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从家长的角度分析新生儿重症监护病房出院儿童的发展情况。

Analysis of the development of children discharged from the Neonatal Intensive Care Unit from parents' point of view.

机构信息

Universidade Paranaense. Francisco Beltrão, Paraná, Brazil.

Hospital Regional do Sudoeste Walter Alberto Pecóits. Francisco Beltrão, Paraná, Brazil.

出版信息

Rev Bras Enferm. 2023 Nov 27;76(5):e20220717. doi: 10.1590/0034-7167-2022-0717. eCollection 2023.

Abstract

OBJECTIVES

to analyze the development of children discharged from the Neonatal Intensive Care Unit and how hospitalization interferes with child development, from parents' point of view.

METHODS

a descriptive-exploratory, documentary and qualitative study, carried out with parents of children discharged from the Intensive Care Unit through a telephone survey and supplementation in medical records. Data were analyzed using Bardin's tool and discussed according to scientific evidence.

RESULTS

from parents' point of view, delay in physical development was not observed, however difficulties in breastfeeding and weight gain were reported. Changes in speech and changes in behavior considered abnormal were also delays in child evolution.

FINAL CONSIDERATIONS

from parents' point of view, changes in speech may be associated with hospitalization in an Intensive Care Unit, while difficulties related to breastfeeding and delays in cognition may be altered by conditions of prematurity and low weight at birth.

摘要

目的

分析从新生儿重症监护病房出院的儿童的发展情况,以及从家长的角度来看,住院如何干扰儿童的发展。

方法

这是一项描述性、探索性、文献性和定性研究,通过电话调查和医疗记录补充,对从重症监护病房出院的儿童的家长进行研究。使用 Bardin 工具对数据进行分析,并根据科学证据进行讨论。

结果

从家长的角度来看,没有观察到身体发育延迟,但报告了母乳喂养和体重增加困难。言语变化和被认为异常的行为变化也是儿童发育迟缓的表现。

最终考虑

从家长的角度来看,言语变化可能与重症监护病房的住院有关,而与母乳喂养困难和认知延迟相关的问题可能因早产和出生体重低等情况而改变。

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Analysis of Neonatal Neurobehavior and Developmental Outcomes Among Preterm Infants.
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Profile of adult intensive care units in Brazil: systematic review of observational studies.
Rev Bras Ter Intensiva. 2021 Oct-Dec;33(4):624-634. doi: 10.5935/0103-507X.20210088. Epub 2022 Jan 24.
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Factors associated with functional decline in an intensive care unit: a prospective study on the level of physical activity and clinical factors.
Rev Bras Ter Intensiva. 2021 Oct-Dec;33(4):565-571. doi: 10.5935/0103-507X.20210073. Epub 2022 Jan 24.
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Neurorehabilitation after neonatal intensive care: evidence and challenges.
Arch Dis Child Fetal Neonatal Ed. 2015 Nov;100(6):F534-40. doi: 10.1136/archdischild-2013-305920. Epub 2015 Feb 20.

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