Pregnant women’s perception of the emotional impacts of the COVID-19 pandemic in light of the Roy Adaptation Model self-concept mode
DOI:
https://doi.org/10.5216/ree.v26.77695Keywords:
COVID-19, Nursing, Pregnant Women, Perception, Mental HealthAbstract
Objective: to analyze pregnant women’s perception of the emotional impacts during the COVID-19 pandemic in light of the Roy Adaptation Model self-concept mode. Methods: descriptive research with a qualitative approach, based on Callista Roy’s Adaptation Model, focusing on self-concept. Data collection took place in a Basic Health Unit in a city in the countryside of Ceará, from August to September 2022, with ten pregnant women, through semi-structured interviews, consisting of questions about sociodemographic data and emotional aspects related to the gestational period during the COVID-19 pandemic. The data were subjected to the content analysis technique. Results: four thematic categories emerged: Self-awareness of pregnant women regarding the emotional aspects experienced during the COVID-19 pandemic; Self-ideal of pregnant women during the pandemic; Conceptions of pregnant women regarding family support; and pregnant women’s understanding regarding mental healthcare during pregnancy. Conclusion: During the COVID-19 pandemic, pregnant women’s adaptive processes were mobilized, involving the self-concept mode, in the “personal self” dimension, which includes self-awareness of fear, threats to the baby’s self-ideal health, support network appreciation, and unmet expectations of the mental health approach in prenatal care.
Downloads
References
Passos JA, Arrais AR, Firmino VHN. Saúde mental na perinatalidade: perspectivas de usuárias e profissionais da atenção primária a saúde. Com. Ciências Saúde [Internet]. 2020 Sept 12 [cited 2022 Aug 10];31(1):161-78. Available from: https://revistaccs.escs.edu.br/index.php/comunicacaoemcienciasdasaude/article/view/581
Alves IFBO, Costa R, Lima MM, Zampieri MFM, Nitschke RG, Gomes IEM. Significados atribuídos à maternidade por mulheres de um grupo de casais grávidos. Rev Enferm UERJ. 2021 Nov 10;29(1):e56988. https://doi.org/10.12957/reuerj.2021.56988
Lombardi W, Pereira ALNC, Guardiero ACL, Takasuca ALM, Paini GR, Cantu CB, et al. Importância da assistência pré-natal na saúde mental das gestantes. Brazilian Journal of Health Review. 2023 Nov 20;6(6):28557-73. https://doi.org/10.34119/bjhrv6n6-158
Silva NGT, Zveiter M, Almeida LP, Mouta RJO, Medina ET, Pitombeira PCP. Emotional demands during pregnancy and its consequences in the delivery process. Research, Society and Development. 2021 July 28;10(9):e36810917884. https://doi.org/10.33448/rsd-v10i9.17884
Estrela FM, Silva KKA, Cruz MA, Gomes NP. Gestantes no contexto da pandemia da Covid-19: reflexões e desafios. Physis. 2020 July 24;30(2):1-5. https://doi.org/10.1590/S0103-73312020300215
Thapa SB, Mainali A, Schwank SE, Acharya G. Maternal mental health in the time of the COVID-19 pandemic. Acta Obstet Gynecol Scand. 2020 May 06;99(7):817-18. https://doi.org/10.1111/aogs.13894
Pechinim I, Barbosa GAS, Werneck AL. Anxiety and depression in the COVID-19 pandemic context and the relationship with the defense mechanisms of pregnant women. Research, Society and Development. 2021 Aug 06;10(10):e93101018489. https://doi.org/10.33448/rsd-v10i10.18489
Lebel C, MacKinnon A, Bagshawe M, Tomfohr-Madsen L, Giesbrecht G. Elevated depression and anxiety symptoms among pregnant individuals during the COVID-19 pandemic. Journal of Affective Disorder. 2020 Aug 01;277:5-13. https://doi.org/10.1016/j.jad.2020.07.126
Schiavo RA. Ansiedade na gestação em período de covid-19. Psico. 2023 Dec 22; 54(2):e41970. https://doi.org/10.15448/1980-8623.2023.2.41970
Bérard A, Gorgui J, Tchuente V, Lacasse A, Gomez YH, Côté S, et al. The COVID-19 pandemic impacted maternal mental health differently depending on pregnancy status and trimester of gestation. Int J Environ Res Public Health. 2022 Mar 02;19(5):2926. https://doi.org/10.3390/ijerph19052926
Batista AH, Santiago MAMT, Matias RC. Teoria da Adaptação: Callista Roy. In: Braga CG, Silva JV, organizers. Teorias de Enfermagem. 1st ed. São Paulo: Iátria/Saraiva; 2011. 252p.
