Caminha Maria de Fátima Costa, Silva Suzana Lins da, Lima Marília de Carvalho, Azevedo Pedro Tadeu Álvares Costa Caminha de, Figueira Maria Cristina Dos Santos, Batista Malaquias
Programa Nacional de Pós-Doutorado (PNPD) da Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) no Instituto de Medicina Integral Professor Fernando Figueira (IMIP), Recife, PE, Brasil.
IMIP, Recife, PE, Brasil.
Rev Paul Pediatr. 2017 Jan-Mar;35(1):102-109. doi: 10.1590/1984-0462/;2017;35;1;00009. Epub 2017 Feb 20.
To describe Brazil's historical background with regard to child development surveillance and perform a systematic review of studies published on surveillance records of child development within Child Health Handbooks.
A literature review was conducted in April of 2016 in the following electronic databases: Latin American and Caribbean Literature in Health Sciences (LILACS), the Scientific Electronic Library Online (SciELO), and the Medical Literature Analysis and Retrieval System Online (Medline). The search did not have any language or publication period restrictions, and included the bibliographic references of the selected articles. The keywords "child development and child health records," and "child development and child health handbook" were applied. Articles were included that were original and that evaluated the use of child development surveillance tools in Brazil. Publications that were not original were excluded. The articles were selected first based on their title, then their abstracts, and finally a thorough reading.
The recommendation to support child development surveillance has been occurring since 1984. In 1995, developmental milestones were included in the Child's Health Handbook, and in 2004 they became normative acts for surveillance, which should be carried out using this booklet. In the systematic review, six articles were selected in which the prevalence of child development surveillance recording ranged from 4.6 to 30.4%. This variation was due to different criteria and sample sizes as well as different methodologies employed to analyze the adequacy of filling out the handbook.
Despite the fact that the Brazilian Ministry of Health formalized child development surveillance 32 years ago, the act of recording the surveillance in the Child Health Handbook is still deficient and irregular.
描述巴西儿童发育监测的历史背景，并对儿童健康手册中有关儿童发育监测记录的研究进行系统综述。
2016年4月在以下电子数据库中进行了文献综述：拉丁美洲和加勒比卫生科学文献数据库（LILACS）、科学电子图书馆在线数据库（SciELO）以及医学文献分析与检索系统在线数据库（Medline）。检索没有语言或出版时间限制，且包括所选文章的参考文献。使用了关键词“儿童发育与儿童健康记录”以及“儿童发育与儿童健康手册”。纳入的文章需为原创且评估了巴西儿童发育监测工具的使用情况。排除非原创的出版物。文章首先根据标题进行筛选，然后是摘要，最后进行全面阅读。
自1984年以来一直有支持儿童发育监测的建议。1995年，发育里程碑被纳入《儿童健康手册》，2004年它们成为监测的规范性行为，应使用该手册进行监测。在系统综述中，选取了6篇文章，其中儿童发育监测记录的患病率在4.6%至30.4%之间。这种差异是由于不同的标准、样本量以及用于分析手册填写 adequacy 的不同方法所致。
尽管巴西卫生部在32年前就将儿童发育监测正式化，但在《儿童健康手册》中记录监测情况的行为仍然不足且不规范。
