Hasil untuk "Mental healing"

Michelle Marie Pieters, Diego Sapalú, Alex Cohen et al.

Introduction: Psychotic conditions are major causes of disability in Latin America, where mental healthcare is mostly limited and inadequate. Indigenous People throughout this region experience additional barriers to mental health care, compounded by structural inequities and diverse health practices. This study in Guatemala described the Maya Indigenous People's perceptions about psychosis, its symptoms, causes, responses to, and recovery. Results will inform the design of a community-led, culturally grounded program for people living with psychosis (PLWP). Methods: We conducted free listing and semi-structured interviews in Spanish or Maya Tz'utujil language. Participants were PLWP, family caregivers, community leaders, and mental health, traditional, and primary care providers. We followed Kleinman's explanatory model and elicited locally meaningful recovery outcomes. Our team performed a matrix-based thematic analysis. Results: We interviewed 30 participants. Key findings included (1) varying terms and understandings of psychosis symptoms and causes across participant subgroups; (2) extremely limited care, pluralistic treatment practices, and tensions between biomedical and traditional systems; (3) matching community expectations and recovery outcomes, with contrasting views between PLWP, who expressed hope, and family caregivers and providers, who expressed doubts and resignation; and (4) stigma as a cross-cutting barrier towards care and recovery across family-, community- and provider-levels linked to social exclusion among PLWP and family caregivers. Conclusion: Effective community programs must respond to local definitions of recovery, incorporate biomedical, traditional, and spiritual approaches, involve PLWP and family caregivers, and address stigma. Engaging Indigenous peoples’ practices in programs for PLWP can improve their acceptability, reach, and effectiveness.

Qingmei Yang, Han Xu, Yang Chen et al.

Intrauterine adhesions (IUAs) are essentially fibrosis of the endometrium within the uterine cavity. It is a common cause of infertility in women and seriously affects their physical and mental health. Current therapeutic strategies have failed to reach satisfactory outcomes. Injectable and self-healing uterine hydrogels with antifibrotic properties would be efficient in preventing IUA. In this work, we prepared curcumin-loaded carboxymethyl chitosan (CMC)–oxidized hyaluronic acid (OHA) intrauterine hydrogel (Cur@CMC-OHA hydrogel) with antifibrotic properties, and its injectable and self-healing properties could be adapted to the morphostructures of the uterine cavity. The hydrogels exhibited tissue adhesive power, which is ideal for stable uterine cavity retention and therapeutic outcomes. In vivo experiments showed that in situ injection of the Cur@CMC-OHA hydrogel into a mouse model of IUA reduced fibrotic tissues, prevented IUA, and improved the reproductive outcomes. It effectively downregulated fibrosis-associated transforming growth factor-β1 (TGF-β1) expression and reversed epithelial–mesenchymal transition (EMT), resulting in anti-fibrotic and fertility restoration. In conclusion, Cur@CMC-OHA hydrogel may be a promising alternative for clinical treatment of uterine adhesion.

Pedro César Pacherres Espinoza, Dany Dorian Isuiza Pérez, Lizardo Elías Agüero del Carpio et al.

El presente estudio tuvo como objetivo realizar un análisis bibliométrico sobre el desarrollo del emprendimiento social entre 2003 y 2024. La metodología utilizada fue un análisis bibliométrico para cuantificar la producción científica mediante el análisis de datos. Se consideraron 1475 documentos de Scopus para su inclusión en la investigación en función de su relevancia y de las palabras clave en inglés (economic impact, social entrepreneurship). En 2023 se produjo un notable crecimiento de la producción científica (n=238; 16,1%), con Estados Unidos a la cabeza con un 11,7%. Sustainability Switzerland fue la fuente más importante, con 93 publicaciones. El autor Welter, F. obtuvo el mayor número de citas (1918) y cuatro artículos. De estas publicaciones, el 82% eran artículos académicos y el 28% se clasificaban en los temas de empresa, gestión y contabilidad. Se concluye que hay más fuentes, una mayor variedad de autores y temas tratados, y más recursos en general respecto al desarrollo del emprendimiento social. Esto ofrece una imagen más completa de la visibilidad, influencia e importancia de la producción científica mundial dentro del emprendimiento. Al llevar a cabo una evaluación exhaustiva de la literatura actual, este estudio bibliométrico proporciona un apoyo basado en pruebas, sentando así las bases para futuras investigaciones del crecimiento del emprendimiento social a nivel internacional.

