Estudo comparativo de técnicas de alimentação em prematuros: parâmetros fisiológicos e interação mãe e bebê
Autor(a) principal: | |
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Data de Publicação: | 2015 |
Tipo de documento: | Tese |
Idioma: | por |
Título da fonte: | Biblioteca Digital de Teses e Dissertações da PUC_SP |
Texto Completo: | https://tede2.pucsp.br/handle/handle/12021 |
Resumo: | The feeding represents continuous challenge for the responsible ones for the nutrition of the premature (RNPT), a time that the specific alimentary techniques and the varied types of foods can affect the development, the morbidade and mortality, therefore, the OBJECTIVE of this research was to evaluate the techniques of feeding (cup and finger-feeding) used with RNPT, in relation the physiological parameters and the interaction mother and baby, by means of two complementary studies. To take care of to this proposal the thesis it was divided in two studies: 1. Physiological answers in premature babies in offer of the diet: comparison enters the techniques of cup and sounding finger-feeding, simultaneously to the breastfeeding (AM). 2. Physiological answers, level of estresse and interaction complementarily mother-baby of RNPT fed for cup and sounding finger-feeding, simultaneously to the AM. METHODS: Research approved for the committee of ethics in research, under the protocol nº. 448.410 (Brazil Platform). Study 1: One is about a simultaneous clinical assay. The sexos, interned in the Neonatal Intensive Care Unit (UTIN) of the State Public Hospital in the period of October of 2011 had been selected 25 RNPT of both the February of 2012 and that they were being suckled in the breast. The sample was divided in two groups: 8 RNPT that had received the diet in the cup (GCP) and 17 for the sounding finger-feeding (GSD). For the GCP the babies who had been born in day pair and for the GSD had been selected the ones that had been born in uneven day. During it offers of the diet had been written down the minimum and maximum values of the oxygen saturation (SatO2) and cardiac frequency (FC). Study 2: Clinical assay of the simultaneous type. Amongst 31 prematures, 19 RNPT, 9 in GCP and 10 in the GSD had been enclosed. During it offers of the diet had been written down the minimum and maximum values of SatO2 and FC. How much to the AM the contact between mother and premature was observed, aiming at to analyze the interaction enters díade in the three aspects (to hold, to look at and to touch the baby). RESULTS: Study 1 - It was observed how much the International Classification of illnesses (CID-10), SatO2 and FC had not had statistical significant difference between the groups, but when evaluating the factor time, the groups had presented some differences, not continuous in the SatO2 variable. For the weight, the main effect time only presented difference enters the beginning of the fonoaudiológicas interventions and the high one. Study 2- Bigger number of visit of the mothers of the GCP was observed. How much the relations between vital signals of the baby and presence materna, did not have statistical significant difference before enters the periods, during and after the AM between both the groups. In the relation to the interactive behaviors of díade during the AM the groups had not been observed statistical significant differences between both. In the specific evaluation of each group, it was verified that the statistical significant alteration in the state of estresse in the GCP. CONCLUSION: Study 1 In the comparison it enters the groups had not been observed significant differences how much to SatO2 and FC in the RNPT fed for the technique of the cup and sounding finger-feeding. However when evaluating the factor time, the groups had presented some differences, not continuous, that need other studies. Study 2 It did not have alterations in the vital signals and of the interactive behaviors between mother-baby, comparativily, between both the groups. Signals had been verified of estresse during only suck in the group the cup |
