Percepção materna da desidratação em crianças com diarréia: estudo de concordância com diagnóstico médico
Autor(a) principal: | |
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Data de Publicação: | 1990 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Revista de Saúde Pública |
Texto Completo: | https://www.revistas.usp.br/rsp/article/view/23734 |
Resumo: | The mother's perception of signs and symptoms of dehydration in children under three years of age was studied and compared with the medical classification. The study was carried out in a children's hospital in the city of Rio de Janeiro, among children hospitalized with diarrhoea between January, 1987 and February, 1988. The number of excretions and of vomitings, thirst and condition of eyes constituted the signs and symptoms most frequently reported by mothers. However, they had difficulty in judging the amount of urine, humidity of mouth and tongue and turgidity of the skin. These signs were almost always regarded as normal or, at most, as indicating only slight alteration. Those mothers who tended to underestimate the severity of the dehydration indicated by the physician were of a lower educational level and had more severely undernourished children and greater difficulty of access to the hospital. On the other hand, those who tended to overestimate it belonged to a higher educational level, had better-nourished children, greater ease of access to the hospital and were attended to by a smaller number of health care services before reaching the hospital surveyed. Those who agreed with the medical diagnosis were in ,an intermediate situation, although they tended to be closer to those who underestimated the gravity of the dehydration. Those mothers whose children had already gone through a dehydration episode did not present a more intense agreement with the physician's diagnosis, thus evidencing that the information afforded at the health care service was either non-existent or inadequate. |
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Percepção materna da desidratação em crianças com diarréia: estudo de concordância com diagnóstico médico Maternal perception of dehydration in children with diarrhoea: a study of agreement with medical diagnosis MãesPercepçãoDesidratação^i1^sepidemioloMothersPerceptionDehydration^i2^sepidemiol The mother's perception of signs and symptoms of dehydration in children under three years of age was studied and compared with the medical classification. The study was carried out in a children's hospital in the city of Rio de Janeiro, among children hospitalized with diarrhoea between January, 1987 and February, 1988. The number of excretions and of vomitings, thirst and condition of eyes constituted the signs and symptoms most frequently reported by mothers. However, they had difficulty in judging the amount of urine, humidity of mouth and tongue and turgidity of the skin. These signs were almost always regarded as normal or, at most, as indicating only slight alteration. Those mothers who tended to underestimate the severity of the dehydration indicated by the physician were of a lower educational level and had more severely undernourished children and greater difficulty of access to the hospital. On the other hand, those who tended to overestimate it belonged to a higher educational level, had better-nourished children, greater ease of access to the hospital and were attended to by a smaller number of health care services before reaching the hospital surveyed. Those who agreed with the medical diagnosis were in ,an intermediate situation, although they tended to be closer to those who underestimated the gravity of the dehydration. Those mothers whose children had already gone through a dehydration episode did not present a more intense agreement with the physician's diagnosis, thus evidencing that the information afforded at the health care service was either non-existent or inadequate. Realizou-se estudo em um hospital infantil do Rio de Janeiro, em crianças hospitalizadas por diarréia, no período de janeiro/87 a fevereiro/88, com o objetivo de destacar a percepção materna dos sinais e sintomas da desidratação em crianças menores de três anos de idade, confrontando-a com o diagnóstico médico. Os sinais e sintomas mais identificados pelas mães foram o número de evacuações, número de vômitos, estado da sede e dos olhos. As mães tiveram dificuldade em perceber a quantidade de urina, o estado de umidade da boca e língua e turgor da pele. Identificaram estes sinais quase sempre como normais ou no máximo, moderadamente alterados. As mães que tenderam a subestimar a gravidade da desidratação apontada pelo médico tem nível de escolaridade baixo, filhos desnutridos e maior dificuldade de acesso ao hospital. Já as que tenderam a superestimar a gravidade, têm melhor nível de instrução, filhos melhor nutridos, maior facilidade de acesso ao hospital, bem como passaram por um menor número de serviços de saúde antes de chegar ao hospital estudado. As mães que concordaram com o diagnóstico médico classificaram-se em uma situação intermediária, embora se aproximando mais das que subestimaram a gravidade. Aquelas mães que já haviam vivenciado um episódio de desidratação anterior no seu filho não apresentaram maior concordância com o diagnóstico do médico, mostrando que o repasse de