Aviva Vincent, Joanna Robson

Marisol Herrera-Rivero, Karina Gutiérrez-Fragoso, Monika Stoll et al.

DNA methylation is a reversible epigenetic mechanism of transcriptional regulation. Changes in DNA methylation patterns are influenced by internal and external factors, and have been associated with various human diseases. We hypothesized that specific methylation changes occur in depressed individuals, and that these changes are associated with disease progression and responses to pharmacological treatments. To test our hypothesis, we analyzed DNA methylation-wide changes in the BiDirect Study's depression and control cohorts. Over the course of two consecutive follow-up visits in 3-year intervals from baseline (i.e. 3 and 6 years after initial assessment), we identified a set of changes in methylation sites within gene enhancer and promoter regions that consistently changed only in depression patients or only in control individuals, respectively. Longitudinal changes in these methylation sites correlated with changes in circulating markers of inflammation and were enriched in biological processes related to innate and adaptive immunity. Currently, we are starting to explore the translational value of these findings by investigating their relationships with depressive symptoms and immunity. Moreover, by applying different machine learning algorithms, we test the utility of a prioritized subset of the identified methylation sites to predict disease status, disease progression, chronic inflammation status and antidepressant response. Overall, we expect to leverage longitudinal DNA methylation information to gain insights into the role of immunity in depression and generate computational tools with potential applications in the clinic.

Junichi Saito, Hiroaki Kumano, Mohammad Ghazizadeh et al.

Background: It is generally assumed that erectile dysfunction (ED) under the age of 40 is primarily driven by psychosocial factors. Aims This cross-sectional study evaluated ED, depression, anxiety, and quality of life among young Japanese men. Materials and Methods: We used an online survey to gather data from a wide range of community samples. ED was assessed by the IIEF-5 questionnaire, while depression, anxiety, and quality of life were assessed by the PHQ-9, GAD-7, and LISAT-8 questionnaires, respectively. Categorical data were evaluated by chi-square test and numerical data were estimated by one-way ANOVA. Post-hoc tests were conducted using the Holm method, which was used to control for type I errors. Cohen’s d index was calculated as effect sizes. Results: Valid responses from 329 individuals (age 33.93 ± 6.41 years) were obtained. According to IIEF-5 scores, the distribution of various severities of ED was as follows: non-ED, 37.39%; mild ED, 18.24%; mild to moderate ED, 27.36%; and moderate and severe ED, 17.02%. There were no significant differences in depression and anxiety between non-ED and ED men. In contrast, there were significant differences in quality of life between non-ED and ED men ( P < .01). Conclusions: We conclude that psychosocial factors may also be the cause of ED in young Japanese men besides depression and anxiety, and ED may reduce quality of life in various aspects. It is necessary to develop a Japanese version scale to measure ED-related psychosocial factors.

Martin Schäfer, Nils Auen, Florian Rübener et al.

