.
Conclusão: A maioria das mulheres foi abordada, pelos profissionais de saúde, em relação ao seu comportamento tabágico durante a gravidez e algumas mostraram-se receptivas ao aconselhamento para a redução tabágica. O comportamento tabágico e os níveis de monóxido de carbono influenciaram negativamente vários parâmetros do recém-nascido.
Introduction: Smoking is known to be the most avoidable cause of morbidity and mortality in developed countries. The recent rise of its prevalence in the female sex is of concern for its implications in the progression of an healthy pregnancy. Carbon monoxide stands out as one of the toxic components of tobacco that interferes with pregnancy. It is recognized as an effective and easily determined biological marker of smoking. It is known that fetal exposure to environmental tobacco smoke causes several negative consequences for their development. The intervention of an healthcare professional in behavioral advisement during pregnancy is important because this stage is that women are more likely to change. However, this approach is still insufficient, very brief and often ineffective. Objective: Evaluate and approach the smoking behavior by healthcare professionals, during pregnancy, the exposure of the fetus to carbon monoxide and its effects in anthropometric parameters of the new born. Methodology: A descriptive, observational, cross-sectional exploratory nature. The 94 pregnant participants completed a questionnaire that included: their sociodemographic characteristics, their smoking behavior during pregnancy, smoking behavior of their partner, exposure to environmental tobacco smoke, the approach and advice for professionals health in relation to smoking behavior and obstetric data. There was the determination of carbon monoxide in exhaled air (using the Baby-CO) and collected the parameters of the newborns in the hospital medical records. Results: 80% of smoking participants changed their smoking behavior during pregnancy. According to the test Baby-CO, 7.4% of participants obtained values of carbon monoxide in exhaled air between 7 and 10 ppm. The smoking behavior was addressed, by healthcare professionals, 67% of cases and the advice to the reduction of smoking was effective( p< 0,05). Newborns of smoking participants were born, on average, 231.30 g lighter and less head circumference of 0.76 cm. Conclusion: Most women were addressed by health professionals in relation to their smoking behavior during pregnancy, and some were receptive to advice to reduce smoking. Several parameters of the newborn were negatively influenced by the smoking behavior and levels of carbon monoxide.
Introduction: Smoking is known to be the most avoidable cause of morbidity and mortality in developed countries. The recent rise of its prevalence in the female sex is of concern for its implications in the progression of an healthy pregnancy. Carbon monoxide stands out as one of the toxic components of tobacco that interferes with pregnancy. It is recognized as an effective and easily determined biological marker of smoking. It is known that fetal exposure to environmental tobacco smoke causes several negative consequences for their development. The intervention of an healthcare professional in behavioral advisement during pregnancy is important because this stage is that women are more likely to change. However, this approach is still insufficient, very brief and often ineffective. Objective: Evaluate and approach the smoking behavior by healthcare professionals, during pregnancy, the exposure of the fetus to carbon monoxide and its effects in anthropometric parameters of the new born. Methodology: A descriptive, observational, cross-sectional exploratory nature. The 94 pregnant participants completed a questionnaire that included: their sociodemographic characteristics, their smoking behavior during pregnancy, smoking behavior of their partner, exposure to environmental tobacco smoke, the approach and advice for professionals health in relation to smoking behavior and obstetric data. There was the determination of carbon monoxide in exhaled air (using the Baby-CO) and collected the parameters of the newborns in the hospital medical records. Results: 80% of smoking participants changed their smoking behavior during pregnancy. According to the test Baby-CO, 7.4% of participants obtained values of carbon monoxide in exhaled air between 7 and 10 ppm. The smoking behavior was addressed, by healthcare professionals, 67% of cases and the advice to the reduction of smoking was effective( p< 0,05). Newborns of smoking participants were born, on average, 231.30 g lighter and less head circumference of 0.76 cm. Conclusion: Most women were addressed by health professionals in relation to their smoking behavior during pregnancy, and some were receptive to advice to reduce smoking. Several parameters of the newborn were negatively influenced by the smoking behavior and levels of carbon monoxide.
Description
Keywords
Tabagismo - Gravidez Tabagismo - Feto - Monóxido de carbono Tabagismo - Grávida - Aconselhamento médico Antropometria fetal - Tabagismo Tabagismo - Recém-nascido - Aspectos antropométricos
Pedagogical Context
Citation
Publisher
Universidade da Beira Interior