<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1645-0086</journal-id>
<journal-title><![CDATA[Psicologia, Saúde & Doenças]]></journal-title>
<abbrev-journal-title><![CDATA[Psic., Saúde & Doenças]]></abbrev-journal-title>
<issn>1645-0086</issn>
<publisher>
<publisher-name><![CDATA[Sociedade Portuguesa de Psicologia da Saúde]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1645-00862005000200001</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Apoio às Mães em Crise num Serviço de Neonatologia]]></article-title>
<article-title xml:lang="en"><![CDATA[Psychological Support to the Mothers of Risk Newborns in Nicu]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Viana]]></surname>
<given-names><![CDATA[Victor]]></given-names>
</name>
<xref ref-type="aff" rid="A01"/>
<xref ref-type="aff" rid="A02"/>
<xref ref-type="aff" rid="A03"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Guimarães]]></surname>
<given-names><![CDATA[Hercília]]></given-names>
</name>
<xref ref-type="aff" rid="A01"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Maia]]></surname>
<given-names><![CDATA[Teresa]]></given-names>
</name>
<xref ref-type="aff" rid="A01"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ramos]]></surname>
<given-names><![CDATA[Madalena]]></given-names>
</name>
<xref ref-type="aff" rid="A01"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mendes]]></surname>
<given-names><![CDATA[Francisco]]></given-names>
</name>
<xref ref-type="aff" rid="A01"/>
</contrib>
</contrib-group>
<aff id="A01">
<institution><![CDATA[,Hospital São João Departamento de Pediatria Serviço de Neonatologia]]></institution>
<addr-line><![CDATA[Porto ]]></addr-line>
</aff>
<aff id="A02">
<institution><![CDATA[,Universidade do Porto FCNAUP - Faculdade de Ciências da Nutrição e Alimentação da Universidade do Porto ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<aff id="A03">
<institution><![CDATA[,ISCS-N - Instituto Superior de Ciências da Saúde-Norte  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>11</month>
<year>2005</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>11</month>
<year>2005</year>
</pub-date>
<volume>6</volume>
<numero>2</numero>
<fpage>119</fpage>
<lpage>130</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S1645-00862005000200001&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S1645-00862005000200001&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S1645-00862005000200001&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Neste trabalho, os autores descrevem os procedimentos utilizados com o objectivo de facultar apoio emocional a mães que acompanhavam os seus recém-nascidos numa unidade de neonatologia. O apoio psicológico foi fornecido no contexto de grupo e contexto individual. Como orientação teórica foi usado o referente da abordagem sistémica e o referente da intervenção em crise. Na intervenção em grupo, procurou-se facilitar a comunicação no grupo, estimular a expressão de sentimentos, medos, crenças e a exposição de problemas pessoais, familiares, sociais, etc. O principal objectivo foi promover o apoio dentro do grupo, dada a semelhança de experiências e angústias entre as mães, decorrentes da evolução do internamento dos seus bebés. Na intervenção individual foi usado o modelo da consulta psicológica em situação de crise. Os objectivos foram: estabelecer uma relação de confiança e empática, identificar e dissecar o problema precipitador da crise, identificar e implementar recursos psicológicos, familiares, etc. que melhorassem o funcionamento emocional face à situação. A avaliação realizada com recurso à opinião fornecida pelas mães alguns meses depois, demonstra a importância deste tipo de intervenção junto das mães numa unidade de neonatologia.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[In this paper the authors describe the proceeding used in order to provide psychological support to mothers of newborns in a neonatology service. The emotional support was given mainly in the group context and in some cases in individual context. The theoretical orientation included the systemic theory and crisis intervention. In the group approach steps included: the promotion of group communication and confidence, the expression of sentiments, beliefs, fears and psychological, family and social difficulties. Objective consists in encouraging and developing the group emotional support taking advantage of Similarities between mother's life experiences and fears in the situation. In the individual approach it was used de psychological counseling and crisis intervention models. Objectives were: developing and maintaining rapport, identifying the precipitating problems, identifying coping strategies and promoting new strategies. Evaluation was made thorough mother's opinions got some months after, which stressed the importance of this kind of intervention in such a group of mothers in the neonatology service.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Apoio às mães]]></kwd>
