Problemas de saúde e fatores associados à preferência pela medicina tradicional tailandesa em mães no pós-parto: um estudo analítico transversal no nordeste da Tailândia
DOI:
https://doi.org/10.47197/retos.v79.118645Palavras-chave:
Cuidados pós-parto, medicina tradicional tailandesa, atividade física, adaptação materna, fatores associados, nordeste da TailândiaResumo
Introdução: A medicina tradicional tailandesa (MTT) no pós-parto é concebida como uma atividade física terapêutica cultural destinada a restaurar o calor corporal e o equilíbrio dos quatro elementos através de onze práticas estruturadas. Embora estes métodos — que incluem terapias térmicas e intervenções físicas manuais — sejam parte integrante da recuperação materna, as evidências académicas sobre as preferências maternas e o seu significado adaptativo são ainda limitadas.
Objectivo: Este estudo avaliou os níveis de problemas de saúde no pós-parto, examinou as preferências por onze métodos da MTT e determinou os factores associados em mães no pós-parto do nordeste da Tailândia, dentro da estrutura da Teoria da Adaptação Pós-Parto de Rubin. Metodologia: Foi realizado um estudo analítico transversal com 480 mães no pós-parto na província de Ubon Ratchathani, recrutadas através de amostragem probabilística em múltiplos estágios. Os dados foram recolhidos através de instrumentos validados (alfa de Cronbach = 0,82) e analisados com estatística descritiva e análise de correlação para identificar associações significativas.
Resultados: As mães referiram níveis moderados de problemas de saúde, nomeadamente dificuldades de adaptação e dependência funcional precoce. A preferência pela Terapia Transformacional do Humor (TTM) foi elevada, especialmente para as modalidades de terapia com calor e fisioterapia. O nível de escolaridade, a experiência prévia de parto e os riscos socioeconómicos e interpessoais estiveram significativamente associados à preferência pela TTM (p < 0,05). Os níveis de problemas de saúde correlacionaram-se positivamente com a intensidade da preferência.
Conclusões: Estes achados sugerem que a preferência pela TTM está intimamente relacionada com a transição materna e com a necessidade de recuperação funcional. A integração destas atividades físicas culturalmente adaptadas aos modelos contemporâneos de assistência materna pode melhorar significativamente a adaptação pós-parto.
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Direitos de Autor (c) 2026 Pacharamon Soncharoen, Phanida Kamuttacthat, Chonthicha Phutthakoed, Kanokporn Anuorn, Piyaporn Sansila, Botsaporn Wirunphan
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