A Política Nacional de Humanização do Sistema Único de Saúde tem provocado mudanças no cenário nacional com impactos também na rede de atendimento de urgência e emergência. Objetivou-se identificar os desafios da humanização dentro de Unidades de Pronto Atendimento na visão dos gestores. Trata-se de um estudo exploratório, descritivo com abordagem qualitativa, realizado por meio de entrevista semiestruturada e registro em gravador de voz, com 18 gestores médicos e enfermeiros. Para análise sistemática dos dados utilizou-se a proposta operativa para análise de dados qualitativos. Emergindo as seguintes categorias: a Política Nacional de Humanização nas Unidades de Pronto Atendimento na visão dos gestores; fatores influentes que interferem no processo de humanização; e ações dos gestores na promoção da humanização nas Unidades de Pronto Atendimento. Constatou-se que a política nacional de humanização do SUS não está clara para todos os gestores, os quais indicam como fatores prejudiciais para humanização a elevada demanda de usuários, os fatores pessoais dos profissionais e dos usuários e as condições de serviço ofertadas. Manter-se presente nos serviços de saúde e desenvolver atividades de capacitação e orientação são atitudes positivas na visão dos gestores para o desenvolvimento da humanização.
Com o objetivo de comparar o perfil sociolinguístico e alimentar de crianças de um a três anos, que frequentam creches públicas e privadas no município de Fortaleza, em tempo integral, foi realizado este estudo quali-quantitativo, descritivo-comparativo, transversal, no qual foram avaliadas 89 crianças com faixa etária entre um e três anos de idade cronológica, 41 em uma creche pública e 48 em uma privada. Para isso foi aplicado um protocolo de avaliação das habilidades linguísticas (fonológicas, semânticas, morfossintáticas e pragmáticas) e alimentação. Quanto às habilidades fonológicas se verificou que a inteligibilidade de fala foi o principal aspecto alterado e mais encontrado na creche pública. A respeito da aquisição das habilidades semânticas foram identificados achados discrepantes entre as creches, em especial, na seleção de palavras adequadas e expressão de ideias e conceitos, com desempenho superior das crianças na instituição privada. Não houve diferenças importantes entre as creches para aquisição das habilidades morfossintáticas. As habilidades pragmáticas foram as que obtiveram maiores diferenças, com melhor desempenho das crianças da creche privada, em todos aspectos avaliados no protocolo. Sobre a alimentação foram obtidos resultados semelhantes quanto à consistência alimentar e postura, constatando o uso prolongado do utensílio mamadeira para alimentação em ambas as creches e maior prevalência de crianças que se alimentam sem ajuda na creche privada. Pode-se perceber que o contexto socioeconômico e cultural influencia o desenvolvimento da linguagem e da alimentação infantis, visto que as crianças da creche particular apresentaram melhor performance em quase todos os aspectos analisados. Palavras-chave: Desenvolvimento Infantil. Crianças. Creche. Linguagem. AbstractIn order to compare the feeding and sociolinguistic profile of children attended in public and private daycare centers in the city of Fortaleza enrolled on a full-time basis. Quali-quantitative, descriptive cross-sectional study, evaluated 89 children aged 1 and 3 years old, 41 in public and 48 in the private childcare centers. A protocol assessment was performed of linguistics abilities (phonological, semantic, morphosyntax and pragmatic) and feeding. About the phonological abilities, a significant predominance was checked, being the unintelligible speech the main altered aspect, especially in the public center. Concerning semantic abilities discrepant findings were determined between the daycare centers, particularly in selection of adequate words and concept and idea expression, with improved performance of children in the private daycares. There was no difference between the daycares, for morphosyntax abilities acquisition. The pragmatic abilities revealed larger differences between the daycare centers, in which all the evaluated aspects were statistically significant and the children in the private daycare centers had better results. About the feeding, similar findings were obtained to food consistence, posture and tools, although there were divergences related to use of nursing bottle and feeding independence. It was concluded that the socioeconomic and cultural context influence in linguistic and feeding development, because the private daycares children presented better performance in almost all the evaluated aspects. Keywords: Child Development. Child. Daycare Centers. Language.