<kwd lng="pt"><![CDATA[Apoio psicológico]]></kwd>
<kwd lng="pt"><![CDATA[Grupo de apoio]]></kwd>
<kwd lng="pt"><![CDATA[Intervenção em crise]]></kwd>
<kwd lng="pt"><![CDATA[Neonatologia]]></kwd>
<kwd lng="en"><![CDATA[Crisis intervention]]></kwd>
<kwd lng="en"><![CDATA[Group support]]></kwd>
<kwd lng="en"><![CDATA[Neonatology]]></kwd>
<kwd lng="en"><![CDATA[Psychological support]]></kwd>
<kwd lng="en"><![CDATA[Support to mothers]]></kwd>
</kwd-group>
</article-meta>
</front><body><![CDATA[ <p align="center"><strong>Apoio &agrave;s M&atilde;es em Crise num Servi&ccedil;o    de Neonatologia</strong></p>      <p align="center">Victor Viana<Sup><a href="#1">*</a><a name="top1"></a>1,2 </Sup>    , Herc&iacute;lia Guimar&atilde;es<Sup>1</Sup>, Teresa Maia<Sup>1</Sup>, Madalena    Ramos<Sup>1</Sup>, Francisco Mendes<Sup>1</Sup></p>     <p align="center"><Sup>1</Sup> Servi&ccedil;o de Neonatologia, Departamento de    Pediatria, Hospital S&atilde;o Jo&atilde;o, Porto</p>      <p align="center"><Sup>2</Sup> FCNAUP e ISCS-N</P>      <p>&nbsp;</p>      <P align="justify"><B>RESUMO: </B>Neste trabalho, os autores descrevem os procedimentos    utilizados com o objectivo de facultar apoio emocional a m&atilde;es que acompanhavam    os seus rec&eacute;m-nascidos numa unidade de neonatologia. </P>     <P align="justify">O apoio psicol&oacute;gico foi fornecido no contexto de grupo    e contexto individual. Como orienta&ccedil;&atilde;o te&oacute;rica foi usado    o referente da abordagem sist&eacute;mica e o referente da interven&ccedil;&atilde;o    em crise.</P>     <P align="justify"> Na interven&ccedil;&atilde;o em grupo, procurou-se facilitar    a comunica&ccedil;&atilde;o no grupo, estimular a express&atilde;o de sentimentos,    medos, cren&ccedil;as e a exposi&ccedil;&atilde;o de problemas pessoais, familiares,    sociais, etc. O principal objectivo foi promover o apoio dentro do grupo, dada    a semelhan&ccedil;a de experi&ecirc;ncias e ang&uacute;stias entre as m&atilde;es,    decorrentes da evolu&ccedil;&atilde;o do internamento dos seus beb&eacute;s.</P>     <P align="justify">Na interven&ccedil;&atilde;o individual foi usado o modelo    da consulta psicol&oacute;gica em situa&ccedil;&atilde;o de crise. Os objectivos    foram: estabelecer uma rela&ccedil;&atilde;o de confian&ccedil;a e emp&aacute;tica,    identificar e dissecar o problema precipitador da crise, identificar e implementar    recursos psicol&oacute;gicos, familiares, etc. que melhorassem o funcionamento    emocional face &agrave; situa&ccedil;&atilde;o.</P>     <P align="justify">A avalia&ccedil;&atilde;o realizada com recurso &agrave; opini&atilde;o    fornecida pelas m&atilde;es alguns meses depois, demonstra a import&acirc;ncia    deste tipo de interven&ccedil;&atilde;o junto das m&atilde;es numa unidade de    neonatologia. </P>      ]]></body>
<body><![CDATA[<P align="justify"><I>Palavras chave</I>: Apoio &agrave;s m&atilde;es, Apoio psicol&oacute;gico,    Grupo de apoio, Interven&ccedil;&atilde;o em crise, Neonatologia. </P>     <P align="justify">&nbsp;</P>      <p>&nbsp;</p>      <p align="center"><strong>Psychological Support to the Mothers of Risk Newborns    in Nicu</strong></p>      <p><B>ABSTRACT: </B>In this paper the authors describe the proceeding used in    order to provide psychological support to mothers of newborns in a neonatology    service. The emotional support was given mainly in the group context and in    some cases in individual context. The theoretical orientation included the systemic    theory and crisis intervention.</p>      <P>In the group approach steps included: the promotion of group  communication and confidence, the expression of sentiments, beliefs,  fears and psychological, family and social difficulties. Objective  consists in encouraging and developing the group emotional support  taking advantage of Similarities between mother's life experiences  and fears in the situation.</P>       <P> In the individual approach it was used de psychological counseling  and crisis intervention models. Objectives were: developing and maintaining rapport, identifying the precipitating problems,  identifying coping strategies and promoting new strategies. </P>     <P>Evaluation was made thorough mother's opinions got some months after,  which stressed the importance of this kind of intervention in such  a group of mothers in the neonatology service. </P>      <P><I>Key words: </I>Crisis intervention, Group support, Neonatology,  Psychological support, Support to mothers. </P>      <p>&nbsp;</p>      ]]></body>