Souza VRS, Marziale MHP, Silva GTR, Nascimento PL. Translation and validation into Brazilian Portuguese and assessment of the COREQ checklist. Acta Paul Enferm. 2021;34:eAPE02631. https://doi.org/10.37689/acta-ape/2021AO02631
Prodanov CC, Freitas EC. Metodologia do trabalho científico: métodos e técnicas da pesquisa e do trabalho acadêmico. 2nd ed. Novo Hamburgo: Feevale; 2013.
Falqueto JMZ, Hoffmann VE, Farias JS. Saturação Teórica em pesquisas qualitativas: relato de uma experiência de aplicação em estudo na área de administração. Revista de Ciências da Administração. 2018 Dec 22;20(52):40-53. https://doi.org/10.5007/2175-8077.2018V20n52p40
Bardin L. Análise de conteúdo. 1st ed. São Paulo: Edições 70; 2016.
Resolução nº 466, de 12 de dezembro de 2012 (BR) [Internet]. Aprova as diretrizes e normas regulamentadoras de pesquisas envolvendo seres humanos. Diário Oficial da União. 2012 Dec 12 [cited 2024 Jun 10]. Available from: https://conselho.saude.gov.br/resolucoes/2012/Reso466.pdf
Dutra EJO, Nascimento CPA, Silva SYB, Souza NLL, Pinto ESG. Ações de enfermeiros no enfrentamento à COVID-19: reflexão à luz da teoria de Callista Roy. Rev Enferm Atual In Derme. 2023 Apr 20;97(2):e023060. https://doi.org/10.31011/reaid-2023-v.97-n.2-art.1757
Silva MLLS, Santos LR, Pereira BMC, Veiga AVM, Mass DW, Attem MS, et al. Impact of the SARS-CoV-2 pandemic on the mental health of pregnant and postpartum women: an integrative review. Research, Society and Development. 2021 Aug 16;10(10):e484101019186. https://doi.org/10.33448/rsd-v10i10.19186
Santos ACS, Garcia AJ, Gois JB, Santos JS, Rodrigues RC. Covid-19 e gestantes: principais impactos na saúde mental. Revista Baiana de Saúde Pública. 2023 Apr 24;46(4):104-16. https://doi.org/10.22278/2318-2660.2022.v46.n4.a3710
Rossetto M, Souza JB, Fonsêca GS, Kerkhoff VV, Moura JRA. Flowers and thorns in pregnancy: experiences during the COVID-19 pandemic. Rev Gaúcha Enferm. 2021 Dec 06;42:e20200468. https://doi.org/10.1590/1983-1447.2021.20200468
Preis H, Mahaffey B, Heiselman C, Lobel M. Vulnerability and resilience to pandemic-related stress among U.S. women pregnant at the start of the COVID-19 pandemic. Social Science & Medicine. 2020 Sept 06;266:113348. https://doi.org/10.1016/j.socscimed.2020.113348
Monteiro BR, Souza NL, Silva PP, Pinto ESG, França DF, Andrade ACA, et al. Health care in the prenatal and childbirth context from puerperal women’s perspective. Rev Bras Enferm. 2020 June 24;73(4):e20190222. https://doi.org/10.1590/0034-7167-2019-0222
Silva MMJ, Clapis MJ. Percepção das gestantes acerca dos fatores de risco para a depressão na gravidez. . REME - Rev Min Enfer [Internet]. 2020 Oct 16 [cited 2022 July 10];24:e1328. Available from: https://periodicos.ufmg.br/index.php/reme/article/view/49935
Nomura RMY, Ubinha ACF, Tavares I de P, Costa ML, Opperman ML da R, Brock MF, et al. Increased Risk for Maternal Anxiety during the COVID-19 Outbreak in Brazil among Pregnant Women without Comorbidities. Rev Bras Ginecol Obstet. 2021 Dec 21. 43(12):932-9. https://doi.org/10.1055/s-0041-1740234
Barbosa ESA, Feitoza JM, Gois TS, Hora AB, Teles WS, Silva MC, et al. Psychosocial and mental health aspects during pregnancy in the COVID-19 pandemic. Research, Society and Development. 2022 Mar 07;11(3):e56111326921. https://doi.org/10.33448/rsd-v11i3.26921
Veiga NH, Ten YZLF, Machado VP, Faria MGA, Oliveira Neto M, David HMSL. Teoria da adaptação e saúde do trabalhador em home office na pandemia de COVID-19. Revista Baiana de Enfermagem. 2020 Nov 26;35:e37636. https://doi.org/10.18471/rbe.v35.37636
Downloads
Published
Issue
Section
License
Copyright (c) 2024 Revista Eletrônica de Enfermagem
This work is licensed under a Creative Commons Attribution 4.0 International License.
