Cuidados enfermeros a neonatos con encefalopatía hipóxico-isquémica en hipotermia terapéutica. Revisión bibliográfica

Solaz-García, Álvaro; Sáenz-González, Pilar; Vano, Michele; Montejano-Lozoya, Raimunda

doi:10.1016/j.enfi.2019.11.001

Enfermería Intensiva

2021

DOI: 10.1016/j.enfi.2019.11.001

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Cuidados enfermeros a neonatos con encefalopatía hipóxico-isquémica en hipotermia terapéutica. Revisión bibliográfica

Álvaro Solaz-García

Pilar Sáenz-González

Michele Vano

et al.

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Cited by 2 publications

References 19 publications

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Experiences of parents whose school‐aged children were treated with therapeutic hypothermia as newborns: A focus group study

Kokkonen Nassef,

Blennow Bohlin,

Jirwe

2023

Nursing Open

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AimTo describe parents' past and present experiences of their newborn infant's therapeutic hypothermia (TH) treatment after perinatal asphyxia 10–13 years after the event.BackgroundNewborn infants are treated with TH following perinatal asphyxia to improve neurodevelopmental outcomes.DesignA qualitative descriptive design using focus groups (FGs).MethodsTwenty one parents to 15 newborn infants treated with TH between 2007 and 2009 participated in five FGs. The FGs were transcribed verbatim and analysed using framework approach. The SRQR checklist was followed for study reporting.ResultsTwo main categories were identified: hardships and reliefs during TH treatment and struggles of everyday life. Both categories include three subcategories, the first: (1) concern and gratitude for the unrecognized treatment, (2) insufficiency of information and proposed participation and (3) NICU nurses instilled security and hope. The second with subcategories: (1) unprocessed experiences of the TH treatment, (2) later challenges at school and (3) existential and psychological challenges in everyday life.ConclusionTH of their newborns affected the parents psychologically not only during the treatment, but lasted months and years later. Information and communication with health care professionals and school management were inefficient and inadequate. The parents' concerns could be prevented by an improved identification and understanding of the problems and the needs of the infants and their families before discharge.Relevance for Clinical PracticeThrough more personalized and efficient preparation and communication by the nursing staff before discharge, many of the parents' worries and problems could be reduced. Check‐up of parents' needs of psychosocial support before and after discharge and offering counselling should become routine. Also, nurses at Well‐Baby Clinics and in school health care should receive knowledge about TH treatment and the challenges the children and the parents experience.Patient or Public ContributionParticipation of parents was limited to the data provided through interviews.

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Experiences of parents whose school‐aged children were treated with therapeutic hypothermia as newborns: A focus group study

Kokkonen Nassef,

Blennow Bohlin,

Jirwe

2023

Nursing Open

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Management of neonates with Neonatal Chronic Obstructive Cholangiopathy. Kasai surgery

López

Almeida

Quisimalin

et al. 2022

Salud, Ciencia y Tecnología

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Introducción: La cirugía de Kasai es un tratamiento clínico relevante para eliminar los defectos de los conductos biliares fuera del hígado. Objetivo: Identificar el manejo de los pacientes neonatos con colangiopatía obstructiva crónica sometidos a cirugía de Kasai y describir la atención, el enfoque, el tratamiento y el manejo de pacientes enmarcada en la línea 4 de investigación epidemiológica de la Faculta de Ciencias de la Salud de la Universidad. Métodos: El estudio se realizó de acuerdo con las directrices PRISMA para revisiones sistemáticas. La metodología es descriptiva y cualitativa. Resultados: El tratamiento demuestra ser efectivo, el cuidado estrecho de las complicaciones postoperatorias tiene un efecto positivo para mejorar el efecto quirúrgico y retrasar la progresión de la enfermedad, a esto se suma la escasa importancia al estado psicológico del cuidador, lo que puede dar lugar a una mala comunicación y coordinación, afectando así al tratamiento y la rehabilitación de los recién nacidos. Conclusión: La colangiopatía obstructiva crónica requiere principalmente cuidados centrados en las necesidades del neonato, una mejor adherencia a la medicación, nutrición y complicaciones postoperatorias. La investigación sobre los cuidados específicos a implementarse en esta patología no está establecida hay pocos estudios relacionados al tema. Por lo tanto, el personal de salud deberá hacer énfasis en la investigación de esta patología para mejorar el nivel de atención enfocándose en la creación de guías clínica que sustenten los procesos aplicados en los neonatos.

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Cuidados enfermeros a neonatos con encefalopatía hipóxico-isquémica en hipotermia terapéutica. Revisión bibliográfica

Cited by 2 publications

References 19 publications

Experiences of parents whose school‐aged children were treated with therapeutic hypothermia as newborns: A focus group study

Experiences of parents whose school‐aged children were treated with therapeutic hypothermia as newborns: A focus group study

Management of neonates with Neonatal Chronic Obstructive Cholangiopathy. Kasai surgery

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