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早产儿的随访护理:COVID-19 大流行的影响。

Follow-up care for premature children: the repercussions of the COVID-19 pandemic.

机构信息

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

Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, PAHO/WHO Collaborating Centre for Nursing Research Development, Ribeirão Preto, SP, Brazil.

出版信息

Rev Lat Am Enfermagem. 2021 Apr 9;29:e3414. doi: 10.1590/1518-8345.4759.3414. eCollection 2021.

DOI:10.1590/1518-8345.4759.3414
PMID:33852686
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8040775/
Abstract

OBJECTIVE

to analyze elements of the follow-up care provided to premature children amidst the COVID-19 pandemic.

METHOD

qualitative study from the perspective of philosophical hermeneutics, interpreting experiences with childcare provided at home. Twelve mothers and 14 children aged two years old were interviewed online via a text messaging application. Data were analyzed by interpreting meanings.

RESULTS

weaknesses stood out in the follow-up care provided to children such as gaps of communication, lack of guidance and delayed immunizations, while care intended to meet health demands was interrupted. Vulnerability aspects affecting child development included: social isolation measures that impeded the children from socializing with their peers, increased screen time, the manifestation of demanding behaviors and irritation and the mothers experiencing an overload of responsibilities. The elements that strengthened maternal care included the mothers being attentive to contagion, enjoying greater experience and satisfaction with the maternal role, spending more time with their children, and recognizing respiratory signs and symptoms, especially fever.

CONCLUSION

follow-up care provided to children in stressful situations implies implementing practices that support the wellbeing of children and families, decreasing the likelihood of children being exposed to development deficits, and detecting signs and symptoms timely. The use of nursing call centers can break the invisibility of longitudinal needs and promote health education actions at home.

摘要

目的

分析 COVID-19 大流行期间为早产儿提供的随访护理要素。

方法

从哲学解释学的角度出发,对在家中进行儿童保育的经验进行定性研究。通过短信应用程序对 12 名母亲和 14 名 2 岁儿童进行了在线访谈。通过解释意义对数据进行分析。

结果

儿童随访护理存在明显缺陷,例如沟通不畅、缺乏指导和疫苗接种延迟,同时满足健康需求的护理也被中断。影响儿童发展的脆弱性方面包括:社交隔离措施阻碍了儿童与同龄人交往、屏幕时间增加、表现出苛刻行为和烦躁以及母亲承担过多责任。加强母婴护理的因素包括母亲对感染的关注、对母亲角色的更多经验和满意度、与孩子共度更多时间以及识别呼吸迹象和症状,尤其是发烧。

结论

在压力情况下为儿童提供的随访护理意味着实施支持儿童和家庭福祉的实践,降低儿童易患发育缺陷的风险,并及时发现体征和症状。护理呼叫中心的使用可以打破纵向需求的隐形性,并在家中开展健康教育活动。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28e7/8040775/c8d4719d2447/0104-1169-rlae-29-e3414-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28e7/8040775/c8d4719d2447/0104-1169-rlae-29-e3414-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28e7/8040775/c8d4719d2447/0104-1169-rlae-29-e3414-gf01.jpg

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