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Cunha, Maria Claudiahttp://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4268479P0Nunes, Janaína de Alencar2016-04-27T18:12:09Z2015-07-142015-07-07Nunes, Janaína de Alencar. Comparative study of Techniques of Feeding in prematures: physiological parameters and interaction mother-baby. 2015. 86 f. Tese (Doutorado em Fonoaudiologia) - Pontifícia Universidade Católica de São Paulo, São Paulo, 2015.https://tede2.pucsp.br/handle/handle/12021The feeding represents continuous challenge for the responsible ones for the nutrition of the premature (RNPT), a time that the specific alimentary techniques and the varied types of foods can affect the development, the morbidade and mortality, therefore, the OBJECTIVE of this research was to evaluate the techniques of feeding (cup and finger-feeding) used with RNPT, in relation the physiological parameters and the interaction mother and baby, by means of two complementary studies. To take care of to this proposal the thesis it was divided in two studies: 1. Physiological answers in premature babies in offer of the diet: comparison enters the techniques of cup and sounding finger-feeding, simultaneously to the breastfeeding (AM). 2. Physiological answers, level of estresse and interaction complementarily mother-baby of RNPT fed for cup and sounding finger-feeding, simultaneously to the AM. METHODS: Research approved for the committee of ethics in research, under the protocol nº. 448.410 (Brazil Platform). Study 1: One is about a simultaneous clinical assay. The sexos, interned in the Neonatal Intensive Care Unit (UTIN) of the State Public Hospital in the period of October of 2011 had been selected 25 RNPT of both the February of 2012 and that they were being suckled in the breast. The sample was divided in two groups: 8 RNPT that had received the diet in the cup (GCP) and 17 for the sounding finger-feeding (GSD). For the GCP the babies who had been born in day pair and for the GSD had been selected the ones that had been born in uneven day. During it offers of the diet had been written down the minimum and maximum values of the oxygen saturation (SatO2) and cardiac frequency (FC). Study 2: Clinical assay of the simultaneous type. Amongst 31 prematures, 19 RNPT, 9 in GCP and 10 in the GSD had been enclosed. During it offers of the diet had been written down the minimum and maximum values of SatO2 and FC. How much to the AM the contact between mother and premature was observed, aiming at to analyze the interaction enters díade in the three aspects (to hold, to look at and to touch the baby). RESULTS: Study 1 - It was observed how much the International Classification of illnesses (CID-10), SatO2 and FC had not had statistical significant difference between the groups, but when evaluating the factor time, the groups had presented some differences, not continuous in the SatO2 variable. For the weight, the main effect time only presented difference enters the beginning of the fonoaudiológicas interventions and the high one. Study 2- Bigger number of visit of the mothers of the GCP was observed. How much the relations between vital signals of the baby and presence materna, did not have statistical significant difference before enters the periods, during and after the AM between both the groups. In the relation to the interactive behaviors of díade during the AM the groups had not been observed statistical significant differences between both. In the specific evaluation of each group, it was verified that the statistical significant alteration in the state of estresse in the GCP. CONCLUSION: Study 1 In the comparison it enters the groups had not been observed significant differences how much to SatO2 and FC in the RNPT fed for the technique of the cup and sounding finger-feeding. However when evaluating the factor time, the groups had presented some differences, not continuous, that need other studies. Study 2 It did not have alterations in the vital signals and of the interactive behaviors between mother-baby, comparativily, between both the groups. Signals had been verified of estresse during only suck in the group the cupA alimentação representa contínuo desafio para os responsáveis pela nutrição do prematuro, uma vez que as técnicas alimentares específicas e os tipos variados de alimentos podem afetar o desenvolvimento, a morbidade e a mortalidade, por isso, o OBJETIVO desta pesquisa foi avaliar as técnicas de alimentação (copo e sonda-dedo) utilizadas com RNPT, em relação a parâmetros fisiológicos e a interação mãe e bebê, por meio de dois estudos complementares. Para atender a essa proposta a tese foi dividida em dois estudos: 1. Respostas fisiológicas em bebês prematuros na oferta da dieta: comparação entre as técnicas de copo e sonda-dedo, simultaneamente ao aleitamento materno (AM). 