Approximately 30% of patients with depressive episodes do not respond to conventional antidepressant medication or develop side effects. As a result, effective new treatments are urgently needed. Mood-enhancing effects of Whole body hyperthermia (WBH) have repeatedly been observed in various fields of medicine (e.g. rheumatology). A recent study by Janssen and colleagues (2016) with a randomized, double-blind and sham-controlled approach, was able to demonstrate a significant, rapid and partially lasting reduction of depressive symptoms in unmedicated patients with MDD following a WBH single session.Two randomized, double-blind, and (sham-) controlled clinical studies are currently conducted by our group in Essen (Germany). Overall, the studies focus on safety and tolerability data and the question whether WBH improves depressive symptoms in patients without any antidepressant treatment (HYPE I trial) or in patients with stable antidepressant treatment but non- or only partial response (HYPE II trial). In each subgroup, patients are randomized to either a verum group with two treatments with WBH in two weeks or a waiting group as controls. Beside response data, immune parameters in the serum of patients will be assessed.Preliminary results regarding safety and tolerability from the first 34 participants (N=16 treatment naive, N=18 non- or partly responder) showed, that WBH was well tolerated in most patients with or without antidepressant treatment. No serious side effects of WBH were observed that would have required further treatment. Overall, the risk for adverse effects during WBH was increased in case of somatic comorbidities.In summary, whole-body hyperthermia appears to be an interesting concept for a non-pharmacological treatment of perhaps subgroups like stress or immune induced depression.

G. P. Gururaj, J. Shivananda Manohar, T. S. Sathyanarayana Rao

Studies have shown physician homophobia as a barrier to health care, with LGBTQIA+ patients being more likely to delay or avoid getting care due to fear of harassment or discrimination. Objectives: Our aims and objective in this study were to determine the attitudes and opinions of the various medical and surgical teaching faculties and compare them for gender differences, if any, toward the LGBT community. Methodology: It was a cross-sectional study done among 129 teaching faculty between November and December 2019 at Sri Devaraj Urs Academy of Higher Education and Research, a rural tertiary medical college in southern India with regular and ongoing postgraduate training in all medical and surgical specialties, with assessment done using a structured and validated instrument, Riddle homophobia scale, meant for the assessment of attitudes and beliefs toward the LGBT community. Results: Most of the teachers in both the medical and surgical groups reported favorable positive attitudes/beliefs with statements like homophobia and heterosexism are wrong, and there is no need for the LGBT people to undergo reparative surgery; they deserve the same rights and privileges as everyone; however, there were negative attitudes and opinions reported with the statements like the LGBT people did not choose their sexual orientation and teachers themselves need to undergo introspection to be able to be supportive toward them, which is a significant source of concern. There were no differences in attitudes and opinions based on the age groups of the teachers of both the groups. Male teachers, when compared to female teachers (male:females—84:45), reported more favorable beliefs ( t 2 / p value= 6.316/.0043) toward the LGBT community at p value ≤ .05. Conclusions: The teaching of sexuality, especially on the LGBT community, to medical professionals, especially teaching faculty, needs to be perceptive to the issues faced by people with different sexual orientations and identities.

Jonathan C. Lin, Elaine Toombs, Chris Sanders et al.

Access to cultural activities and culturally relevant healthcare has always been significant for achieving holistic Indigenous health and continues to be a key factor in shaping the health journey of Indigenous individuals and communities. Previous research has indicated the importance of cultural practices and services in sustaining cultural identity for Indigenous peoples, which is a major influence on their wellbeing. This study marks the first phase in a project aimed at establishing an Indigenous healing program and uses a qualitative research approach to understand the health and cultural services that Indigenous women want and require in Thunder Bay, Ontario. During interviews, participants (n = 22) answered questions around their understandings of health and wellbeing, and how they are able to incorporate cultural practices into their circle of care. Thematic analysis was performed on interview transcripts, and 4 key themes were identified: ‘independence and self-care’, ‘external barriers to accessing services’, ‘finding comfort in the familiar’ and ‘sense of community’. Together these themes illustrate how Indigenous women feel a strong sense of personal responsibility for maintaining their health despite the multiple environmental factors that may act as barriers or supports. Furthermore, the necessity of embedding cultural practices into Indigenous women’s circle of care is highlighted by the participants as they describe the mental, spiritual, social, and emotional health benefits of engaging in cultural activities within their community. The findings demonstrate the need for current modes of care to look beyond the individual and consider the impacts that socio-environmental factors have on Indigenous women. To accomplish this, we hope to increase access to health and cultural services through the creation of an Indigenous healing program that can be adequately incorporated into Indigenous women’s circle of care if they wish to do so.

