Contribuições literárias nacionais da(o) enfermeira(o) para empoderamento e o autocuidado no diabetes gestacional

Abstract

Gestational Diabetes Mellitus is one of the main chronic conditions that affect the pregnant women, being highlighted by the commitment of its complications, which shows a great concern in the public health area. This is a descriptive, exploratory, qualitative-type, integrative review of the literature, with the objective of describing the contributions of the nurses to the empowerment and self-care of women with gestational diabetes in light of the literature Brazilian science. The research was conducted from December 2017 to January 2018, using the databases LILACS, BDENF, MEDLINE and CAPES Periods, and the descriptors: Gestational Diabetes, Nursing, Nurses and Nurses, Nursing Care, Role of Professionals of nursing; Power (empowerment) and Self-care. Inclusion criteria were: empirical research papers, in Portuguese, available in full, with a 10-year time cut from 2008 to 2017, and exclusion criteria: review articles and not corresponding to the study object. Content analysis was used in data processing. The results show a shortage of Brazilian publications about the object studied, in qualified journals with qualis A and B for nursing, the productions are mostly of a qualitative approach and of female nurses. Two categories of analysis were constructed: Nurses' actions for the empowerment and self-care of women; and Perspectives to qualify nursing care. The perspectives of empowerment and self-care stimulation for women with gestational diabetes, provided by nurses, were also considered, as well as the importance of nurses and the family in the establishment of care, signaled by women. However, attention is drawn to gaps in prenatal care, deficiencies in nurses' interventions and self-care deficits experienced by women, and recommendations for expanding communication, work spaces, and cultural and integral. New research is needed on the theme and actions of education in service and permanent for nurses aiming at improving the qualification of attention to pregnant women with gestational diabetes.