2. Respostas fisiológicas, nível de estresse e interação mãe-bebê de RNPT alimentados complementarmente por copo e sonda-dedo, simultaneamente ao AM. MÉTODOS: Pesquisa aprovada pelo comitê de ética em pesquisa, sob o protocolo nº. 448.410 (Plataforma Brasil). Estudo 1: trata-se de um ensaio clínico simultâneo. Foram selecionados 25 RNPT de ambos os sexos, internados na Unidade de Terapia Intensiva Neonatal (UTIN) do Hospital Público Estadual no período de outubro de 2011 a fevereiro de 2012 e que estavam sendo amamentados no seio materno. A amostra foi dividida em dois grupos: 8 RNPT que receberam a dieta no copo (GCP) e 17 pela sonda-dedo (GSD). Para o GCP foram selecionados os bebês que nasceram em dia par e para o GSD os que nasceram em dia ímpar. Durante a oferta da dieta foram anotados os valores mínimos e máximos da saturação de oxigênio (SatO2) e frequência cardíaca (FC). Estudo 2: Ensaio clínico do tipo simultâneo. Dentre 31 prematuros, foram incluídos 19 RNPT, 9 no GCP e 10 no GSD. Durante a oferta da dieta foram anotados os valores mínimos e máximos da SatO2 e FC. Quanto ao AM foi observado o contato entre mãe e prematuro, visando analisar a interação entre a díade nos três aspectos (segurar, olhar e tocar o bebê). RESULTADOS: Estudo 1 - Observou-se quanto a Classificação Internacional de doenças (CID-10), SatO2 e FC não houveram diferença estatisticamente significativa entre os grupos, mas ao avaliar o fator tempo, os grupos apresentaram algumas diferenças, não contínuas na variável SatO2. Para o peso, somente o efeito principal tempo apresentou diferença entre o início das intervenções fonoaudiológicas e a alta. Estudo 2 - Observou-se maior número de visita das mães do GCP. Quanto as relações entre sinais vitais do bebê e presença materna, não houve diferença estatisticamente significativa entre os períodos antes, durante e depois do AM entre ambos os grupos. Na relação aos comportamentos interativos da díade durante o AM não foram observadas diferenças estatisticamente significativas entre ambos os grupos. Na avaliação específica de cada grupo, verificou-se que a alteração estatisticamente significativa no estado de estresse no GCP. CONCLUSÃO: Estudo 1 - Na comparação entre os grupos não foram observadas diferenças significativas quanto à SatO2 e FC nos RNPT alimentados pela técnica do copo e sonda-dedo. Contudo ao avaliar o fator tempo, os grupos apresentaram algumas diferenças, não contínuas, que necessitam de outros estudos. Estudo 2 - Não houve alterações nos sinais vitais e dos comportamentos interativos entre mãe-bebê, comparativamente, entre ambos os grupos. Verificaram-se sinais de estresse durante a mamada somente no grupo copoCoordenação de Aperfeiçoamento de Pessoal de Nível Superiorapplication/pdfhttp://tede2.pucsp.br/tede/retrieve/24868/Janaina%20de%20Alencar%20Nunes.pdf.jpgporPontifícia Universidade Católica de São PauloPrograma de Estudos Pós-Graduados em FonoaudiologiaPUC-SPBRFonoaudiologiaAmamentaçãoAlimentação artificialPrematuroSinais vitaisRelações mãe-filhoBreast feedingBottle feedingInfantPrematureVital signsMother-child relationsCNPQ::CIENCIAS DA SAUDE::FONOAUDIOLOGIAEstudo comparativo de técnicas de alimentação em prematuros: parâmetros fisiológicos e interação mãe e bebêComparative study of Techniques of Feeding in prematures: physiological parameters and interaction mother-babyinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/doctoralThesisinfo:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da PUC_SPinstname:Pontifícia Universidade Católica de São Paulo (PUC-SP)instacron:PUC_SPTEXTJanaina de Alencar Nunes.pdf.txtJanaina de Alencar Nunes.pdf.txtExtracted