A assistência de enfermagem em crianças e adolescentes portadores de anemia falciforme

Soares, Aline Barbosa; Gobbi, Débora Rita; Silva, André Moreno; Silva, Gisele Duarte da; Siqueira, Isabel cristina Gomes Leite de; Cruz, Maysa Paloma da; Alves, Roberta Lúcia Gama; Lima, Simone Soares Abreu de

doi:10.24276/rrecien2177-157x.2012.2.5.5-10

Cited by 3 publications

(8 citation statements)

References 7 publications

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“…The nurse must perform a careful and systematic evaluation, in the cephalocaudal direction, using the propaedeutic techniques: inspection, palpation, percussion and auscultation (15) . The intensity of sickle cell pain varies for each patient and age (4) , being described by children as "very painful" or "nonstop pain" (16) . Preschool and school-age children usually report the pain on their limbs, while adolescents report pain on the abdomen (5) .…”

Section: Discussionmentioning

confidence: 99%

“…The most common signs and symptoms are acute pain or vaso-occlusive crises, ulcers on the lower limbs, jaundice, pallor and fatigue (1) . The first vaso-occlusive crisis, also known as hand-foot syndrome, occurs within the initial months of life, being characterized by pain and swelling in the back of the hands and/ or feet, sometimes accompanied by erythema and localized warmth (4) . This crisis is the greatest clinical manifestation of the disease, being caused by the occlusion of small blood vessels by the sickle-shaped erythrocytes (5) .…”

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confidence: 99%

“…This crisis is the greatest clinical manifestation of the disease, being caused by the occlusion of small blood vessels by the sickle-shaped erythrocytes (5) . This is recognized as a mark in the life of the patient, which explains the remarkable demand for emergency care and hospitalization (4) . Regarding the recognition of pain in children with SCD some difficulties for caregivers (parents and health professionals) can be highlighted, since these children of very young age may lack the cognitive abilities or the vocabulary to report or describe their pain (6) .…”

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The pain of children with sickle cell disease: the nursing approach

et al. 2018

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Objective: To describe how nurses identify the pain in children with sickle cell disease (SCD) and to list the strategies used by them in the evaluation and control of pain. Method: This is a qualitative, descriptive and exploratory research, performed through semi-structured interviews with 13 nurses. The interviews were transcribed and after this process the qualitative data were organized according to thematic analysis. Results: This study showed that the nurses can identify pain in children with SCD from the signals they emit, such as: constant crying, restlessness, facial expressions and verbal reports. Pain is diffi cult to evaluate due to the lack of instruments, such as a pain scale. For pain control they use emotional support, promotion of comfort and the administration of drugs prescribed by the doctor. Final considerations: The nurses recognize the pain of the child and use pharmacological and non-pharmacological methods to control it but have diffi culties to assess it. Descriptors: Anemia, Sickle Cell; Child; Pain; Pediatric Nursing; Nursing Care. RESUMO Objetivo: Descrever como o enfermeiro identifi ca a dor na criança com doença falciforme (DF) e pontuar as estratégias utilizadas por ele na avaliação e controle da dor. Método: Pesquisa qualitativa, descritiva, exploratória, realizada por meio de entrevistas semiestruturadas com 13 enfermeiros. Após transcrição das entrevistas, os dados qualitativos foram organizados segundo análise temática. Resultados: Evidenciou-se que os enfermeiros são capazes de identifi car a dor em crianças com DF a partir dos sinais que elas emitem, como: choro constante, inquietação, expressões faciais e relatos verbais. A dor é difícil de ser avaliada devido à falta de instrumentos, como a escala de dor. Para o controle da dor é utilizado apoio emocional, promoção de conforto e administração de fármacos prescritos pelo médico. Considerações fi nais: Os enfermeiros reconhecem a dor na criança e utilizam métodos farmacológicos e não farmacológicos para controlá-la, porém têm difi culdades em sua avaliação. Descritores: Anemia Falciforme; Criança; Dor; Enfermagem Pediátrica; Cuidados de Enfermagem. RESUMENObjetivo: Describir como el enfermero identifi ca el dolor en el niño con enfermedad falciforme (EF) y puntuar las estrategias utilizadas por él en la evaluación y en el control del dolor. Método: Investigación cualitativa, descriptiva, exploratoria, realizada por medio de encuestas semiestructuradas con 13 enfermeros. Después de la transcripción de las encuestas, los datos cualitativos han sido organizados según el análisis temático. Resultados: Se ha evidenciado que los enfermeros son capaces de identifi car el dolor en niños con EF desde las señales que ellas emiten, como: el llanto constante, la inquietud, las expresiones faciales y los relatos verbales. El dolor es difícil de ser evaluado debido a la falta de instrumentos, como la escala de dolor. Para el control del dolor es utilizado el apoyo emocional, la promoción de comodidad y la administración de fárma...

