Fatores sociodemográficos e complicações ocorridas na gestação em mulheres grávidas com doença falciforme: uma revisão integrativa
Sociodemographic factors and complications occurring in pregnancy in women with sickle cell disease: an integrative review
FACTORES SOCIODEMOGRÁFICOS Y COMPLICACIONES QUE OCURREN EN EL EMBARAZO EN MUJERES CON ENFERMEDAD DE CÉLULAS FALCIFORMES: UNA REVISIÓN INTEGRATIVA
Publication year: 2022
O estudo tem como objetivo analisar fatores sociodemográficos e as complicações:
crise vaso-oclusiva, infecção urinária e síndrome torácica aguda durante a gestação de mulheres com Doença Falciforme. O método utilizado foi a Revisão Integrativa da Literatura (RIL) conduzida pela seguinte questão de pesquisa: Qual a importância dos fatores sociodemográficos na ocorrência de crise vaso-oclusiva, infecção urinária e síndrome torácica aguda durante a gestação de mulheres com Doença Falciforme? Para este estudo, por se tratar de uma pesquisa não-clínica, utilizamos estratégia PICo onde a População (P) abrangeu mulheres com Doença Falciforme que estiveram gestantes; o Fenômeno de Interesse (I) são a crise vaso-oclusiva, infecção urinária e síndrome torácica aguda, e o Contexto (Co) referiu-se aos fatores sociodemográficos. Os dados foram coletados de Julho a Agosto de 2022 através de busca na Biblioteca Digital Brasileira de Teses e Dissertações do Instituto Brasileiro de Informação em Ciência Tecnologia (IBCT), na Biblioteca Virtual de Saúde (BVS) e Pubmed.sendo utilizados os seguintes descritores:
“Pregnancy”, “Anemia, Sickle Cell”, “Race Factors”, “Social Class”, “Socioeconomic Factors”, “Social Support”, “Educational Status”, “Age Distribution” “Acute Chest Syndrome”, “Acute Pains”, “Urinary Tract Infections” e seus correlatos.Foram critérios de inclusão:
artigos publicados em português, inglês e espanhol; artigos/teses/dissertações com texto completo disponível gratuitamente e artigos publicados e indexados nos referidos bancos de dados nos anos 2010-2020, com seres humanos. Foram selecionados 9 estudos para análise. Em relação à caracterização das participantes, o que encontramos é que são mulheres negras, que vivem com seus companheiros, e em sua maioria de baixa renda e escolaridade. A análise dos estudos selecionados permitiu constatar que A STA e crise vaso-oclusiva ocorrem majoritariamente em mulheres pretas à pardas. Já sobre ITU e raça, parece que não há uma associação negativa. Há ausência de estudos que abordem a relação do apoio social e a ocorrência de intercorrências clínicas durante a gravidez de mulheres com DF, assim como não correlacionam nem avaliam as diferenças de classes sociais e a ocorrência das mesmas. Permanecem lacunas no conhecimento sobre as características de risco sociodemográficos e apoio social associadas a complicações crise vaso-oclusiva, infecções e síndrome torácica aguda na gravidez de mulheres com Doença Falciforme, uma vez que poucos estudos foram encontrados. Estudos de pesquisa bem desenhados são necessários para abordar prontamente essas lacunas no conhecimento. (AU)
The study aims to analyze sociodemographic factors and complications vaso-occlusive
crisis, urinary tract infection and acute chest syndrome during pregnancy in women with
Sickle Cell Disease. The method used was Integrative Literature Review (ILR) conducted
by the following research question: What is the importance of sociodemographic factors
in the occurrence of vaso-occlusive crisis, urinary tract infection and acute chest
syndrome during pregnancy in women with Sickle Cell Disease? For this study, as it is a
non-clinical research, we used the PICo strategy where the Population (P) included
women with Sickle Cell Disease who were pregnant; the Phenomenon of Interest (I) are
the vaso-occlusive crisis, urinary tract infection and acute chest syndrome, and the
Context (Co) referred to sociodemographic factors. Data were collected from July to
August 2022 through a search in the Brazilian Digital Library of Theses and Dissertations
of the Brazilian Institute of Information in Science Technology (IBCT), in the Virtual
Health Library (BVS) and Pubmed.
