O manejo da dor da mulher xavante hospitalizada

Abstract

Introduction: Studies on indigenous women's pain are extremely important to understand the specificities and challenges faced by these women. By investigating this topic, it is possible to identify the intersections between gender, ethnicity and culture, and how these factors influence the perceptions, care practices and needs of indigenous women in relation to pain. This understanding is fundamental for the development of health approaches that are more sensitive to sociocultural specificities, which promote pain relief and the well-being of these women, respecting their beliefs, knowledge and traditional practices. Objective: To identify how women experience pain in the hospital environment and to analyze how pain management (assessment and treatment) of hospitalized Xavante women is carried out by health professionals. Methodology: This is an ethnographic study, which was based on knowing, in depth, a cultural reality, immersing oneself in the culture of the study and examining them by gathering all the information. Data collection was carried out in a public hospital, in the maternity ward, in a municipality in the interior of Mato Grosso, Brazil. The social group studied consisted of Xavante women aged 18 or over. The data collection techniques used were participant observation and documentary research. A specific instrument was used to record this information (Field Note Recording Protocol). The data extracted from the medical records were organized in a Microsoft Excel spreadsheet, facilitating later analysis. The content analysis of the data was based on the theoretical framework proposed by Virginia Braun and Victoria Clarke. Results and discussion: Of the 32 women observed, 12 (37.55%) did not present information on pain assessment in their medical records. The other 23 women had information about pain in their medical records such as: “denies pain”, “no pain at the moment”, “pain in the lower abdomen” and “no pain complaints at the moment”, such information does not consider the multidimensionality of pain. Regarding treatment, the medications prescribed were: dipyrone and bromopride ‘in case of pain’, however, in some cases, these were not “checked” in the medical records, which suggests that they were not being carried out. Some observations indicated that the indigenous women often had communication difficulties. Conclusion: The observations may suggest that indigenous women do not feel safe in the hospital environment and avoid expressing their pain, needs and concerns. The lack of records about pain in the medical records may suggest a clinical practice that does not prioritize active listening and multidimensional assessment of the pain of indigenous women.