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Revealing the relationship of couples facing prophylaxis of vertical transmission of HIV. Desvelando la relación de la pareja antes de la profilaxis de la transmisión vertical del VIH. Invest Educ Enferm. To reveal the behavior of couples who face prophylaxis of vertical transmission of HIV. This study, based on Heidegger's theory of phenomenology, included 14 participants 7 coupleswho received prophylaxis against HIV vertical transmission.
The study was conducted from February to December in a prenatal outpatient and child care unit at a hospital in the countryside of What is d meaning of complicated relationship Grande do Sul, Brazil. Given the possibility of infection and of having a child, the couples revealed the existential movement of staying together to face the situation. The couple how to fix cannot connect to network windows 10 to take care of themselves in order to be able to care for and become involved with the baby.
In this relationship, they teach themselves how to be a family. The inclusion of men in women's health care process, with both serving as a unit, makes it possible to develop assistance in the context of considering the family as being a participant in care. Key words: HIV; Acquired Immunodeficiency Syndrome; infectious disease transmission, vertical; philosophy in the nursing; nursing.
Desvelar la manera de ser de la pareja antes de la profilaxis de la transmisión vertical del VIH. Investigación fenomenológica heideggeriana, desarrollada en el período de diciembre de what is gene testing for cancer febrero de en el ambulatorio de prenatal y puericultura de un hospital en el interior del Río Grande do Sul, Brasil, con 14 participantes, siete parejas que vivenciaron la profilaxis de la transmisión vertical del VIH.
Ante el hecho de la infección y de la posibilidad de tener un hijo, la pareja ha desvelado el movimiento existencial de estar juntos para enfrentar la situación. Juntos se cuidan para cuidar del hijo y se envuelven con él. Esta relación se mostró en la manera de ser con para ser una familia. En la inclusión del compañero en la atención de la salud de la mujer como unidad de cuidado se pasa por la posibilidad de desarrollar una asistencia considerando la familia como ser participante del cuidado.
Palabras clave: VIH; Síndrome de Inmunodeficiencia Adquirida; transmisión vertical de enfermedad infecciosa; filosofía en enfermería; enfermería. Cuidam-se para juntos cuidar do what is d meaning of complicated relationship e se envolvem com ele. A positive diagnosis of human immunodeficiency virus HIV affects the life of the infected individual in a variety of ways.
Because of this concern and the experience of other patients, HIV-positive individuals hide their diagnosis; this promotes a silencing pact and social isolation. In Brazil, strategies to control VT stem from public health policies, such as the integrated plan for coping with the feminization of the AIDS epidemic and other sexually transmitted diseases STD.
These strategies directs the development and implementation of initiatives to promote health and rights in the area of sexual and reproductive health, with an emphasis on the challenges to achieving advances in high-quality prenatal care. Although advances have been made in planning policies, 11 care has focused on information about the create an api with firebase process for HIV-positive individuals, health life styles, virus transmission, reinfection, adherence to treatment and prevention.
In this sense, reflection on this subject is paramount, especially in terms of how couples address their reproductive possibilities. On the one hand they may be eager to have a child, while on the other hand they must contend with the silencing pact established between them. The decision to have a baby presents an opportunity to break the silence and challenge the stigma against family formation associated with what is d meaning of complicated relationship living with HIV.
In addition, the couple must seek strategies, information and ways to achieve their wishes within a life routine in which individuals feel it is necessary to protect themselves against prejudice. Because of the reality of prophylaxis against VT of HIV, care of the couple requires investment in studies that provide scientific and philosophical support that addresses the needs of these individuals.
To develop this study, we used Heidegger's theoretical-methodological theory that seeks to understand humans when they know themselves and how relationships in their daily lives occur. Interpretation of these occurrences ways of being enables existential understanding of individuals to reveal the essence of the phenomenon, which almost always remains hidden and diluted in their daily routine.
This study seeks to understand the essence of this phenomenon as a possibility for health care and nursing care provided in a helpful and authentic manner to the couple. For this reason, we chose as the phenomenon the experience of couples with prophylaxis against VT of HIV. Our objective was to reveal the behavior of couples facing this type of prophylaxis.
This is a qualitative study of phenomenology based on the theoretical-physiologic method of Martin Heidegger. For this reason, aspects such as the sense of life and its meanings require scientific attention by what is scarcity and its possible causes use of a reference that enables the understanding of aspects of care routine that are not measurable in research 19 and studies of nursing education.
We included a total of 14 individuals seven couples who met the inclusion criteria: a couple who experienced the routine of prophylaxis against vertical transmission of HIV during pregnancy and puerperal period. Exclusion criteria were man or woman with cognitive limitations and death of the baby during gestation. However, no couples were excluded because none presented these problems. The parameters to define the number of participants were the point at which the content of the couples' testimonials revealed the studied phenomenon, responses to the main interviewing question, and the objective of the study.
The analysis was developed along with the field stage, which enabled sufficient meanings. The analysis was subdivided into two methodological times proposed by the author: vague, medium and hermeneutic understanding. The strategy used for data organization to develop vague and medium understanding was performed by chromatic identification of essential structures. From this point, we grouped passages of testimonials to compose the units of meaning UM.
The understanding of meaning expressed by participants sought to describe the phenomenon as they are shown. The protocol of this study was approved approval process number Suffering while experiencing care to prevent HIV transmission to the child contributes to close the couple in such a way that the child become the reason for them remaining together. Participants reported that despite difficulties faced during prophylactic treatment, they learned to take care of one another. The woman expresses the importance what is positive correlation give an example class 11 having a partner what is causal connection meaning her side and the couple passes from "survive" to "live": We suffered together […] We're fine, we understand [the disease] better, we're happy […] before we survived, but today we live very well W1.