The following descriptors were used:
“Pregnancy”, “Anemia, Sickle Cell”, “Race Factors”, “Social Class”, “Socioeconomic Factors”, “Social Support”, “Educational Status”, “Age Distribution” “Acute Chest Syndrome”, “Acute Pains”, “Urinary Tract Infections” and their correlates.Inclusion criteria were:
articles published in Portuguese, English and Spanish; full-text articles/theses/dissertations available for free and articles published and indexed in these databases in the years 2010-2020, with human beings. Nine studies were selected for analysis.Results:
Regarding the characterization of the participants, what we found is that they are black women, who live with their partners, and most of them have low income and schooling. The analysis of the selected studies showed that ACS and vaso-occlusive crises occur mostly in black to brown women. As for UTI and race, it seems that there is no negative association. There is a lack of studies that address the relationship between social support and the occurrence of clinical complications during the pregnancy of women with SCD, as well as they do not correlate or assess differences in social classes and their occurrence. Gaps in knowledge about the sociodemographic risk characteristics and social support associated with complications of vaso-occlusive crisis, infections and acute chest syndrome in pregnancy of women with Sickle Cell Disease remain, since few studies were found. Well-designed research studies are needed to promptly address these gaps in knowledge. The study aims to analyze sociodemographic factors and complications vaso-occlusive crisis, urinary tract infection and acute chest syndrome during pregnancy in women with Sickle Cell Disease. The method used was Integrative Literature Review (ILR) conducted by the following research question: What is the importance of sociodemographic factors in the occurrence of vaso-occlusive crisis, urinary tract infection and acute chest syndrome during pregnancy in women with Sickle Cell Disease? For this study, as it is a non-clinical research, we used the PICo strategy where the Population (P) included women with Sickle Cell Disease who were pregnant; the Phenomenon of Interest (I) are the vaso-occlusive crisis, urinary tract infection and acute chest syndrome, and the Context (Co) referred to sociodemographic factors. Data were collected from July to August 2022 through a search in the Brazilian Digital Library of Theses and Dissertations of the Brazilian Institute of Information in Science Technology (IBCT), in the Virtual Health Library (BVS) and Pubmed.The following descriptors were used:
“Pregnancy”, “Anemia, Sickle Cell”, “Race Factors”, “Social Class”, “Socioeconomic Factors”, “Social Support”, “Educational Status”, “Age Distribution” “Acute Chest Syndrome”, “Acute Pains”, “Urinary Tract Infections” and their correlates.Inclusion criteria were:
articles published in Portuguese, English and Spanish; full-text articles/theses/dissertations available for free and articles published and indexed in these databases in the years 2010-2020, with human beings. Nine studies were selected for analysis.Results:
Regarding the characterization of the participants, what we found is that they are black women, who live with their partners, and most of them have low income and schooling. The analysis of the selected studies showed that ACS and vaso-occlusive crises occur mostly in black to brown women. As for UTI and race, it seems that there is no negative association. There is a lack of studies that address the relationship between social support and the occurrence of clinical complications during the pregnancy of women with SCD, as well as they do not correlate or assess differences in social classes and their occurrence. Gaps in knowledge about the sociodemographic risk characteristics and social support associated with complications of vaso-occlusive crisis, infections and acute chest syndrome in pregnancy of women with Sickle Cell Disease remain, since few studies were found. Well-designed research studies are needed to promptly address these gaps in knowledge. (AU)
El estudio tiene como objetivo analizar los factores sociodemográficos y y las
complicaciones de la crisis vaso-oclusiva, la infección del tracto urinario y el síndrome
torácico agudo durante el embarazo en mujeres con enfermedad de células falciformes.
El método utilizado fue Revisión Integrativa de la Literatura (ILR) realizada por la
siguiente pregunta de investigación: ¿Cuál es la importancia de los factores
sociodemográficos en la ocurrencia de crisis vaso-oclusiva, infección del tracto urinario
y síndrome torácico agudo durante el embarazo en mujeres con Enfermedad de Células
Falciformes? Para este estudio, por ser una investigación no clínica, se utilizó la estrategia
PICo donde la Población (P) incluyó mujeres con Drepanocitosis que estaban
embarazadas; el Fenómeno de Interés (I) son la crisis vasooclusiva, la infección urinaria
y el síndrome torácico agudo, y el Contexto (Co) referido a factores sociodemográficos.
Los datos fueron recolectados de julio a agosto de 2022 a través de una búsqueda en la
Biblioteca Digital Brasileña de Tesis y Disertaciones del Instituto Brasileño de
Información en Ciencia y Tecnología (IBCT), en la Biblioteca Virtual en Salud (BVS) y
Pubmed.
