Objective To know the dehospitalization of technology-dependent children from a multiprofessional perspective. Method A qualitative, exploratory and descriptive study, carried out in 2018 at a Teaching Hospital in the city of Porto Alegre. The participants were 15 members of the multidisciplinary health team. In data production, we used the Dynamics of Creativity and Sensitivity, “Creative Storm”, which is part of the Sensitive Creative Method. Data interpretation occurred based on Thematic Content Analysis. The study was approved by the Ethics Committee. Results Dehospitalization is influenced by the absence of planning according to the reality of the child and the family. In addition, there is predominance of health services with a physician-centered model, unscheduled discharge, overload of professionals, and communication problems between the staff, the health network and the family. Final Considerations Despite knowing the importance of dehospitalization, it still occurs in a fragmented manner, with hasty hospital discharge, preventing safe dehospitalization and with greater planning.
The aim of this research is know the knowledge and practices about self-medication of caregivers/families of children from 0 to 5 years old. Qualitative research using the Sensitive Creative Method. The data collect begun after approval of the ethics committee, from of the inclusion criteria, with the completion of a questionnaire and after the develop of the Dynamics of Creativity and Sensitivity in a school in the northwest region of the state of Rio Grande do Sul in the year 2016. 15 caregivers/family members participated. The results is the most of the caregivers/family members had practiced self-medication, the most used medication was of type analgesic and antipyretic, the main health problem that led to self-medication was flu/ cold, the mother is the main person who carries out the self-medication. They use methods to facilitate administration of the drugs. The conclusion is Self-medication is a common practice among caregivers/family members. The nursing inside interdisciplinary team needs to accomplish individual or group orientations for children and their families.
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Analisar a produção do conhecimento acerca da Síndrome de Abstinência em pacientes pediátricos. Revisão de Literatura Integrativa, realizada no período de janeiro a fevereiro de 2021. Consultaram-se três bases de dados, utilizando as combinações dos descritores: Síndrome de Abstinência e Pediatria. Cinco artigos foram incluídos no estudo. Apenas um deles era nacional e publicado por enfermeiros, evidenciando que esse é um tema pouco abordado pela enfermagem. A incidência de Síndrome de Abstinência variou de (18 – 73,3%). Na literatura atual, encontram-se três instrumentos para sua avaliação. Também os fatores de risco mais associados com sua ocorrência são o uso de opioides e benzodiazepínicos por mais de três dias. A Síndrome de abstinência é um tema pouco explorado, especialmente tratando-se de publicações da enfermagem brasileiras, necessitando que esses apropriem-se do tema, para a realização de uma assistência integral.Descritores: Síndrome de Abstinência a Substâncias, Unidade de Terapia Intensiva Pediátrica, Criança, Enfermagem Pediátrica. Pediatric Withdrawal Syndrome Identification, Risk Factors and TreatmentAbstract: To analyze the production of knowledge about the Withdrawal Syndrome in pediatric patients. Integrative Literature Review, carried out from January to February 2021. Three databases were consulted, using the combinations of descriptors: Abstinence Syndrome and Pediatrics. Five articles were included in the study. Only one of them was national and published by nurses, showing that this is a topic rarely addressed by nursing. The incidence of Withdrawal Syndrome ranged from (18 - 73.3%). In the current literature, there are three instruments for its evaluation. The risk factors most associated with its occurrence are the use of opioids and benzodiazepines for more than three days. The abstinence syndrome is a little explored theme, especially in the case of Brazilian nursing publications, requiring them to take ownership of the theme, in order to provide comprehensive care.Descriptors: Substance Withdrawal Syndrome, Pediatric Intensive Care Unit, Children, Pediatric Nursing. Identificación, factores de riesgo y tratamiento del síndrome de abstinencia pediátricaResumen: Analizar la producción de conocimiento sobre el síndrome de abstinencia en pacientes pediátricos. Revisión Integrativa de la Literatura, realizada de enero a febrero de 2021. Se consultaron tres bases de datos, utilizando las combinaciones de descriptores: Síndrome de Abstinencia y Pediatría. Se incluyeron cinco artículos en el estudio. Solo uno de ellos fue nacional y publicado por enfermeras, lo que demuestra que este es un tema que rara vez aborda la enfermería. La incidencia del síndrome de abstinencia osciló entre (18 y 73,3%). En la literatura actual existen tres instrumentos para su evaluación. Los factores de riesgo más asociados con su aparición son el uso de opioides y benzodiazepinas durante más de tres días. El síndrome de abstinencia es un tema poco explorado, especialmente en el caso de las publicaciones de enfermería brasileñas, que les obliga a apropiarse del tema para brindar una atención integral.Descriptores: Síndrome de Abstinencia de Sustancias, Unidad de Cuidados Intensivos Pediátricos, Niño, Enfermería Pediátrica.
Objetivo: Descrever os fatores associados a necessidade de internação em Unidade de Terapia Intensiva Neonatal (UTIN) em população de prematuros tardios. Método: Estudo transversal analítico que acompanhou 123 prematuros tardios no seu primeiro ano de vida, no sul do Brasil. A variável independente foi considerada a necessidade de terapia intensiva, e as variáveis de comparação foram obstétricas e neonatais. Para análise estatística foram utilizados os testes Qui-quadrado e Odds ratio. Resultados: Os principais motivos para as internações em UTIN de prematuros tardios foi o desconforto respiratório (57%), baixo peso (23%) e a hipoglicemia (17,1%). Além disso, os prematuros Pequenos ou Grandes para idade gestacional obtiveram 2,5 vezes mais chances de serem admitidos, comparados aos adequados para idade gestacional (P<0,01). Conclusão: Os fatores associados a internação em UTIN na população de prematuros tardios foi o baixo peso, apgar, nascimento de parto cesárea, considerados esses fatores resultantes da imaturidade fisiológica do prematuro.
Objective To verify strategies for the prevention and treatment of abstinence syndrome in a pediatric intensive care unit. Methods This is a systematic review in the PubMed database ® , Lilacs, Embase, Web of Science, Cochrane, Cinahl, Cochrane Database Systematic Review and CENTRAL. A three-step search strategy was used for this review, and the protocol was approved in PROSPERO (CRD42021274670). Results Twelve articles were included in the analysis. There was great heterogeneity among the studies included, especially regarding the therapeutic regimens used for sedation and analgesia. Midazolam doses ranged from 0.05mg/kg/hour to 0.3mg/kg/hour. Morphine also varied considerably, from 10mcg/kg/hour to 30mcg/kg/hour, between studies. Among the 12 selected studies, the most commonly used scale for the identification of withdrawal symptoms was the Sophia Observational Withdrawal Symptoms Scale. In three studies, there was a statistically significant difference in the prevention and management of the withdrawal syndrome due to the implementation of different protocols (p < 0.01 and p < 0.001). Conclusion There was great variation in the sedoanalgesia regimen used by the studies and the method of weaning and evaluation of withdrawal syndrome. More studies are needed to provide more robust evidence about the most appropriate treatment for the prevention and reduction of withdrawal signs and symptoms in critically ill children. PROSPERO register CRD 42021274670
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