Validação do conteúdo de um instrumento para avaliação da prontidão do prematuro para início da alimentação oral

Fujinaga, Cristina Ide; Scochi, Carmen Gracinda Silvan; Santos, Cláudia Benedita dos; Zamberlan, Nelma Ellen; Leite, Adriana Moraes

doi:10.1590/s1519-38292008000400004

Cited by 46 publications

(66 citation statements)

References 15 publications

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“…POFRAS is an instrument developed to evaluate the readiness of the preterm infant to initiate oral feeding in the mother's womb 4,5 . It consists of 18 items, distributed in domains: corrected age, state of behavioral organization (state of consciousness, posture and overall tone), lip and tongue posture, oral reflexes (search reflex, suction, bite and vomit), non-nutritive suction (movement and cannulation of the tongue, movement of the mandible, bud and suction rhythm, rhythm maintenance, maintenance of the alert state) and signs of stress.…”

Section: Methodsmentioning

confidence: 99%

Behavioral state and the premature’s readiness performance to begin oral feeding

Fujinaga

Maltauro²,

Stadler

et al. 2018

Rev. CEFAC

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Objective: to evaluate the influence of behavioral states on the readiness of the premature infant to initiate breastfeeding. Methods: the study was transversal, observational and descriptive with 51 premature infants, attended at the Neonatal Intensive Care Unit (NICU), from a Baby-Friendly Hospital. The infants were evaluated using the «Preterm Oral Feeding Readiness Assessment Scale». The evaluation occurred close to the feeding time and was performed in preterm infants in two behavioral states, in deep sleep and alertness. Thus, preterm infants were self-controlled. For the data analysis, the T-Test and the McNemar Test were applied, with a significance level of 0.05. Results: there was a statistically significant difference in the behavior of premature infants in alert behavior and deep sleep. In the alert state, preterm infants showed greater readiness for oral feeding in the breast. The results highlight the importance of the behavioral state of prematurity for professionals working in NICUs. Conclusion: the behavioral state influences the beginning of premature infant feeding. The alertness behavioral status of premature infants is essential during neonatal speech therapy assistence.

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Section: Methodsmentioning

confidence: 99%

Behavioral state and the premature’s readiness performance to begin oral feeding

Fujinaga

Maltauro²,

Stadler

et al. 2018

Rev. CEFAC

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“…The expert analysis method demonstrated its usefulness to elaborate and improve the instruments aimed at getting to know health services' characteristics, practices and tools health professionals use to recognize the population's health needs, strengthening the findings of different other studies (12)(13)(14)(15)(16) .…”

