Qualidade de vida de gestantes com Zika virus

• Ano de defesa: 2019
• Autor(a) principal: Cançado, Myrella Silveira Macedo
• Orientador(a): Barbosa, Maria Alves
• Banca de defesa: Barbosa, Maria Alves, Teixeira, Ricardo Antônio Gonçalves, Cardoso, Clever Gomes, Almeida, Fábio Marques de, Medeiros, Marcelo
• Tipo de documento: Tese
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal de Goiás
• Programa de Pós-Graduação: Programa de Pós-graduação em Ciências da Saúde (FM)
• Departamento: Faculdade de Medicina - FM (RG)
• País: Brasil
• Palavras-chave em Português: Gestantes; Zika virus; Qualidade de vida; Cuidado pré-natal; Serviços de saúde
• Palavras-chave em Inglês: Pregnant women; Zika virus; Quality of life; Prenatal care; Health services
• Área do conhecimento CNPq: CIENCIAS DA SAUDE::MEDICINA::SAUDE MATERNO-INFANTIL
• Link de acesso: http://repositorio.bc.ufg.br/tede/handle/tede/11381

Introduction: In Brazil, the increase in cases of neurological malformations in newborns from congenital Zika virus (ZIKV) infection has led to an intensification of maternal and fetal care during and after prenatal care. Objective: To analyze the quality of life of pregnant women diagnosed with ZIKV followed in public health services, from 2017 to 2018. Methods: Cross-sectional, qualitative and quantitative study, conducted through semi-structured interviews, addressing health care, and by two questionnaires, one on profile (socioeconomic / demographic and gestational), and the other on quality of life assessment, the World Health Organization Quality of Life instrument abbreviated version (WHOQOL-bref). Quantitative data were analyzed by multiple linear regression model and qualitative data by Bardin (2011) content analysis with the aid of NVivo® version 11 software. Results: 42 pregnant women diagnosed with ZIKV participated in the study. The average age was 26.1 years (SD = ± 6.1) and the overall quality of life (QOL) was 61.5 (SD = 12). Among the domains analyzed by the WHOQOL-bref, the psychological with the highest score (69.3; SD = 15.8) and the lowest was the Environment (52.0; SD = 12.8). The parameters that contributed to the highest quality of life were being married, using contraception before the current pregnancy, having ZIKV infection in the later trimester and having a higher family income. Regarding the content analysis of the interviews, main ideas emerged which were grouped into three categories: Feelings (fear of microcephaly and faith / religiosity); Health care (access to examinations and consultations, quality of care, knowledge of ZIKV and multi-professional support) and social and family context (family support, financial resources and influence of the media). Conclusion: Quality of life obtained higher score in the psychological domain. The aspects of quality of life were deepened during the interviews whose results showed the pregnant woman's perceptions about ZIKV and the potentialities and weaknesses of public health services. The findings of this study are important for the (re) planning and strengthening of prenatal public health policies.