0078/2011 - “Perdeu a veia” - significados da prática da terapia intravenosa na unidade de terapia intensiva neonatal. “The vein is missed” - meanings of intravenous therapy practice in Neonatal Intensive Care Unit.
A terapia intravenosa (TIV) destaca-se entre as tecnologias imprescindíveis para garantir a sobrevivência dos recém-nascidos de risco. Contudo, é fonte de dor, estresse e complicações graves. O objeto de estudo foram os significados da prática da terapia intravenosa na unidade de terapia intensiva neonatal (UTIN) e os objetivos foram: analisar os significados atribuídos à prática da TIV pela equipe e discutir como esses significados refletem no cuidado do recém-nascido. Trata-se de um estudo de caso etnográfico com referencial teórico da antropologia cultural, realizado em uma UTIN, pública do município do Rio de Janeiro. Os sujeitos foram nove enfermeiros, quatro médicos, três técnicos e quatro auxiliares de enfermagem. Os dados foram coletados através de entrevista semi-estruturada e observação participante. A análise qualitativa das entrevistas foi realizada utilizando-se o método da interpretação dos sentidos. Os significados, quando entrelaçados na “teia cultural” revelaram que a prática da TIV é reduzida a técnicas de punção venosa periférica, acarretando sérios agravos para os recém-nascidos e desgaste emocional para a equipe e família. A re-significação da prática da terapia intravenosa será possível a partir da reflexão crítica dos padrões culturais nos quais ela se estrutura.
Intravenous Therapy (IVT) is an important item among the necessary technologies for the survival of high-risk new-born babies. However, it is also a source of pain, stress and risk of serious complications. This article aims to assess the meanings of IVT as ascribed by care teams and to discuss the reflection of such meanings on the attention to new-born babies. The article, with a theoretical referential in Cultural Anthropology, presents an ethnographic case study carried out in a Neonatal Intensive Care Unit of municipal administration in Rio de Janeiro. Subjects were nine nurses, four doctors, and three nurse assistants. Data collection was carried out with a semi-structured interview and participative observation. The qualitative analysis was performed using the method of interpretation of the senses. Meanings, interweaved with the cultural network, showed that IVT practice is often reduced to peripheral puncture techniques, bringing on a series of complications for high risk new-born babies and intense emotional waste for the professional team and the family. Re-signification of IVT practice will only be possible with a critical analysis of the cultural patterns it is now based on.
Keywords:
new born babies
infusion therapy
nursing
anthropology
“The vein is missed” - meanings of intravenous therapy practice in Neonatal Intensive Care Unit.
Resumo (abstract):
Intravenous Therapy (IVT) is an important item among the necessary technologies for the survival of high-risk new-born babies. However, it is also a source of pain, stress and risk of serious complications. This article aims to assess the meanings of IVT as ascribed by care teams and to discuss the reflection of such meanings on the attention to new-born babies. The article, with a theoretical referential in Cultural Anthropology, presents an ethnographic case study carried out in a Neonatal Intensive Care Unit of municipal administration in Rio de Janeiro. Subjects were nine nurses, four doctors, and three nurse assistants. Data collection was carried out with a semi-structured interview and participative observation. The qualitative analysis was performed using the method of interpretation of the senses. Meanings, interweaved with the cultural network, showed that IVT practice is often reduced to peripheral puncture techniques, bringing on a series of complications for high risk new-born babies and intense emotional waste for the professional team and the family. Re-signification of IVT practice will only be possible with a critical analysis of the cultural patterns it is now based on.
Palavras-chave (keywords):
new born babies
infusion therapy
nursing
anthropology
Rodrigues, E.C., Romeu Gomes, Cunha, SR. “Perdeu a veia” - significados da prática da terapia intravenosa na unidade de terapia intensiva neonatal.. Cien Saude Colet [periódico na internet] (2011/mai). [Citado em 14/04/2025].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/perdeu-a-veia-significados-da-pratica-da-terapia-intravenosa-na-unidade-de-terapia-intensiva-neonatal/7524