Nadia Anisya Adiyati Widodo, Tri Kurniati Ambarini

Melihat bagaimana perilaku makan penderita bulimia memperlakukan makanan, penelitian ini bertujuan untuk melihat gambaran persepsi yang dimiliki oleh penderita bulimia nervosa terhadap makanan. Persepsi sendiri merupakan pemberian arti, menilai, mendefinisikan dengan kata kunci dalam definisi dari persepsi adalah menafsirkan. Penelitian ini menggunakan metode penelitian kualitatif dengan pendekatan studi kasus. Penggalian data dilakukan dengan wawancara, dan menggunakan teknik analisis data Miles dan Huberman. Penelitian ini meneliti dua partisipan yang merupakan perempuan penderita bulimia dengan usia 28 dan 19 tahun yang didapatkan dengan cara menyebarkan google form melalui media sosial. Hasil penelitian menunjukkan bahwa satu partisipan mempersepsikan makanan bagaikan dengan harapan bahwa mengkonsumsi makanan dapat membuat dirinya senang dan tenang namun melainkan merasa bersalah dan menyesal setelah mengkonsumsi makanan, sedangkan partisipan lain memiliki persepsi bahwa dengan mengkonsumsi makanan berharap untuk dapat membuatnya pulih dari perilaku gangguan makan yang dialami.

Mahmuda Mahmuda, Mohammad Abdul Awal Miah, Mohamed Elshazly et al.

A main gap in the delivery of mental health and psychosocial (MHPSS) services to Rohingya refugees in Cox’s Bazar district in Bangladesh is the limited coverage of psychotherapeutic interventions. There is a shortage of mental health professionals who can provide culturally adapted and linguistically appropriate psychotherapeutic interventions that are congruent with the refugee experience. This article describes preliminary work on training Bangladeshi psychologists and para-professionals in applying a novel group-based psychological intervention for refugees, Group Integrative Adapt Therapy (IAT-G). This is a pragmatic, eclectic and transdiagnostic approach, based on the Adaptation and Development After Persecution and Trauma (ADAPT) model. It aims to help refugees to develop resilience and capacities for managing maladaptive reactions to trauma and post-migration living difficulties. This paper describes the key strategies and challenges during the first phase of the project. Activities included an extensive desk review, a one-week training workshop with competency assessments, cultural adaptation of the treatment manual and assessment measures, training on digital literacy and electronic data collection and a blended supervisory model (involving onsite and online sessions). It proved to be generally feasible but not easy to introduce IAT-G in this population. Key implications for practice The introduction of a brief scalable psychological intervention within an acute and ongoing emergency was feasible, but faced considerable challenges including high staff turnover. Implementation involves multiple components including stakeholder engagement, contextual adaptation of tools and materials, training and supervision and setting up a monitoring system. Setting up a supervision is of critical importance but can be complicated in the context of an unfolding emergency.

Thaís Pereira Dias da Silva, Wildo Navegantes de Araújo, Marina Morato Stival et al.

RESUMO Objetivo Avaliar o desconforto musculoesquelético, a capacidade para o trabalho e a fadiga residual em profissionais de enfermagem que atuam em Hospital. Método Estudo transversal com profissionais de um hospital público de médio porte. Foram utilizados o questionário nórdico de sintomas, o índice de capacidade para o trabalho e a escala de necessidade de descanso (fadiga). Os dados foram analisados descritivamente e aplicaram-se testes inferenciais com o intuito de verificar a associação da fadiga e a capacidade para o trabalho e comparar a fadiga entre os setores analisados. Resultados Participaram da pesquisa 110 profissionais. Um total de 86,24% dos trabalhadores relatou desconforto osteomuscular, com maior prevalência na coluna cervical, torácica e lombar. Aproximadamente 43% dos profissionais apresentaram fadiga residual. Verificou-se associação significante entre fadiga e redução da capacidade para o trabalho (p<0,003), assim como associação entre menor idade e maior fadiga (p<0,03). Conclusão Os resultados mostraram uma alta prevalência de desconforto osteomuscular no último ano e uma quantidade considerável de profissionais que apresentaram fadiga residual instalada. Destaca-se também uma importante parcela dos trabalhadores com moderada capacidade de trabalho, que requer atenção em médio prazo.