<body><![CDATA[<p>Texto completo disponível apenas em PDF.</p>     <p>Full text only available in PDF format.</p>      <p>&nbsp;</p>      <P align="center">REFER&Ecirc;NCIAS </P>      <!-- ref --><p>Als, H. (1986). A synactive model of neonatal bahavioral organization:  Framework for the assessment of neurobehavioral development in premature  infant and for support of infants and parents in neonatal intensive care  environment. In J.K. Sweeney (Ed.), The high-risk neonate: Developmental  therapy perspectives. <I>Physical &amp; Ocupational Therapy in Pediatrics</I>,  <I>6</I>(3/4), 3-55. &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;[&#160;<a href="javascript:void(0);" onclick="javascript: window.open('/scielo.php?script=sci_nlinks&ref=000027&pid=S1645-0086200500020000100001&lng=','','width=640,height=500,resizable=yes,scrollbars=1,menubar=yes,');">Links</a>&#160;]<!-- end-ref --><p>Brown, L., &amp; Heermann, J. (1997). The effect of developmental care  on preterm infant outcome. <I>Applied Nursing Research</I>, <I>10</I>(4),  190-197. </p>      <p>Buehler, D., Als, H., Duffy, F., McAnulty, G., &amp; Liederman, J.  (1995). Effectivness of individualized developmental care for low-risk  preterm infant: Behavioral and electrophysiologic evidence.  <I>Pediatrics</I>, <I>96</I>(5), 923-932. </p>      <p>Cronnin, C., Shapiro, C., Casiro, O., &amp; Cheang, M. (1995). The  impact of very low-birhtweight infants on the family is long lasting.  A matched control study. <I>Archives of Pediatrics &amp; Adolescent  Medicine</I>, <I>149</I>(2), 151-158. </p>      <p>Garel, M., Bahard, M., &amp; Blondel, B. (2004). Cons&eacute;quences pour la    famille d'une naissance tr&egrave;s pr&eacute;mature deux mois apr&egrave;s    le retour &agrave; la maison. Resultats de l&rsquo;enquete qualitative de l&rsquo;EPIPAG.    <I>Archives de P&eacute;diatrie</I>, <I>11</I>(20), 1299-1307. </p>      <p>Guimar&atilde;es, H. (2003). <I>Relat&oacute;rio de Actividades 2003</I>. Servi&ccedil;o    de Neonatologia - Hospital S. Jo&atilde;o - Porto.</p>       ]]></body>
<body><![CDATA[<p>Kanel, K. (2002). <I>A guide to crisis intervention</I>. New York: Brooks/Cole  Publishing Company.</p>       <p>Klaus, M.H., &amp; Kennell, J.H. (1985). Pregnancy, birth, and the  first days of life. In M.D. Levine, W.B. Carey, &amp; A.C. Crocker (Eds.),  <I>Developmental-behavioral pediatrics </I>(pp. 64-80). Philadelphia,  PA: W.B. Saunders.</p>       <p>Kubler-Ross, E. (1969). <I>On Death and Dying</I>. New York: Mcmillan  Pub. Inc Ca. </p>      <p>Laucht, M., Esser, G., &amp; Schmidt, M. (2001). Differential development  of infants at risk for psychopathology. The moderating role of early maternal  responsivity. <I>Developmental Medicine and Child Neurology</I>, <I>43</I>,  292-300. </P>      <P>Lawhon, G. (1997). providing developmentally supportive care in the  newborn intensive care unit: An evolving challenge. <I>Journal of  Perinatology &amp; Neonatal Nurse, 10</I>(4), 48-61.</P>       <P>Lestard, K., &amp; Lennox, K. (1995). Developmental care: Making  your NICU a gentler place. <I>Cannadian Nurse</I>, <I>91</I>(2), 23-26.</P>       <P>Littlejohn, S. (1982). <I>Fundamentos te&oacute;ricos da comunica&ccedil;&atilde;o  humana</I>. Rio de Janeiro: Zahar Eds. </P>      <P>Sizun, J., Ratynski, N., &amp; Mambrini, C. (1999). Implanter un  programme individualis&eacute; de soutien du developpement en r&eacute;animation  n&eacute;onatal: Porquoi, comment? <I>Archives de P&eacute;diatrie</I>,  <I>6</I>, 434-439. </P>      <P>Roma-Torres, A., Almeida, J. P., Viana, V., Barbosa, M.C., Coreia, M.,  Vilas-Boas, A., Norton, L., &amp; Lima Reis, I. (1995). Reuni&otilde;es  de grupo de pais de crian&ccedil;as leuc&eacute;micas: Repercuss&otilde;es sist&eacute;micas na fam&iacute;lia e na unidade de tratamento.  <I>Arquivos de Medicina</I>, <I>9</I>, 283-286,. </P>       <P>Viana, V., Guimar&atilde;es, M.J., Barbosa, M.C., &amp; Teixeira Santos, N.    (1999). Percep&ccedil;&atilde;o, opini&otilde;es e atitudes das m&atilde;es    relativamente ao Departamento de Pediatria do Hospital de S. Jo&atilde;o - Porto.    <I>Arquivos de Medicina</I>, <I>13</I>, 17-21. </P>      ]]></body>
<body><![CDATA[<p>&nbsp;</p>      <P><a href="#top1">*</a><a name="1"></a> Contactar para E-mail: <a href="mailto:victorviana@fcna.up.pt">victorviana@fcna.up.pt</a></P>        ]]></body><back>
<ref-list>
<ref id="B1">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Als]]></surname>
<given-names><![CDATA[H.]]></given-names>
</name>
</person-group>
<article-title xml:lang="en"><![CDATA[A synactive model of neonatal bahavioral organization: Framework for the assessment of neurobehavioral development in premature infant and for support of infants and parents in neonatal intensive care environment.]]></article-title>
<source><![CDATA[Physical & Ocupational Therapy in Pediatrics]]></source>
<year>1986</year>
<volume>6</volume>
<numero>3/4</numero>
<issue>3/4</issue>
<page-range>3-55</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
