O seguimento da saúde da criança pré-termo e de baixo peso egressa da terapia intensiva neonatal

Abstract

RESUMO:O estudo teve por objetivo descrever como ocorre o cuidado do pré-termo e baixo peso egresso da unidade de terapia intensiva neonatal, no que tange ao seguimento dessa clientela no contexto do domicílio. Estudo descritivo, norteado pela abordagem hermenêutica, com compreensão dos dados a partir de análise temática. Participaram da pesquisa seis famílias com filhos egressos de terapia intensiva neonatal por meio de visitas domiciliares nos três primeiros meses após a alta hospitalar, no município de Cascavel-PR. Os relatos trazem aspectos do cuidado à criança no domicílio e as experiências com os serviços de saúde da atenção básica e especializados. As famílias expressaram seu itinerário nos serviços de saúde disponíveis, em busca da continuidade do cuidado à saúde do filho após a alta hospitalar. Esse itinerário é marcado por barreiras de acesso, vínculo frágil e vulnerabilidade institucional dos serviços de saúde, gerando insegurança, insatisfação e não-efetividade no seguimento da criança. DESCRITORES:Prematuro. Recém-nascido de baixo peso. Assistência à saúde. Família. Enfermagem neonatal. THE HEALTH FOLLOW UP OF PREMATURE AND LOW BIRTH WEIGHT CHILDREN DISCHARGED FROM THE NEONATAL INTENSIVE CARE UNITABSTRACT: The objective of this study was to describe how care for the premature and low birth weight children occurs after their discharge from the neonatal intensive care unit in the follow-up of these children in the context of their domiciles. This is a descriptive study guided by the hermeneutic approach, with the data comprehension based upon thematic analysis. Six families with respective children discharged from the neonatal intensive care unit in Cascavel-PR, Brazil participated in this study through home visits made during the three first months after their hospital discharge. The reports express aspects of care for these children in their homes and their experiences with the primary care and specialized health care services. The families expressed their itinerary in the health services available in search of continued health care for their children after hospital discharge. That itinerary was marked by barriers to access, fragile links, and institutional vulnerability of the health care services available, which generated insecurity, dissatisfaction, and noneffectiveness in follow-up care for these children. DESCRIPTORS:Premature. Infant, low birth weight. Continuity of patient care. Family. Neonatal nursing EL SEGUIMIENTO DE LA SALUD DEL NIÑO PREMATURO Y DE BAJO PESO EGRESADO DE LA UNIDAD DE CUIDADOS INTENSIVOS NEONATALRESUMEN: El objetivo de este estudio es describir cómo ocurre el cuidado del niño prematuro y de bajo peso después de ser dado de alta de la unidad de cuidados intensivos neonatal, en lo que se refiere a su seguimiento y el de su familia en el hogar. Es un estudio descriptivo, con abordaje hermenéutico y comprensión de los datos a partir del análisis temático. La investigación se realizó en la ciudad de Cascavel-PR, con seis familias cuyos hijos fueron dados de alta de la unidad d...

Associação entre realização de pré-natal e morbidade neonatal

“…In this sense, the preterm low birthweight newborn has unique characteristics that require a complex adjustment to the extrauterine environment, in view of the biological, social, and psychological aspects. 21 A NICU study performed in Tubarão-SC, found that nearly half of the admissions of newborn inpatients were due to prematurity, followed by acute respiratory failure, neonatal pneumonia, meconium aspiration syndrome and neonatal jaundice. During the length of stay, the neonates developed respiratory complications, comprising nearly 50% of the cases, followed by cardiac, infectious, gastrointestinal, neurologic and hematological complications.…”

Genogram and ecomap: brazilian nursing contributions

“…[6][7][8][9][10][11][12][13][14][15] In 20052, [16][17][18][19] 24 Except one, 37 all papers included in the review used the genogram and ecomap as complementary tools for research data collection. One paper was identified in which the contribution of the genogram and the ecomap was explored in undergraduate nursing education and in childcare.…”

“…25 "Individually", these instruments were used: with mental health service users; 15 with mothers of premature children; 6,21 mothers of pre-adolescents; 17 patients with traumatic spinal cord injury; 18 children in early childhood; 26 children with nephrotic syndrome; 30 stoma patients; 22 elderly people [33][34] and young victims of violence. 35 With regard to its construction, in seven papers, the genogram and ecomap were elaborated based on an individual interview; 6,[17][18]21,23,33,35 in 17 during group meetings; [2][3][8][9][10][11][12][13][14][15][16][19][20][28][29]32,34 and, in three, 22,24,30 both individual and group interviews were used. In seven papers, 7,25-27,31,36-37 the authors did not mention how the instruments were constructed.…”

“…Among the papers selected, in 19, the interviews were held at home, 3,6,8,10,12,[17][18][19]21,24,[26][27][28][29][32][33][34][35][36] in five at the health service 9,13,15,20,23 and, in six, both at home and at the health service. 2,11,16,22,25,30 In four papers, the place where the interviews were held was not mentioned.…”

Atuação fonoaudiológica hospitalar junto a um processo de relactação e adoção: relato de caso

“…This encourages successful breastfeeding which should lead to an early discharge from the hospital 4 .…”