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早产儿的护理机会:家访与电话支持。

Care opportunities for premature infants: home visits and telephone support.

作者信息

Silva Rosane Meire Munhak da, Zilly Adriana, Nonose Eliana Roldão Dos Santos, Fonseca Luciana Mara Monti, Mello Débora Falleiros de

机构信息

Universidade Estadual do Oeste do Paraná, Campus de Foz do Iguaçu, Foz do Iguaçu, PR, Brazil.

Scholarship holder at the Fundação Araucária - Cp 16/2017, Foz do Iguaçu, PR, Brazil.

出版信息

Rev Lat Am Enfermagem. 2020 Jul 1;28:e3308. doi: 10.1590/1518-8345.3520.3308. eCollection 2020.

DOI:10.1590/1518-8345.3520.3308
PMID:32609266
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7332245/
Abstract

OBJECTIVE

to analyze opportunities for orientations to promote the care of premature infants during home visits and telephone support.

METHOD

a qualitative study from the perspective of philosophical hermeneutics conducted with 18 mothers of premature infants discharged from hospital. Hospital contact and interviews were carried out, 15 and 45 days after discharge and at the infants' six months of life, with data analysis by interpretation of meanings from 25 home visits and 56 telephone support contacts.

RESULTS

the following two thematic units emerged: Needs for contact and guidance: the place for home visits and opportunities for resolving doubts by telephone support, indicating aspects that suggest weakening child health, discontinuity in follow-up and vulnerability in specialized follow-ups. Home visits and telephone support favored the concern of health needs, doubts about basic care and problem solving, as ways to prevent damage and promote child health.

CONCLUSION

home visits and telephone support emerge as collaborative practices of care and detection of latent conditions, which can be reduced or interrupted with prompt return of guidance, suggesting opportune strategies to increase follow-up, linkage and access to the health services.

摘要

目的

分析在家庭访视和电话支持期间开展促进早产儿护理指导的机会。

方法

从哲学诠释学的角度进行一项定性研究,研究对象为18名已出院的早产儿母亲。在出院后15天和45天以及婴儿6个月大时进行医院联系和访谈,通过解读25次家庭访视和56次电话支持联系中的意义进行数据分析。

结果

出现了以下两个主题单元:接触和指导需求:家庭访视的地点以及通过电话支持解决疑问的机会,表明存在暗示儿童健康减弱、随访不连续以及专科随访易受伤害等方面的问题。家庭访视和电话支持有利于关注健康需求、解决基本护理方面的疑问和解决问题,以此作为预防损害和促进儿童健康的方式。

结论

家庭访视和电话支持成为护理和发现潜在状况的协作性做法,通过及时恢复指导可减少或中断这些情况,这表明了增加随访、联系和获得卫生服务机会的适时策略。

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Parents' journey caring for a preterm infant until discharge from hospital-based neonatal home care-A challenging process to cope with.父母照顾早产儿直到从医院新生儿家庭护理出院的历程——应对这一充满挑战的过程。
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Accessibility, utilisation and acceptability of a county-based home care service for sick children in Sweden.瑞典一项针对患病儿童的县级家庭护理服务的可及性、利用率和可接受性。
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Profile of at-risk newborns attended by nurses in outpatient follow-up clinic: a retrospective cohort study.门诊随访诊所护士照料的高危新生儿概况:一项回顾性队列研究。
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Randomized controlled trial on effectiveness of mHealth (mobile/smartphone) based Preterm Home Care Program on developmental outcomes of preterms: Study protocol.基于移动医疗(手机/智能手机)的早产儿家庭护理计划对早产儿发育结局的有效性随机对照试验:研究方案。
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Targeting glucose control in preterm infants: pilot studies of continuous glucose monitoring.早产儿血糖控制目标:连续血糖监测的初步研究。
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Maternal views on facilitators of and barriers to breastfeeding preterm infants.产妇对促进和阻碍早产儿母乳喂养的看法。
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