OBJECTIVE: The present study aimed to investigate postoperative swallowing disorders in patients diagnosed with CM I after decompression neurosurgery. METHODS: We selected 54 patients after decompression neurosurgery procedure for CM I from January 2017 to December 2019. We evaluated the speech-language assessment (CSLSA) 24-hours after postsurgical extubation. CSLSA observed aspects of posture, sensitivity, tone, and extra-and intraoral mobility of the FAO and visualizing the functions of breathing, phonation, articulation, chewing, and swallowing. We correlated the severity of the dysphagia and the presence of associated malformations in the CM I patients.RESULTS: In our study, 39 patients were female (mean age 41.3±47.1 years). Thirty-seven patients had associated malformations (p=0.0243): 21 patients syringomyelia, 11 basilar invagination and 5 syringomyelia and basilar invagination. Dysphagia was present in 37 of the cases (68.5%;p=0.0016).Dysphonia in 13 (24.1%;p=0.4785) and dysarthria in 3 (5.6%;p=0.0042). We observed in the CSLSA: orofacial hypomobility (29-patients-53.7%;p=0.0204), orofacial hyposensitivity (26-patients-48.1%; p=0.3023), reduced GAG re ex (24 patients-44.5%;p=0.1041), ineffective cough (19 patients-35.2%;p=0.0022), ineffective saliva swallowing (18-patients-33.3%;p=0.0396), dyspnea (13-patients-24.1%;p=0.4785), orofacial hypotonia (11-patients-20.4%;p=0.0004), altered cervical auscultation (10-patients-18.5%;p=0.0003), and dysarthria (3-patients-9.3%;p=0.0042). The presence of associated malformations signi cantly in uenced the appearance of swallowing disorders, the severity of oropharyngeal dysphagia, the post-surgical complications (17-patients-31.5%;p<0.001), and the clinical outcomes (p=0.0029) of patients with CM type I.CONCLUSION: Decompressive neurosurgery for CM I had low rates of post-surgical complications overall.However, there was a high incidence of dysphagia. The presence of associated malformations is related with poorer prognosis and greater severity of oropharyngeal dysphagia in patients with CM I. rehabilitation and symptomatic improvement. However, given assessments of symptomatic improvement in these patients are heterogeneous, interest in developing validated standardized measures and scales to assess symptomatology after decompressive neurosurgery in CM I patients has increased. 6,7,8,9 Dysphagia is one of the most common symptoms. 10,11,12 Severe dysphagia may result in tracheal dysphagia, leading to pulmonary infections, malnutrition, prolonged hospital length of stay, and death. 13 At our center, CM I patients are managed with a multidisciplinary team including physiotherapist, nurse, occupational therapist, psychologist, and a speech therapist preoperatively and postoperatively. The speech therapist evaluates, diagnoses, and rehabilitates de cits in phonoarticulatory organs (FAO) and the stomatognathic functions such as breathing, sucking, chewing, swallowing, phonation, and articulation. For patients with dysphagia, the speech therapist suggests dietary modi c...
Health promotion of families of deaf childrenRESUMO Objetivos: Investigar o impacto da perda auditiva na dinâmica familiar da criança surda, identificando o conhecimento da família sobre a surdez e compreendendo o modo como os pais vivenciam o diagnóstico e o tratamento do filho com surdez. Métodos: Estudo com abordagem qualitativa desenvolvido no
EHealth technologies contribute to strengthening parental care practices for premature babies, involving issues related to feeding, swallowing, orofacial motricity, hearing and language. Despite the large amount of information and applications available, there are considerable variations in the quality, usability and credibility of these resources. Goals: Conduct an integrative review on eHealth technologies aimed at parents for premature babies´ care. Methods: Research was made on important databases (Capes, EBSCO, BVS, PubMed, Scholar and Scielo), seeking publications from 2011 to 2021, in Portuguese and English, aligned with the guiding questions to investigate the use of eHealth technologies to promote health education focused on the care of premature babies and health promotion strategies and resources aimed at the parents and families of these babies. Eight articles were selected in the first stage of the review and another 11 in the second stage, totaling 19 scientific productions. Results: After reading, a qualitative analysis (content analysis in thematic modality) was held and the following themes emerged: eHealth technologies as tools for communication and education in maternal and child health, strategies for care and health promotion of parents and premature babies based on eHealth technologies, and the need for evaluation and validation for the use of eHealth technologies in maternal and child health. Interventions with eHealth technologies in maternal and child health have been gaining ground in studies that suggest that this type of intervention is important and of increasing clinical and scientific relevance, with ample possibility of application at different levels of care. However, such tools require studies that evaluate the applicability, advantages and limitations. Conclusions: Properly validated eHealth technologies can be used to assist parents in health promotion and care for the premature baby after hospital discharge, contributing to the transformation of health systems and the solvability of practices.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.