texttext/plain140675https://repositorio.pucsp.br/xmlui/bitstream/handle/12021/3/Janaina%20de%20Alencar%20Nunes.pdf.txt946b0e76f30c18b4fe11cbf5dae5bf20MD53ORIGINALJanaina de Alencar Nunes.pdfapplication/pdf1200700https://repositorio.pucsp.br/xmlui/bitstream/handle/12021/1/Janaina%20de%20Alencar%20Nunes.pdf9562c3ba48d89c4e421580a3a848bb23MD51THUMBNAILJanaina de Alencar Nunes.pdf.jpgJanaina de Alencar Nunes.pdf.jpgGenerated Thumbnailimage/jpeg1943https://repositorio.pucsp.br/xmlui/bitstream/handle/12021/2/Janaina%20de%20Alencar%20Nunes.pdf.jpgcc73c4c239a4c332d642ba1e7c7a9fb2MD52handle/120212022-04-27 18:05:28.413oai:repositorio.pucsp.br:handle/12021Biblioteca Digital de Teses e Dissertaçõeshttps://sapientia.pucsp.br/https://sapientia.pucsp.br/oai/requestbngkatende@pucsp.br||rapassi@pucsp.bropendoar:2022-04-27T21:05:28Biblioteca Digital de Teses e Dissertações da PUC_SP - Pontifícia Universidade Católica de São Paulo (PUC-SP)false |
dc.title.por.fl_str_mv |
Estudo comparativo de técnicas de alimentação em prematuros: parâmetros fisiológicos e interação mãe e bebê |
dc.title.alternative.eng.fl_str_mv |
Comparative study of Techniques of Feeding in prematures: physiological parameters and interaction mother-baby |
title |
Estudo comparativo de técnicas de alimentação em prematuros: parâmetros fisiológicos e interação mãe e bebê |
spellingShingle |
Estudo comparativo de técnicas de alimentação em prematuros: parâmetros fisiológicos e interação mãe e bebê Nunes, Janaína de Alencar Amamentação Alimentação artificial Prematuro Sinais vitais Relações mãe-filho Breast feeding Bottle feeding Infant Premature Vital signs Mother-child relations CNPQ::CIENCIAS DA SAUDE::FONOAUDIOLOGIA |
title_short |
Estudo comparativo de técnicas de alimentação em prematuros: parâmetros fisiológicos e interação mãe e bebê |
title_full |
Estudo comparativo de técnicas de alimentação em prematuros: parâmetros fisiológicos e interação mãe e bebê |
title_fullStr |
Estudo comparativo de técnicas de alimentação em prematuros: parâmetros fisiológicos e interação mãe e bebê |
title_full_unstemmed |
Estudo comparativo de técnicas de alimentação em prematuros: parâmetros fisiológicos e interação mãe e bebê |
title_sort |
Estudo comparativo de técnicas de alimentação em prematuros: parâmetros fisiológicos e interação mãe e bebê |
author |
Nunes, Janaína de Alencar |
author_facet |
Nunes, Janaína de Alencar |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Cunha, Maria Claudia |
dc.contributor.authorLattes.fl_str_mv |
http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4268479P0 |
dc.contributor.author.fl_str_mv |
Nunes, Janaína de Alencar |
contributor_str_mv |
Cunha, Maria Claudia |
dc.subject.por.fl_str_mv |
Amamentação Alimentação artificial Prematuro Sinais vitais Relações mãe-filho |
topic |
Amamentação Alimentação artificial Prematuro Sinais vitais Relações mãe-filho Breast feeding Bottle feeding Infant Premature Vital signs Mother-child relations CNPQ::CIENCIAS DA SAUDE::FONOAUDIOLOGIA |
dc.subject.eng.fl_str_mv |
Breast feeding Bottle feeding Infant Premature Vital signs Mother-child relations |
dc.subject.cnpq.fl_str_mv |
CNPQ::CIENCIAS DA SAUDE::FONOAUDIOLOGIA |
description |
The feeding represents continuous challenge for the responsible ones for the nutrition of the premature (RNPT), a time that the specific alimentary techniques and the varied types of foods can affect the development, the morbidade and mortality, therefore, the OBJECTIVE of this research was to evaluate the techniques of feeding (cup and finger-feeding) used with RNPT, in relation the physiological parameters and the interaction mother and baby, by means of two complementary studies. To take care of to this proposal the thesis it was divided in two studies: 1. Physiological answers in premature babies in offer of the diet: comparison enters the techniques of cup and sounding finger-feeding, simultaneously to the breastfeeding (AM). 