Avaliação da implantação do cuidado humanizado aos recém-nascidos com baixo peso: método canguru

Abstract

Objective: To evaluate the implementation of the kangaroo mother method in hospitals trained by the Brazilian Ministry of Health.Method: Cross-sectional study, evaluating 176 (60.1%) out of 293 hospitals that were trained by the Brazilian Ministry of Health from 2000 to 2003 in Brazil. This study was conducted in two phases. The first phase consisted of sending a questionnaire to 293 hospitals; in the second phase an in loco visit was made in a sample of 29 among those hospitals. The instrument for data collection was sent to all hospitals by mail, fax or e-mail through the Ministry of Health and they addressed the three dimensions of the normative assessment: structure, processes, and results. The second phase consisted of an evaluation of the process, using a structured guide of non-participant observation. To estimate the reliability of the variable "deployment of the steps of the method" between questionnaire and site visit, we used the kappa test. Results:The first stage of the kangaroo mother method was implemented in 84.9% of the hospitals, but only 47.3% of them implemented the three stages according to the Brazilian norm. The kappa test results indicated a moderate agreement for the first stage, and substantial for the second and third stages of the method. Conclusion:Hospital training was important for triggering the implementation process of the kangaroo mother method. However, they were not enough to promote the implementation of the three phases of the method.J Pediatr (Rio J). 2010;86(1):33-39: Kangaroo mother method, low birth weight infant, health services evaluation.

Respostas fisiológicas de recém-nascidos pré-termo submetidos ao Metódo Mãe-Canguru e a posição prona

“…No changes were observed on the BF, HF, T and SatO 2 with the application of the MCM and PP, and there were no different results between the groups. We noticed decreasing [3][4][5] . A literatura consultada sugere que o MMC contribui para alterações benéficas nos sinais vitais dos RNPT promovendo melhora da temperatura corporal e aumento da saturação periférica de oxigênio, com consequente melhora na oxigenação tecidual e redução na frequência respiratória [6][7][8] .…”

Análise de custos da atenção hospitalar a recém-nascidos de risco: uma comparação entre Unidade Intermediária Convencional e Unidade Canguru

“…Além de humanizar a assistência ao recém-nascido e sua família, a Unidade Canguru vem apresentando vantagens clínicas em relação ao cuidado convencional. Entretanto, várias dificuldades ainda são encontradas na sua disseminação da Unidade Canguru, entre elas a falta de recursos orçamentários para a expansão e avaliação da Unidade e a falta de recursos humanos 27,28 .…”

Impacto orçamentário da utilização do Método Canguru no cuidado neonatal

“…Difficulties in disseminating the KM include a lack of budgetary resources to expand and evaluate the method, and a lack of human resources. 2,6 From the perspective of the SUS as a service provider in the municipal health care network in Rio de Janeiro, disseminating the KM reduces SUS costs compared with the neonatal IU. …”