Section: Resultsmentioning

confidence: 88%

Necessidades em saúde e atenção básica: validação de instrumentos de captação

Hino

Ciosak

Fonseca

et al. 2009

Rev. esc. enferm. USP

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Portuguese / English: www.scielo.br/reeusp RESUMO O estudo objetivou validar dois instrumentos, para identificar como os serviços de saú-de e as equipes de saúde da família reconhecem as necessidades de saúde da população. Trata-se de um estudo de desenvolvimento metodológico, para o qual foram elaborados instrumentos baseados em um guia de captação da realidade objetiva, adaptado para caracterizar a realidade de serviços de saúde e equipes de saúde da família. Para validação dos instrumentos, estabeleceuse o grau de concordância mínimo de 85%, participando como juízes docentes pesquisadores do tema Necessidade em Saúde e enfermeiros que atuam em unidades de saúde da família, totalizando 11 juízes. A validação ocorreu em duas etapas pois, na primeira, alguns itens não atingiram a meta de concordância proposta. Após a segunda validação, obteve-se concordância acima de 85% nos itens avaliados. Os Instrumentos de captação propostos visam a contribuir para a prática dos serviços de saúde na identificação de necessidades em saúde da população. DESCRITORES ABSTRACTHealth needs is easy to say but it is very difficult to recognize and do something about in health services in Brazil. This study aimed to validate needs assessments' tools built to be use to know how primary care services and family health team recognize population health needs. As a methodological study, we built tools based on a guide adopted to characterize primary care services and their family health team. We established a minimum percentage agreement of 85% among the 11 peers who participated in the study. It comprehended two phases: first was general validation and second the validation of items that didn't reach agreement score. The results allow to considerer validated the Tools to assess how primary care services and family health team recognize health needs of territory population. Finally these Tools will contribute to best practice in primary care services to qualify health assistance. KEY WORDSNeeds assessment. Health Services needs and demand. Validation studies. RESUMENEste estudio de desarrollo metodológico buscó validar instrumentos para conocer las herramientas utilizadas, por servicios de salud y equipos del programa salud familiar brasileño, para reconocer las necesidades en salud de la población. Se crearon instrumentos, basados en una guía de captación de la realidad objetiva, adaptada para caracterizar la realidad de servicios y equipos de salud familiar. Para validar los instrumentos, se estableció 85% como porcentaje mínimo de concordancia entre los 11 jueces participantes, que fueron docentes, investigadores del tema necesidades en salud y enfermeros de unidades de salud familiar. La validación ocurrió en dos etapas, dado que en la primera, algunos ítems no alcanzaron 85% de concordancia. En la segunda etapa se obtuvo 85% de concordancia. Los resultados permiten considerar validados los instrumentos para alcanzar los fines propuestos. Se espera contribuir para que los servicios de salud mejoren el reconocimiento de las necesidade...

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“…During the speech-language evaluation, the readiness protocol to start oral feeding (15) was conducted by a speech therapist with experience in this evaluation and without knowledge of the future intervention, in order not to influence the pre and post--intervention scores. The protocol evaluated the categories of CGA at the time of evaluation, state of behavioral organization (assessment of state of consciousness, tonus and body posture), oral posture, oral reflexes and NNS characteristics (strength, rhythm, tongue and jaw movement), as well as observation of signs of stress (crying, skin coloration, body movement among others).…”

Section: This Is a Timementioning

confidence: 99%

“…Each category consisted of items with performance variations, which received scores of 0 to 2, with the total sum of the protocol ranging from 0 to 36. The items, with their respective variations of performance, are defined in the instructional guide of the Protocol, standardizing the assessment (15) . SE commenced soon after the inclusion and evaluation of PTIs.…”

Section: This Is a Timementioning

confidence: 99%

Desempenho da alimentação oral em recém-nascidos prematuros estimulados pela técnica treino de deglutição

Otto

Almeida

2017

Audiol., Commun. Res.

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Introduction: Prematurity can affect proper development of a newborn. Purpose: To evaluate performance of oral feeding in preterm infants stimulated by the swallowing training technique. Methods: The study was conducted in a neonatal intensive care unit from March to August 2015. The study was developed as a Times Series Quasi Experiment with 14 preterm newborns (PTNB) with corrected gestational age between 30-36 weeks. The readiness to feed orally protocol for preterm infants (pre and post-swallowing training) was applied. Swallowing exercises were conducted once a day and on average for six consecutive days. Results: Improvement post-stimulation was observed, comparing the preintervention and post-intervention protocol data. Regarding oral feeding skills, 50% of preterm infants were classified as level 4. Oral feeding commenced, on average, 1 day after the end of swallowing training; the gastric tube was removed approximately 7 days after beginning oral feeding. There was a borderline inverse relationship between improvement in the readiness score and transition time from tube to full oral feeding and an inverse relationship between improvement in the readiness score and corrected gestational age. Conclusion: The intervention with swallowing training made it possible to improve feeding skills in 50% of the sample population, starting oral feeding and obtaining exclusive oral feeding in a short period of time, with oral readiness at early gestational ages.

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Validação do conteúdo de um instrumento para avaliação da prontidão do prematuro para início da alimentação oral

Cited by 46 publications

References 15 publications

Behavioral state and the premature’s readiness performance to begin oral feeding

Behavioral state and the premature’s readiness performance to begin oral feeding

Necessidades em saúde e atenção básica: validação de instrumentos de captação

Desempenho da alimentação oral em recém-nascidos prematuros estimulados pela técnica treino de deglutição

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