Elieni Paula dos Santos, Rosângela Aparecida Pimenta Ferrari, Maria Rita Bertolozzi et al.

Abstract OBJECTIVE To analyze infant death after discharge from maternity in the time period between 2000 and 2013. METHOD A cross-sectional retrospective quantitative study in a municipality northward in the state of Paraná. Data were analyzed using the SPSS®, and were subjected to Chi-square test, logistical regression, 95% confidence interval, and a significance level of p <0.05. RESULTS Two hundred forty-nine children were born, discharged from maternity and subsequently died; 10.1% in the neonatal period and 89.9% in the post-neonatal period. Pregnancy follow-up, birth, and child monitoring took place mainly in the public health system. There was a statistically significant association between the infant component and place of delivery (p =0.002; RR=1.143; IC95%=1.064-1.229), and a lower number of childcare medical visits (p =0.001; RR=1.294; IC95%=1.039-1.613). The causes of death in the neonatal period were perinatal conditions (40%); external causes (32%); and congenital malformations (20%). In the post-neonatal period, congenital malformations (29.9%), external causes (24.1%); and infectious-parasitic diseases (11.2%) were the causes of death. CONCLUSION Virtually all children were born in conditions of good vitality that were worsened due to potentially preventable diseases that led to death.

Camila Santos do Couto, Milena Colares Tupinambá, Aldecira Uchôa Monteiro Rangel et al.

Abstract We sought to know the spectra of mothers of premature children regarding their experience with circle of culture of educational character and identifying the learning provided by the circle of culture about newborn care after hospital discharge. A descriptive study was performed in a hospital located in Fortaleza, Brazil. Three meetings of a circle of culture with 17 mothers of premature newborns were performed. The interpretation of the corpus was performed using thematic analysis. Emerged from the categories: Maternal experience in a circle of culture; Promoted social support among mothers through the circle of culture; and Learning provided by the circle of culture. It was concluded that teaching parents during the hospitalization of the child should be held in a way to involve parents in the care of the newborn, provide moments of health education, opportunities for support and dialogue between professionals and family.

Vera Lúcia de Oliveira Gomes, Adriana Dora da Fonseca, Denize Cristina de Oliveira et al.

Objective: To analyze the social representation of adolescents about gynecological consultation and the influence of those in searching for consultations. Method: Qualitative descriptive study based on the Social Representations Theory, conducted with 50 adolescents in their last year of middle school. The data was collected between April and May of 2010 by Evocations and a Focal Group. The software EVOC and contextual analysis were used in the data treatment. Results: The elements fear and constraint, constant in the central nucleus, can justify the low frequency of adolescents in consultations. The term embarrassment in the peripheral system reinforce current sociocultural norms, while prevention, associated with learning about sex and clarifying doubts, allows to envision an educative function. Obtained testimonies in the focal groups exemplify and reinforce those findings. Conclusion: For an effective health education, professionals, including nurses, need to clarify the youth individually and collectively about their rights to privacy, secrecy, in addition to focus the gynecological consultation as a promotion measure to sexual and reproductive health.

Alyne Leite Gomes Nogueira, Denize Bouttelet Munari, Leidiene Ferreira Santos et al.

