Determinantes de estancia prolongada de neonatos en una unidad de cuidados intensivos

Marrugo-Arnedo, Carlos Alberto; Arrieta-Arrieta, Alí Miguel; Herrera-Malambo, Diego Ernesto; Díaz-Vargas, Lizeth Carolina; Perez-Yepes, Carlos; Dueñas, Carmelo; Flórez-Tanus, Álvaro; Rosa, Fernando Gómez de la; Alvear-Pájaro, Rafael; Alvis-Guzmán, Nelson

doi:10.12804/revistas.urosario.edu.co/revsalud/a.7928

Cited by 5 publications

(5 citation statements)

References 15 publications

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“…La mayoría de los bebés se encontraban dentro de los primeros 30 días de hospitalización, la estancia prolongada afecta la calidad, genera costos elevados para el Estado y su familia, afecta el vínculo y condición laboral de los padres, y causa deterioro del estado de salud de los pacientes (Mendoza Tascón et al, 2014); los factores más destacados para su prolongación son la comorbilidad y el grado de severidad de la enfermedad y sus complicaciones (Marrugo-Arnedo et al, 2019).…”

Section: Discussionunclassified

Estrés parental y percepción del cuidado parental de enfermería en neonatología

Flores Chura,

Ramos Caballero

2023

penamer

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Introduction: the psychoemotional state of parents is affected when their newborn is hospitalized when facing a new environment, dealing with strangers and delegating their first protective care. Objective: to determine the level of parental stress and theperception of parental nursing care in the neonatology service of a national hospital in Peru. Methodology: quantitative, descriptive-correlational, cross-sectional study. With a sample of 75 parents of babies hospitalized in neonatology. Questionnaires were applied: Parental Stress Scale - PPS:NIICU with α=0.7 and Nursing Parent Support Tool - NPST (α = 0.96). Results: 68.7% of the participants presented moderate level of parental stress, the main sources of stress were: alteration of parental role, impact of appearance, treatment and behavior of the baby. They considered parental nursing care to be low, with deficienciesin emotional, communicational and informational support; however, they recognized good nursing care. Finally, no significant relationship was found between both variables (Tau-b: -0.07; with p < 0.05). Conclusions: there is an urgent need to implement initiatives thatinvolve parents in different processes during the hospitalization of their babies, in addition to the training of nurses to identify and attend to psychoemotional needs.

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Section: Discussionunclassified

Estrés parental y percepción del cuidado parental de enfermería en neonatología

Flores Chura,

Ramos Caballero

2023

penamer

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“…These levels of care correspond to the therapies and services provided (Inguilan et al, 2022). Facilities providing neonatal intensive care must meet health care standards through federal/state license or certification (Marrugo-Arnedo et al, 2019). The four categories are indicated in the figure below: Note.…”

Section: Levels Of Care In Neonatologymentioning

confidence: 99%

Experiences of therapeutic communication between nursing staff and family members in Neonatology

Lopez

Pérez

2023

SIJIS

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Introduction: Therapeutic communication tries to build relationships that promote an attitude that helps health personnel with care and with this create favorable conditions for the patient or family member, involving various elements such as empathy, respect, active listening to reach the patient. Likewise, nursing staff need to develop certain skills to establish adequate therapeutic communication. Objective: To categorize the experiences of therapeutic communication between nursing staff and relatives in neonatology. Method: The research is mixed, cross-sectional. In the qualitative phase, the information was collected through semi-structured interviews with 20 family members, at which time the information was saturated, and in the quantitative phase, the scale on "communication skills of health personnel" was applied, with a Cronbach's Alpha of 0.94, guaranteeing the reliability of the instrument; through the Likert scale applied to 22 nursing professionals from the neonatology area of the Ambato General Hospital. Results: 70% of the relatives reported that the reinteraction of information would be one of the strategies that would help improve communication with the nursing staff, agreeing with the responses of the nursing staff. More than 40.9% of the nursing staff mentioned that although bodily communication is an important axis, health personnel demonstrate it in a personal way, as highlighted in the interviews, the most cited actions were eye contact and smiling. Conclusions: Nursing staff need to maintain a correct therapeutic alliance with patients, the implementation of a communication guide will facilitate compliance with this context. Therefore, it is necessary to develop these skills in health professionals

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“…Contrary to what has been described by various studies, in this study we found no association between mortality of PNB with the variables of male gender, route of delivery by caesarean section, mother's schooling under 6 years, maternal age over 35 years, days of hospital stay, and the presence of respiratory disease. 9,21,23,24 Study limitations. A relatively low sample, the lack of information regarding biochemical data associated with the diagnostic of perinatal asphyxia, the absence of body mass index, maternal values in order to classify the risk of preterm delivery, as well as the lack of data regarding maternal pathological antecedents such as the number of previous abortions, WG of the previous pregnancy, and the characteristics of the prenatal control.…”

Section: (mentioning

confidence: 99%

Apgar values lower than 7 associated with mortality in premature newborns

Reyes-Saavedra

Castelán-Villagrana

Mata-Maqueda

et al. 2022

SMJ

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Objectives: To determine the risk factors associated with mortality in premature newborns )PNB(. Methods: An observational, descriptive, and retrospective study, carried out at the General Hospital of San Juan del Rio, Queretaro, Mexico. The medical records of PNB admitted to the Neonatal Intensive Care Unit from January until December 2018 were studied.Results: A total of 136 PNB were included )74 males and 62 females( of whom 16 )11.7%( died )9 males and 7 females(. A correlation was observed between gestational age and birth weight with Apgar values at 1 and 5 minutes )r=0.37, p<0.001(. A lower birth weight was found in premature infants with infectious diseases, as well as a lower gestational age in relation to respiratory diseases )p<0.0001(. The PNB with Apgar values lower than 7 points at 1 and 5 minutes were Original Articlemore likely to die )p<0.0001(. The PNB with very low birth weight )1-1.49 kg(, with less than 28 weeks of gestation, and with infectious pathology showed more probabilities of dying )p<0.05(. Conclusion:Apgar values lower than 7 points in the PNB are associated with the presence of infectious diseases and mortality. Likewise, a lower gestational age represents a lower birth weight, with a higher risk for respiratory and infectious diseases, and consequently an elevated mortality.

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Determinantes de estancia prolongada de neonatos en una unidad de cuidados intensivos

Cited by 5 publications

References 15 publications

Estrés parental y percepción del cuidado parental de enfermería en neonatología

Estrés parental y percepción del cuidado parental de enfermería en neonatología

Experiences of therapeutic communication between nursing staff and family members in Neonatology

Apgar values lower than 7 associated with mortality in premature newborns

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