Estratégia de saúde da família na assistência à mulher na fase do climatério.

Abstract

The climacteric is understood as the transition process between the reproductive period and reproductive health of women. It is physiologically characterized by the depletion of ovarian follicles, which may cause morphological, functional, hormonal and target tissues, negatively affecting women's health. The Family Health Strategy (FHS) is shown as an important instrument in the care of climacteric women and their proposal meets the National Policy for Integral Attention to Women's Health (PNAISM), a Since it seeks humanization, quality of care, strengthening as to welcoming, the bond and listen, within an ethical framework that guarantees integral health and well-being, incorporating integrality in health promotion as guiding principles. Through of this study. sought to analyze the assistance offered to women in the climacteric by FHS nurses. This is an exploratory-descriptive study, quantitative and qualitative. The study subjects were 14 nurses who work in the Units of Family Health in the municipality of Cajazeiras - PB. It was used as an instrument for collecting semi-structured questionnaire data containing objective and subjective questions. At researchers faithfully followed the ethical observances of Council Resolution 196 / ^ 6 Nacional de Saúde. Quantitative data were analyzed using the frequency index and percentage, and the qualitative data by the Content Analysis method, in its modality thematic analysis. It was found that the study subjects are predominantly of the sex female and are mostly in the 24 to 30 age group. About professional training, most completed the course in private institutions in Paraíba, in the 2001-2009. A considerable majority (93%) said they had not completed training focused on the health of climacteric women. In the second stage of the research, it was identified that referral to assistance with specialists, instructions on symptomatology, nutrition, anamnesis, lectures, debates and clarification of doubts individual or group are the care offered by some nurses in the care of climacteric women in the FHS, but with a strong deficiency in routine practice. As well, conceptions about the climacteric, symptomatology and knowledge assistance nurses are in deficit. It was observed that the study subjects maintain their assistance based on the maternal and child model, a still hegemonic care model in the nursing actions developed in the FHS. This compromises the effectiveness of care to the non-reproductive period. Therefore, it is necessary to implement municipal public policies that promote training and awareness regarding the routine application of care to women in the climacteric of nursing.