A saúde da mulher no climatério: contribuições da enfermagem para a saúde da família

Abstract

The Family Health Strategy (FHS) is fundamental for reorganizing the Unified Health System (SUS). Its challenge is to overcome fragmentation of the care process and the detachment from the real health needs of populations. In this scenario, it fits the needs related to Women's Health. The experience of the author, Nurse of the FHS in the rural area in Minas Gerais, strove to emergence of middle-aged women with different expectations on health, which had experienced the climacteric. Facing this reality, renovations to the attention paid by the team make up necessary. This study aims to analyze the production of nursing knowledge about the climacteric women and their contributions to the activities of the FHS team. Was used a integrative review of the literature through electronic virtual library, BDENF, through periodic publications of nursing, the descriptor Climacteric. The inclusion critery was examining publications developed in primary health care and / or FHS. Seeking to increase the sensitivity of the search for the early period of scientific production of this theme, were used only the final limit, the year 2009. The results showed total of 25 articles, 3 repeated and 63.6% did not meet the inclusion criteria. Observed scarcity on the production of this theme in Nursing. The highest concentration of the papers between was in 2000 to 2005, demonstrating the recent discussion on this topic. The publications were characterized: the pursuit of health services to this population, the description of aspects of biomedical and life cycle psychoaffective women and the role of nurses. The qualitative method was used more in the polls. Index considerable KAPPA (k = 0.4). The analysis of publications pointed to the need for understanding of climacteric in a larger size and status as a natural life cycle in health women. There is an emergency that health services attended to these clients, and there is the need to implement different strategies as educational, operational groups that include women and their families. The nurse was appointed as an potential actor within the team to implement innovative actions, advise on the mitos and taboos that permeate this female stage of life, so comprehensive and welcoming assist these women in the reformulation of the projects of their subjective lives.