Satisfação de puérperas advindas de alto risco após intervenção fisioterapêutica em educação em saúde: estudo transversal: Satisfaction of high-risk postpartum puerperal women after physiotherapy intervention in health education: cross-sectional study

Fabio Mitsuo Fugimura; Fernanda Guimarães Vieira; Rubneide Barreto Silva Gallo; Claudia de Oliveira

doi:10.17765/2176-9206.2025v18e13156

Authors

Fabio Mitsuo Fugimura Santa Cecília University https://orcid.org/0009-0005-9497-1311
Fernanda Guimarães Vieira Santa Cecília University https://orcid.org/0009-0002-8578-7238
Rubneide Barreto Silva Gallo Federal University of Sergipe https://orcid.org/0000-0001-9953-0260
Claudia de Oliveira Santa Cecília University https://orcid.org/0000-0002-3130-4061

DOI:

https://doi.org/10.17765/2176-9206.2025v18e13156

Keywords:

High risk, Health education, Phsiotherapy, Postpartum

Abstract

The objective of this study was to evaluate the satisfaction of postpartum women who experienced high-risk pregnancies after receiving physical therapy interventions focused on health education in the immediate postpartum period. An observational cross-sectional study was conducted involving 30 high-risk postpartum women older than 18 years of age who had been hospitalized in a maternity ward in Santos, State of São Paulo, Brazil. Between 8 and 48 hours after delivery, routine physical therapy was provided to the women by interns from a supervised physiotherapy program provided by a local university. Next, the researchers of this study invited participants to complete a satisfaction questionnaire based on the American Customer Satisfaction Index (ACSI) without the presence of the therapists who provided care. Data analysis revealed that 100% of participants would recommend the physical therapy services they had received to other women, reporting that the provided interventions were ideal, and would receive them again. Additionally, 96.7% indicated their expectations were met, and their complaints were addressed. They also said the information provided by students enhanced their knowledge. All participants reported feeling satisfied and confident with the physiotherapy interventions.

Downloads

Download data is not yet available.

Author Biographies

Fabio Mitsuo Fugimura, Santa Cecília University

Studenty of the physiotherapy course at Santa Cecília University.

Fernanda Guimarães Vieira, Santa Cecília University

Studenty of the physiotherapy course at Santa Cecília University.

Rubneide Barreto Silva Gallo, Federal University of Sergipe

PhD in Health Sciences from the Faculty of Medicine of Ribeirão Preto, University of São Paulo (2015); master's degree in Health Sciences from the Faculty of Medicine of Ribeirão Preto, University of São Paulo (2011); Latu Senso postgraduate course in Activating Change Processes in Higher Education for Health Professionals from the Oswaldo Cruz Foundation (2016); in Physiotherapy in Women's Health from the University of Ribeirão Preto (2008) and in Acupuncture from the Instituto Superior de Ciências da Saúde (2010) and degree in Physiotherapy from Universidade Tiradentes (2007). Professor of the physiotherapy course at the Federal University of Sergipe (UFS). Member of the Obstetrics Working Group of the Brazilian Association of Physiotherapy in Women's Health (ABRAFISM). President of the Technical Chamber of Physiotherapy in Women's Health (CREFITO-17). Member of the Aracaju Women's Rights Council (CMDM).

Claudia de Oliveira, Santa Cecília University

Degree in Physiotherapy from Faculdade Don Domênio (1989); Master of Science (Obstetrics and Gynecology) from the University of São Paulo (2006); PhD in Sciences (Obstetrics and Gynecology) from the University of São Paulo (2015). Specialist in Physiotherapy in Women's Health (2019). Professor at Santa Cecília University - UNISANTA; Professor of the specialization in Physiotherapy in Women's Health at USP with an emphasis on Obstetrics. Member of ABRAFISM - Brazilian Association of Physiotherapy in Women's Health. Co-founder of Gestarfisiocursos.