O objetivo do estudo foi identificar fatores terapêuticos presentes em grupo de promoção da saúde de idosos. Estudo descritivo exploratório com abordagem qualitativa, cujos dados foram coletados por meio de grupos focais realizados com participantes do grupo e suas coordenadoras, entre dezembro de 2010 e abril de 2011. Os dados foram submetidos a análise de conteúdo, modalidade temática. Os achados mostraram convergência de respostas entre os participantes da pesquisa, indicando ressonância e complementaridade na identificação dos fatores terapêuticos coesão, instilação de esperança, socialização, compartilhamento de informações, fatores existenciais, altruísmo, aprendizagem interpessoal e universalidade. A identificação desses vários fatores no grupo estudado comprova seu potencial terapêutico, especialmente por atender as necessidades dos idosos, mantê-los saudáveis, fortalecer o sentimento de amor pela vida e pertença a um grupo social.

Carla Almeida Damasceno, Tassia Lacerda de Queiroz, Carlos Antonio de Souza Teles Santos et al.

O objetivo deste estudo foi analisar, entre gêneros, a influência de variáveis cognitivas e emocionais no tempo de decisão (TD) para procura de atendimento face ao infarto do miocárdio. Cem adultos foram entrevistados em dois hospitais de Salvador-BA. Na análise empregaram-se médias percentuais, teste Q-quadrado e modelo de regressão linear robusto. Houve a predominância de homens, com idade média de 58,78 anos e baixa condição socioeconômica. A média geométrica da amostra foi 1,1h - 0,9h para homens; 1,4h para mulheres. Constatou-se menor tempo de decisão para quem considerou grave os sintomas, e maior para quem esperou melhora e tomou algo para recuperar-se, tais associações são estatisticamente significantes. Houve interação entre gênero e variáveis: esperar a melhora dos sintomas (p=0,014), ocultá-los (p=0,016) e pedir ajuda (p=0,050), quando verificou-se a associação das variáveis de interesse e TD. Os tempos de decisão foram elevados e sofreram influência de variáveis cognitivas, emocionais e de gênero. Cuidados de enfermagem podem promover o atendimento precoce.

Márcia Regina Martins Alvarenga, Maria Amélia de Campos Oliveira, Odival Faccenda et al.

Alterações do estado nutricional contribuem para o aumento da morbi-mortalidade em idosos. O instrumento The Nutrition Screening Initiative (NSI) foi desenvolvido para identificar riscos nutricionais nesse grupo populacional. Este estudo tem por objetivos descrever o perfil sociodemográfico e avaliar o risco nutricional de idosos atendidos por equipes da Estratégia Saúde da Família. O estudo é transversal, com amostra de 503 idosos residentes em Dourados (MS). Instrumentos: NSI e questionário estruturado para as variáveis sociodemográficas de saúde. Verificou-se o predomínio de idosos do sexo feminino, entre 60 a 69 anos, viúvos, analfabetos, de renda per capita de até um salário mínimo, com hipertensão e auto-avaliação regular de saúde. O NSI permitiu identificar 33,2% de idosos com alto risco nutricional, o que se mostrou significativamente associado ao baixo nível de escolaridade, à baixa renda per capita e às doenças crônicas. Como método de rastreio, o NSI mostrou-se útil para identificar os determinantes sociais e de saúde que contribuem para o risco nutricional.<br>Las alteraciones del estado nutricional contribuyen en aumentar la morbimortalidad en ancianos. El instrumento The Nutririon Screening Inititative (NSI) fue desarrollado para identificar riesgos nutricionales en dicho grupo poblacional. Este estudio tiene como objetivos describir el perfil socio-demográfico y evaluar el riesgo nutricional de ancianos atendidos por equipos de la Estrategia Salud de la Familia. Estudio transversal, con muestra de 503 ancianos residentes en Dourados - MS - Brasil. Instrumentos: NSI y cuestionario estructurado para las variables socio-demográficas y de salud. Se verificó el predominio de ancianos del sexo femenino, de 60 a 69 años, viudos, analfabetos, con ingresos per cápita de hasta un salario mínimo, con hipertensión y autoevaluación regular de salud. El NSI permitió identificar un 33,2% de ancianos con alto riesgo nutricional, que se mostró significativamente asociado a: bajo nivel de escolaridad, bajos ingresos per cápita de hasta un salario mínimo y enfermedades crónicas. Como método de rastreo, el NSI se mostró útil para identificar los determinantes sociales y sanitarios que contribuyen al riesgo nutricional.<br>Changes in the nutritional state contribute to an increase of morbi-mortality among the elderly. The instrument Nutrition Screening Initiative (NSI) was developed in order to identify nutritional risks in this population group. This study aims to describe the socio-demographic profile and evaluate the nutritional risk of the elderly assisted by Family Health Strategy teams. It is a cross-sectional study with a sample of 503 older people living in Dourados (MS). Instruments: NSI and structured questionnaire for the health socio-demographic variables. There was a prevalence of female people, aged between 60 and 69 years old, widowers, illiterate, with a per capita income up to one minimum salary, with hypertension and regular health self-evaluation. The NSI allowed to identify 33.2% of the elderly with high nutritional risk, which was significantly associated to the low level of education, low per capita income and chronic diseases. As a tracking method, the NSI was useful to identify the social and health determinants that contribute to the nutritional risk.