2. Physiological answers, level of estresse and interaction complementarily mother-baby of RNPT fed for cup and sounding finger-feeding, simultaneously to the AM. METHODS: Research approved for the committee of ethics in research, under the protocol nº. 448.410 (Brazil Platform). Study 1: One is about a simultaneous clinical assay. The sexos, interned in the Neonatal Intensive Care Unit (UTIN) of the State Public Hospital in the period of October of 2011 had been selected 25 RNPT of both the February of 2012 and that they were being suckled in the breast. The sample was divided in two groups: 8 RNPT that had received the diet in the cup (GCP) and 17 for the sounding finger-feeding (GSD). For the GCP the babies who had been born in day pair and for the GSD had been selected the ones that had been born in uneven day. During it offers of the diet had been written down the minimum and maximum values of the oxygen saturation (SatO2) and cardiac frequency (FC). Study 2: Clinical assay of the simultaneous type. Amongst 31 prematures, 19 RNPT, 9 in GCP and 10 in the GSD had been enclosed. During it offers of the diet had been written down the minimum and maximum values of SatO2 and FC. How much to the AM the contact between mother and premature was observed, aiming at to analyze the interaction enters díade in the three aspects (to hold, to look at and to touch the baby). RESULTS: Study 1 - It was observed how much the International Classification of illnesses (CID-10), SatO2 and FC had not had statistical significant difference between the groups, but when evaluating the factor time, the groups had presented some differences, not continuous in the SatO2 variable. For the weight, the main effect time only presented difference enters the beginning of the fonoaudiológicas interventions and the high one. Study 2- Bigger number of visit of the mothers of the GCP was observed. How much the relations between vital signals of the baby and presence materna, did not have statistical significant difference before enters the periods, during and after the AM between both the groups. In the relation to the interactive behaviors of díade during the AM the groups had not been observed statistical significant differences between both. In the specific evaluation of each group, it was verified that the statistical significant alteration in the state of estresse in the GCP. CONCLUSION: Study 1 In the comparison it enters the groups had not been observed significant differences how much to SatO2 and FC in the RNPT fed for the technique of the cup and sounding finger-feeding. However when evaluating the factor time, the groups had presented some differences, not continuous, that need other studies. Study 2 It did not have alterations in the vital signals and of the interactive behaviors between mother-baby, comparativily, between both the groups. Signals had been verified of estresse during only suck in the group the cup |
publishDate |
2015 |
dc.date.available.fl_str_mv |
2015-07-14 |
dc.date.issued.fl_str_mv |
2015-07-07 |
dc.date.accessioned.fl_str_mv |
2016-04-27T18:12:09Z |
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info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/doctoralThesis |
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Nunes, Janaína de Alencar. Comparative study of Techniques of Feeding in prematures: physiological parameters and interaction mother-baby. 2015. 86 f. Tese (Doutorado em Fonoaudiologia) - Pontifícia Universidade Católica de São Paulo, São Paulo, 2015. |
dc.identifier.uri.fl_str_mv |
https://tede2.pucsp.br/handle/handle/12021 |
identifier_str_mv |
Nunes, Janaína de Alencar. Comparative study of Techniques of Feeding in prematures: physiological parameters and interaction mother-baby. 2015. 86 f. Tese (Doutorado em Fonoaudiologia) - Pontifícia Universidade Católica de São Paulo, São Paulo, 2015. |
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https://tede2.pucsp.br/handle/handle/12021 |
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por |
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Pontifícia Universidade Católica de São Paulo |
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Programa de Estudos Pós-Graduados em Fonoaudiologia |
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PUC-SP |
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BR |
dc.publisher.department.fl_str_mv |
Fonoaudiologia |
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Pontifícia Universidade Católica de São Paulo |
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