informação no serviço de saúde foi nulo ou inadequado. Universidade de São Paulo. Faculdade de Saúde Pública1990-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/rsp/article/view/2373410.1590/S0034-89101990000300005Revista de Saúde Pública; Vol. 24 No. 3 (1990); 196-203 Revista de Saúde Pública; Vol. 24 Núm. 3 (1990); 196-203 Revista de Saúde Pública; v. 24 n. 3 (1990); 196-203 1518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPporhttps://www.revistas.usp.br/rsp/article/view/23734/25770Copyright (c) 2017 Revista de Saúde Públicainfo:eu-repo/semantics/openAccessLeal, Maria do CarmoSilva, Rosana Iozzi daGama, Silvana Granado Nogueira da2012-05-28T20:45:59Zoai:revistas.usp.br:article/23734Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2012-05-28T20:45:59Revista de Saúde Pública - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Percepção materna da desidratação em crianças com diarréia: estudo de concordância com diagnóstico médico Maternal perception of dehydration in children with diarrhoea: a study of agreement with medical diagnosis |
title |
Percepção materna da desidratação em crianças com diarréia: estudo de concordância com diagnóstico médico |
spellingShingle |
Percepção materna da desidratação em crianças com diarréia: estudo de concordância com diagnóstico médico Leal, Maria do Carmo Mães Percepção Desidratação^i1^sepidemiolo Mothers Perception Dehydration^i2^sepidemiol |
title_short |
Percepção materna da desidratação em crianças com diarréia: estudo de concordância com diagnóstico médico |
title_full |
Percepção materna da desidratação em crianças com diarréia: estudo de concordância com diagnóstico médico |
title_fullStr |
Percepção materna da desidratação em crianças com diarréia: estudo de concordância com diagnóstico médico |
title_full_unstemmed |
Percepção materna da desidratação em crianças com diarréia: estudo de concordância com diagnóstico médico |
title_sort |
Percepção materna da desidratação em crianças com diarréia: estudo de concordância com diagnóstico médico |
author |
Leal, Maria do Carmo |
author_facet |
Leal, Maria do Carmo Silva, Rosana Iozzi da Gama, Silvana Granado Nogueira da |
author_role |
author |
author2 |
Silva, Rosana Iozzi da Gama, Silvana Granado Nogueira da |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Leal, Maria do Carmo Silva, Rosana Iozzi da Gama, Silvana Granado Nogueira da |
dc.subject.por.fl_str_mv |
Mães Percepção Desidratação^i1^sepidemiolo Mothers Perception Dehydration^i2^sepidemiol |
topic |
Mães Percepção Desidratação^i1^sepidemiolo Mothers Perception Dehydration^i2^sepidemiol |
description |
The mother's perception of signs and symptoms of dehydration in children under three years of age was studied and compared with the medical classification. The study was carried out in a children's hospital in the city of Rio de Janeiro, among children hospitalized with diarrhoea between January, 1987 and February, 1988. The number of excretions and of vomitings, thirst and condition of eyes constituted the signs and symptoms most frequently reported by mothers. However, they had difficulty in judging the amount of urine, humidity of mouth and tongue and turgidity of the skin. These signs were almost always regarded as normal or, at most, as indicating only slight alteration. Those mothers who tended to underestimate the severity of the dehydration indicated by the physician were of a lower educational level and had more severely undernourished children and greater difficulty of access to the hospital. On the other hand, those who tended to overestimate it belonged to a higher educational level, had better-nourished children, greater ease of access to the hospital and were attended to by a smaller number of health care services before reaching the hospital surveyed. Those who agreed with the medical diagnosis were in ,an intermediate situation, although they tended to be closer to those who underestimated the gravity of the dehydration. Those mothers whose children had already gone through a dehydration episode did not present a more intense agreement with the physician's diagnosis, thus evidencing that the information afforded at the health care service was either non-existent or inadequate. |
publishDate |
1990 |
dc.date.none.fl_str_mv |
1990-06-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/rsp/article/view/23734 10.1590/S0034-89101990000300005 |
url |
https://www.revistas.usp.br/rsp/article/view/23734 |
identifier_str_mv |
10.1590/S0034-89101990000300005 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/rsp/article/view/23734/25770 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2017 Revista de Saúde Pública info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2017 Revista de Saúde Pública |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
dc.source.none.fl_str_mv |
Revista de Saúde Pública; Vol. 24 No. 3 (1990); 196-203 Revista de Saúde Pública; Vol. 24 Núm. 3 (1990); 196-203 Revista de Saúde Pública; v. 24 n. 3 (1990); 196-203 1518-8787 0034-8910 reponame:Revista de Saúde Pública instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Revista de Saúde Pública |
collection |
Revista de Saúde Pública |
repository.name.fl_str_mv |
Revista de Saúde Pública - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
revsp@org.usp.br||revsp1@usp.br |
_version_ |
1787713216782008320 |