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The pain of children with sickle cell disease: the nursing approach

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“…As crises de dor são causadas pelo dano secundário à obstrução do fluxo sanguíneo pelas hemácias em forma de foice, podendo ser agudas ou crônicas. A dor aguda está associada à isquemia tecidual aguda, causada pela vaso oclusão, e nesse caso o controle deve ser rápido para interromper o processo (5)(6)(7) .…”

Section: Discussionunclassified

“…A qualidade de vida deve ser uma medida importante a ser considerada entre crianças e adolescentes com Hemoglobinopatias, já que muitas vezes a abordagem da doença se processa dentro de uma visão puramente biológica. Neste sentido, a investigação da qualidade de vida se constitui como um importante fator para a compreensão das experiências vivenciadas por indivíduos com doenças crônicas, bem como o quanto a sua qualidade de vida se encontra comprometida (6)(7) .…”

Section: Introductionunclassified

Qualidade De Vida De Adolescentes Com Doença Falciforme: Revisão Integrativa Da Produção Científica Em Enfermagem

Madella¹,

Pacheco²,

Hoffmann³

et al. 2018

Rev. Enf. UFJF

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RESUMOObjetivo:Identificar, na literatura nacional e internacional, publicações que tratem sobre os assuntos de qualidade de vida relacionada à saúde de adolescentes com doença falciforme. Método:Trata-se de uma revisão integrativa da literatura nacional e internacional. A amostra contou com 442 artigos; desses, 67 abordavam a temática e apenas 14 atenderam aos critérios de inclusão. Resultados: Foi possível identificar que a qualidade de vida e a saúde do adolescente falcêmico é prejudicada devido à recorrência de crises vaso-oclusiva geradoras de fadiga e dores agudas, estas conduzem os adolescentes para frequentes transfusões de sangue e hospitalizações. Considerações Finais: Conclui-se que estes adolescentes possuem problemas de enfermagem passiveis de intervenções, em uma linha de cuidado que identifique as queixas individuais, desempenhando uma assistência qualificada, dialógica, sensível e que favoreça a interlocução multiprofissional para a melhora da qualidade de vida e saúde destes adolescentes. Palavras-chave: Anemia falciforme. Adolescente. Enfermagem. Qualidade de Vida. ABSTRACTObjective: To identify, in the national and international literature, publications that shows about the quality of life related to the health of adolescents with sickle cell disease. Methods: Integrative review of national e international literature. A sample consisted on 442 articles, of which only 67 addressed the thematic and 14 the inclusion criteria. Results: It was possible to identify that the quality of life of adolescents with sickle cell disease is impaired due to the recurrence of vessel-occlusives crises that generates fatigue and acute pain, these lead the teenagers to frequent blood transfusions and hospitalizations. Final Considerations: It was conclude that the adolescents have nursing problems which may suffer interventions in a careful line, that identifies individuals complaints, performing a care with quality, dialogical, sensitive and promotes the multidisciplinary dialogue to improve the quality of life and health of these adolescents.

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Importance of health guidance for family members of children with sickle cell disease

et al. 2018

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Objective: To know the main health guidance needs of family members of children with sickle cell disease. Method: Qualitative research, developed in a pediatric reference hospital of Ceará State, between April and May 2017, through the participation of 12 family members of children with sickle cell disease. The data were collected through semi-structured interviewees and analyzed according to the Bardin’s Thematic Categorical Analysis. Results: The relatives had divergent opinions about what this pathology would be and expressed the expectation of being broadly guided, from general information (signs and symptoms) to more complex ones about the disease, including major complications and ways of preventing them. Final considerations: The health fragility due to the punctual and/or meager guidance provided to family members reflects the importance of increasing knowledge and clarifying doubts of these relatives about the disease, which makes it urgent to develop health education strategies by multiprofessional teams.

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A assistência de enfermagem em crianças e adolescentes portadores de anemia falciforme

Cited by 3 publications

References 7 publications

The pain of children with sickle cell disease: the nursing approach

The pain of children with sickle cell disease: the nursing approach

Qualidade De Vida De Adolescentes Com Doença Falciforme: Revisão Integrativa Da Produção Científica Em Enfermagem

Importance of health guidance for family members of children with sickle cell disease

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