References

1. Cabral FB, Oliveira DLLC de. Vulnerabilidade de puérperas na visão de Equipes de Saúde da Família: ênfase em aspectos geracionais e adolescência. Rev Esc Enferm USP. 2010 Jun;44(2):368–75. https://doi.org/10.1590/S0080-62342010000200018

2. Vieira F, Bachion MM, Salge AKM, Munari DB. Diagnósticos de enfermagem da NANDA no período pós-parto imediato e tardio. Esc Anna Nery. 2010 Jan-Mar;14(1):83-9. https://doi.org/10.1590/S1414-81452010000100013

3. Sarkar PK, Singh P, Dhillon MS, Singh A, Bhattacharya S. Impact of two intervention packages on the health and fitness of ante- and post-natal women attending in a teaching hospital. J Family Med Prim Care. 2021 Oct;10(10):3738-47. https://doi.org/10.4103/jfmpc.jfmpc_427_21Z

4. Fairbrother N, Young AH, Zhang A, et al. The prevalence and incidence of perinatal anxiety disorders among women experiencing a medically complicated pregnancy. Arch Women's Ment Health. 2017;20(3):311–9. https://doi.org/10.1007/s00737-016-0704-7

5. Ministério da Saúde. Gestação de alto risco: manual técnico / Ministério da Saúde, Secretaria de Atenção à Saúde, Departamento de Ações Programáticas Estratégicas. 5th ed. Brasília: Editora do Ministério da Saúde; 2012. p. 11-12. [Acesso em 20 set 2023]. Disponível em: https://bvsms.saude.gov.br/bvs/publicacoes/manual_tecnico_gestacao_alto_risco.pdf.

6. Bavaresco GZ, Souza RSO de, Almeida B, Sabatino JH, Dias M. O fisioterapeuta como profissional de suporte à parturiente. Ciênc. Saúde Coletiva.2011;16(7):3259–66. https://doi.org/10.1590/S141381232011000800025

7. Associação Brasileira de Fisioterapia em Saúde da Mulher (ABRAFISM). [Acesso em 20 fev 2025]. Disponível em: https://abrafism.org.br/campanha-maternidades.

8. Baracho E, Oliveira C, Saltiel F, Andrade PB, Figueiredo EM. Oficina do parto: educação em saúde para casais grávidos. 1. ed. Santos: Medbook; 2021. p. 11-12.

9. Focesi Pelicioni MC, Focesi Pelicioni A. Educação e promoção da saúde: uma retrospectiva histórica. Mundo Saúde. 2007 Jul 1;31(3):320–8. Disponível em: Education and health promotion: a historical retrospect: DOI: 10.15343/0104-7809.200731.3.1 | O Mundo da Saúde

10. Silva JB, Doi GE, Silva LC, Feltrin MI, Zotz TGG, Korelo RIG, et al. Satisfação de puérperas após intervenção fisioterapêutica em educação em saúde. Saúde Pesqui. 2019 Jan-Apr;12(1):141–50. Disponível em: https://periodicos.unicesumar.edu.br/index.php/saudpesq/article/view/7047/3386.

11. Fornell C, Johnson MD, Anderson EW, Cha J, Bryant BE. The American Customer Satisfaction Index: Nature, Purpose, and Findings. J Mark. 1996;60(4):7–18. doi: https://doi.org/10.1177/002224299606000403

12. Borges ALV, Cavalhieri FB, Hoga LAK, Fujimori E, Barbosa LR. Planejamento da gravidez: prevalência e aspectos associados. Rev Esc Enferm USP. 2011 Dec;45(2):1679–84. Pregnancy planning: prevalence and associated aspects - PubMed

13. Khan NB, Anjum N, Hoodbhoy Z, Khoso R. Episiotomy and its complications: A cross-sectional study in secondary care hospital. J Pak Med Assoc. 2020 Nov;70(11):2036–8. Episiotomy and its complications: A cross sectional study in secondary care hospital - PubMed

14. Medeiros FF, Santos IDL, Ferrari RAP, Serafim D, Maciel SM, Cardelli AAM. Prenatal follow-up of high-risk pregnancy in the public service. Rev Bras Enferm.2019Dec;72(3):204–11. https://doi.org/10.1590/0034-7167-2018-0425

15. Wang L, Leng J, Liu H, et al. Association between hypertensive disorders of pregnancy and the risk of postpartum hypertension: a cohort study in women with gestational diabetes. J Hum Hypertens. 2017;31(11):725–30. https://doi: 10.1038/jhh.2017.46 https://pubmed.ncbi.nlm.nih.gov/28660887/

16. Liu D, Zhang H. Developing a New Model for Understanding Teacher Satisfaction with Online Learning. Sage Open. 2021;11(3):21582440211036440. Developing a New Model for Understanding Teacher Satisfaction With Online Learning - Dongping Liu, Hai Zhang, 2021