A criança na unidade de terapia intensiva neonatal: impacto da primeira visita da mãe

Abstract

This study aimed to establish the impact the first visit to a child hospitalized in the Neonatal Intensive Care Unit have on the moher. This is a qualitative research conducted in a University Hospital from August to November, 2009. Semistructured interviews were conducted with ten mothers. Through thematic analysis we found that: the first visit is striking because the unit is known as a place for the care of critically ill patients; the existing technology causes stress; and that entering at the unit unattended and receiving little information about the child may hinder the mother's presence in the unit and make the visit frightening, leading to mixed feelings. They suggest the need to prepare the mothers to enter the sector through the provision of simple informations that can reduce their anxiety and fear. It is necessary that mothers be supported by the healthcare staff during the visit, strengthening their emotional link with their children.

Forças Que Interferem Na Maternagem Em Unidade De Terapia Intensiva Neonatal

“…While she recognizes the need and the importance of the NICU for the maintenance of her child's life, she also experiences great sadness and anguish over the child's clinical situation, afraid that the child feels pain and dies, and uncertainties related to what the child still has to face. 20 For mothers, it is very difficult to see their child wrapped up in equipment and exposed to painful procedures. Thus, it is essential to understand that, in the NICU, although many mothers can interact with the child by skin-to-skin touch, some mothers due to their nervousness, estrangement from the environment, and severity of the child's clinical condition, can only observe the NB on the first visit.…”

“…Thus, it is essential to understand that, in the NICU, although many mothers can interact with the child by skin-to-skin touch, some mothers due to their nervousness, estrangement from the environment, and severity of the child's clinical condition, can only observe the NB on the first visit. 20 Therefore, it is fundamental that the health professional refrains from making judgments or criticisms regarding the mother's behavior, and that they show sensitivity and empathy to the mothers and respects their limitations, and shows support. 21 As evidenced in this study, the health status of the NB, dependency on various equipment , and the impersonal environment of the NICU had a negative impact on the force field, compromising the mothering process.…”

Sofrimento crônico: percepção de mães de crianças dependentes de ventilação mecânica

“…A nova realidade materna de se deparar com um ambiente repleto de aparelhos desconhecidos, observando o seu filho "naquele aparelho", gera sentimentos de angústia e medo. O entendimento da ventilação mecânica, colocada em uma linguagem coloquial, pode ajudar a mãe a ter uma compreensão maior acerca da melhoria que esse aparelho pode oferecer, evitando fadiga muscular do seu filho através da diminuição do trabalho respiratório e da reexpansão de áreas mal ventiladas dos pulmões (30) . O cuidado com o "aparelho" faz com que as mães sintam-se inseguras durante a execução de atividades como dar banho ou até mesmo segurar a criança no colo, com receio de machucá-la.…”

Estrés en padres de niños operados de cardiopatías congénitas

“…[14][15][16] Estado clínico y apariencia física del niño: Estos aspectos implican confrontarse con la fragilidad del niño, que al estar rodeado de diferentes equipos y dispositivos durante su hospitalización, genera grandes niveles de EP. 10,11,[15][16][17][18][19] En el estudio de Board et al todos los padres de pacientes hospitalizados en una UCI destacaron como estresante la presencia de "tubos" en sus hijos y el 93% de ellos consideraron estresantes el uso de agujas para los distintos tratamientos durante la hospitalización. 12 Algunos estudios destacan que los padres no serían capaces de precisar la gravedad del estado clínico de sus hijos, 8,9 lo cual es rebatido por Franck et al, quienes sugieren que ellos sí son capaces de hacer juicios válidos sobre la condición de sus hijos.…”

“…25,26 Pérdida del rol parental: Esta es una variable importante en la generación de EP. 2,13,14,17,18,21 La pérdida del rol parental se relaciona con la separación de su hijo y con la incapacidad de cuidarlo, protegerlo y compartirlo con la familia, ya que se debe delegar el cuidado al equipo clínico. 12 El proceso de hospitalización generará intranquilidad e incertidumbre sobre su papel y sentimientos de incompetencia ante el desconocimiento del cuidado del hijo enfermo.…”