Fernanda Beheregaray Cabral, Dora Lucia Leidens Corrêa de Oliveira

O artigo analisa o destaque conferido por profissionais de Equipes de Saúde da Família (ESFs) ao puerpério na adolescência como um período em que as mulheres estão particularmente vulneráveis. A especial vulnerabilidade de puérperas na idade da adolescência é justificada em função de modos adolescentes de viver a vida, revelando uma tendência à naturalização do fenômeno da adolescência. A análise traz alguns dos resultados de um estudo qualitativo realizado com ESFs de Santa Maria, RS, desenvolvido por meio de grupos focais, cujos dados foram submetidos à análise de conteúdo temática. Este estudo contribui para o trabalho dos profissionais de saúde, no sentido de indicar e dar visibilidade às circunstâncias e elementos implicados na produção da vulnerabilidade de adolescentes no puerpério. Os resultados sugerem a necessidade de reorientação das práticas de educação e promoção da saúde das ESFs dirigidas a puérperas adolescentes, para além do componente informativo, e a incorporação da perspectiva da vulnerabilidade no planejamento destas ações.<br>El artículo analiza el énfasis otorgado por profesionales de Equipos de Salud de la Familia (ESFs) al puerperio en la adolescencia, como un período durante el cual las mujeres están particularmente vulnerables. La especial vulnerabilidad de las puérperas adolescentes se justifica en función del modo adolescente de vivir la vida, revelando una tendencia a la naturalidad del fenómeno de la adolescencia. El análisis incluye algunos de los resultados de un estudio cualitativo realizado con ESFs de Santa María, RS, desarrollado a través de grupos focales, cuyos datos fueron sometidos al análisis de contenido temático. Este estudio contribuye con el trabajo de los profesionales de la salud, en el sentido de indicar y poner de manifiesto las circunstancias y elementos implicados en la generación de vulnerabilidad de las adolescentes puérperas. Los resultados sugieren la necesidad de una reorientación de las prácticas de educación y promoción de la salud de las ESFs dirigidas a puérperas adolescentes más allá del mero componente informativo y la incorporación de la perspectiva de la vulnerabilidad en el planeamiento de estas acciones.<br>The paper analyzes the emphasis of the professionals of Family Health Teams (FHTs) on adolescent women's puerperium as a period in which women are particularly vulnerable. The adolescent women's special vulnerability in the puerperium period is justified by their way of living, showing a natural tendency to making the adolescence phenomenon something natural. The analysis was performed on some results from a qualitative study performed with FHTs of Santa Maria/RS, which used the focus groups strategy and content analysis. This study adds important contributions to the work of health professionals, indicating and giving visibility to the circumstances and elements implied in the production of adolescent women's vulnerability in the puerperium. Results suggest that a reorientation of education and health promotion practices that goes beyond the informative component are needed. In addition, there is a need to incorporate the vulnerability perspective in the planning of those actions.