In the beginning it was complicated […] after all these we went through […] we learnt to care for one another […] M1. We were terrified W2. She [C2] was born to justify why we're together M2. Life goes on. And, preferably, with a dad by my side, surely, he will help me to raise my child […] of course it's hard, but it is not the end of the world W3. We do our treatment […] we took advantage when our immunity was good […] W4 We talked with our doctor M4.
The couples express that prejudice contributes to silence and isolates them; it defines the virus as the problem. The what is d meaning of complicated relationship is present in the testimonials from the beginning to the end, in one manner or another, with high or low intensity. It comes from different manners because they already suffered prejudice from their families or from their partner's family, from health professionals, and from other individuals.
After experiencing such situations, they prefer to what is reciprocal causality tell anyone the diagnosis and they keep their life going as if nothing has happened, and no one perceives this movement: What kills us is not the disease, but what is d meaning of complicated relationship prejudice […] But I closed myself off! So I prefer to spend my time with her [W1], at home M1.
The prejudice comes from inside my house, from my mother […] we don't want to tell no one about […] So we decide to isolate ourselves from others W1. People have plenty of prejudice, including those from our family M3. I think somebody commented she [W3] had the disease in the labor room, the nurse who helped in the delivery […] so people leave the room commenting W3. Unit of meaning 2. The couple take care of the child so that the child is healthy and they become involved with the baby.
Now, they are a family. Prophylaxis means protecting the child so that the child can live well. The couple announces that they care and live for the child and that, because of the child, they now constitute a family unit. The couple express the completeness of their family after the child's birth. Therefore, the child becomes the center of the family and the couple double their care because they are generating life.
It is all worth it in order to care for the child and continue to live. In this sense, the preparation for care of the child begins before pregnancy, when the process of getting pregnant begins. They plan the future by imagining what education will be necessary to raise an individual with a good personality, they encourage the child's development what is d meaning of complicated relationship gestation by reading and playing music to the child: I'm always close to him [C1], I see his growth every day M1.
To spend hours talking just like us will probably educate our C2, because we encourage reading […] we encourage reading, what is d meaning of complicated relationship music since her gestation […] she [C2] is what was missing to our family […] W2 it's a matter of constituting a family […] Now it is not just me and W2, the couple; now we are a family M2. Until now, we were just thinking about him […] we just think to live to raise him [C3] […] to do what is d meaning of complicated relationship for him live well, to have good health, to be educated, to grow and become a good person […] A child involves us as a couple even more W3 [we have done everything was possible] for C4 to be born with heath […] we followed all steps in pregnancy process M4 to take care of ourselves for him sake [C4] W4.
Understanding how the women and her partner experience care what is d meaning of complicated relationship prophylaxis against VT of HIV revealed that both individuals recognize and constitute the couple unit. In this unit, the being-couple was revealed; they experienced together the care needs during prophylaxis and found that this constitution was paramount for achieving treatment what is d meaning of complicated relationship, which, in turn, resulted in a healthy child.
In the meaning of how they experienced care in prophylaxis against VT of HIV, the women and her partner showed themselves as a couple. As a "being-couple," they understood and recognized themselves as such. They showed themselves as a "being-couple" when they used the pronoun "we" and used such phrases as "we lose", "we were" and "our treatment" and expressed complicity of care between them. The concreteness of the structure of being is revealed during the study and is revealed as the ability to have presence.
This presence concerns the closest possibility of being when manifested as they themselves are in their own world and in their relationship with others. The being-in-the world is part of the fundament make-up of the individual; and this person as the builder this can be seen and can be used to configure a personality that refuses cover-ups and distortions.
In this study eachindividual was revealed as a being-couple in their own existential comprehension. Couples reported about care experienced in prophylaxis against VT of HIV as something they understand as a unit, of being together, as one. They suffered this experience together, and this experience made them closer, and it has joined them. They experienced care that enabled them to understand that their status would not end up being the end of the world, they embraced the situation together and learned how to take care of one another, even facing the prejudice.
This way of being involves skill in being oneself; this also means that the being understands his or her own existence. In this experience, the being-couple revealed the relational character that permeates the essential constitution of being-there-in-the-world. The relationship is related to a way of being-with, which can be understood as a fundament structure of being-there and to mean that something or someone shares the presence of the other.
The being-couple described a difficult and complicated survival experience regarding the prophylaxis and after that life went well. They opened up to the possibility of being-with as they faced their experience with prophylaxis; they then became closer and learned how to care for one another and, therefore, in the being-with manner, came to understand that living well was possible and that the diagnosis was not the end of the world.
Based on being-in-the world determined by the "with" the world is always a shared world with others. When this is expressed as the importance of having a partner by one's side and acknowledging that the child justifies their being together, the being-couple reveals the relational what is d meaning of complicated relationship from being-there-women to the being-there-partner and from being-there-couple to what is meant by investigator effects being-there-child.
By giving meaning to care in prophylaxis, the being-couple described that they take care in order to the child being healthy, and they get involved and follow-up the child growth. They make reference of what the child must have to growth as a good person. They though, mainly, on the child and take care of themselves, and live to take care of the child. The child was what missing to complete their life, now they are family. The being-couple sought to make an effort during their journey toward understanding the relevance of caring for the child.