Graduate Program in Nursing at the Health Sciences Center (Centro de Ciências da Saúde-CCS) of UFPB, João Pessoa, Paraíba, Brazil.
Department of Public Health and Psychiatric Nursing at the Federal University of Paraíba (Universidade Federal da Paraíba-UFPB), João Pessoa, Paraíba, Brazil.
Appl Nurs Res. 2021 Feb;57:151355. doi: 10.1016/j.apnr.2020.151355. Epub 2020 Aug 25.
Children with microcephaly associated with the Zika virus are more likely to develop choking and apnea, so it is necessary that mothers of this population receive first aid training to cope with emergency situations that their children may experience.
To understand how an educational first aid intervention with mothers/caregivers of Brazilian children with congenital Zika virus syndrome impacts their management of seizures and choking.
A qualitative study conducted in a philanthropic institution with ten mothers/caregivers of children with congenital Zika virus syndrome. Data were collected between August and November 2018 through four focus groups with two meetings for intervention/educational workshops in first aid on situations of choking and seizure. After one month, two more meetings were held to evaluate the effectiveness of this action performed at home. The empirical material was submitted to Content Analysis, and discussed in the light of Paulo Freire's Pedagogy of Autonomy.
The mothers/caregivers performed ineffective and harmful behaviors to the children in situations of choking and seizure before the intervention. Thus, the intervention empowered these caregivers through an exchange of experiences which began to present discernment, autonomy, resolving capacity and confidence to act in these experienced situations. They also became knowledge disseminators for family members and neighbors.
The educational intervention can have satisfactory results in training mothers/caregivers in first aid, highlighting the importance of this initiative to reduce the morbidity and mortality of children who experience choking and seizures.
与寨卡病毒相关的小头畸形患儿更有可能出现窒息和呼吸暂停，因此有必要对该人群的母亲进行急救培训，以应对其子女可能出现的紧急情况。
了解对患有先天性寨卡病毒综合征的巴西儿童的母亲/照顾者进行急救教育干预如何影响他们对癫痫发作和窒息的管理。
在一家慈善机构中进行了一项定性研究，纳入了 10 名患有先天性寨卡病毒综合征的儿童的母亲/照顾者。数据收集于 2018 年 8 月至 11 月期间，通过 4 次焦点小组，以及 2 次干预/教育性急救讲习班，分别针对窒息和癫痫发作情况进行。在一个月后，又进行了 2 次会议，以评估在家中实施的这一行动的效果。对经验材料进行了内容分析，并根据 Paulo Freire 的自主教育学进行了讨论。
在干预之前，母亲/照顾者在儿童窒息和癫痫发作时表现出无效和有害的行为。因此，干预通过经验交流赋予了这些照顾者权力，使他们开始表现出辨别力、自主性、解决问题的能力和在这些经历过的情况下采取行动的信心。他们还成为了家庭成员和邻居的知识传播者。
教育干预可以在急救培训方面为母亲/照顾者带来令人满意的结果，突出了这一举措对于降低经历窒息和癫痫发作的儿童发病率和死亡率的重要性。
