O enfermeiro e a avaliação do desenvolvimento neuromotor do lactente

Detalhes bibliográficos
Autor(a) principal: Maia, Polyana Candeia
Data de Publicação: 2013
Tipo de documento: Dissertação
Idioma: por
Título da fonte: Repositório Institucional da Universidade Federal do Ceará (UFC)
Texto Completo: http://www.repositorio.ufc.br/handle/riufc/6170
Resumo: The evaluation of infant development is necessary to monitor and follow-up changes in children’s lives, seeking to identify their own characteristics and relate them to the respective human development stages. This study aims at evaluating motor development in children aged 2m15d to 12m15d. It is a descriptive-exploratory transversal study with an analytic approached carried out in Family Health Centers in the municipalities of Fortaleza and Sobral, Ceará, Brazil. The sample is composed of 330 children and their respective parents/caregivers, 165 from each referred municipality. Data collection took place from March to June 2012 using the Harris Infant Neuromotor Test (HINT) Brazilian version and the Ministry of Health Development Control Protocol, a form that includes socio-demographic data on parents/caregivers. Data was collected after approval granted by the Ceará Federal University Research Ethics Committee. Data was organized in Excel charts and analyzed through the SPSS version 18, and a Confidence Interval of 95% (p<0.05) was applied to all tests. Results showed that 52 Fortaleza children were aged 2m15d to 3m15d whereas in Sobral, 47 were between 11m16d and 12m15d. According to data, there was a significant statistical correlation between the baby delivery method and the two municipalities (p=0.020) and the marital status of Fortaleza mothers with the HINT final scores (p=0.035). There was also a remarkable difference in the Ministry of Health Development Protocol between term and preterm babies in Fortaleza (p=0.000) and Sobral (p=0.000) and the family income in Sobral (p=0.022). No statistically relevant differences were noticed between the two municipalities with regards to socio-demographic variables such as income, home floor type, basic sanitation and garbage collection. As for the HINT questionnaire directed to those responsible for looking after the children, in Fortaleza, 117 parents affirmed that they felt their baby was “strong and firm”, 88 of them stated that the child’s mobility was “excellent” and 85 reported that their children were “above expected standards” when compared to others of the same age. In Sobral, 132 parents affirmed to feel their child to be “strong and firm”, 92 said their mobility was “excellent” and 87 said that the child was in “normal development for his/her age”. The result of the neuromotor evaluation performance through the HINT program showed that most children, 98 (59.3%) in Fortaleza got a normal score and when evaluated through the Ministry of Health Control Protocol (Child Health Booklet) 127 (77%) in Fortaleza and 144 (87.3%) in Sobral were classified with adequate development. However, both instruments did not present a significant correlation between each other (K = -0.010). Despite this fact, both instruments proved to be useful for the target public, presenting advantages and disadvantages, which require further research with different samples and guidelines.
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spelling O enfermeiro e a avaliação do desenvolvimento neuromotor do lactenteThe nurse and the assessment of neuromotor development of the infantDesenvolvimento InfantilAvaliação de DesempenhoCriançaThe evaluation of infant development is necessary to monitor and follow-up changes in children’s lives, seeking to identify their own characteristics and relate them to the respective human development stages. This study aims at evaluating motor development in children aged 2m15d to 12m15d. It is a descriptive-exploratory transversal study with an analytic approached carried out in Family Health Centers in the municipalities of Fortaleza and Sobral, Ceará, Brazil. The sample is composed of 330 children and their respective parents/caregivers, 165 from each referred municipality. Data collection took place from March to June 2012 using the Harris Infant Neuromotor Test (HINT) Brazilian version and the Ministry of Health Development Control Protocol, a form that includes socio-demographic data on parents/caregivers. Data was collected after approval granted by the Ceará Federal University Research Ethics Committee. Data was organized in Excel charts and analyzed through the SPSS version 18, and a Confidence Interval of 95% (p<0.05) was applied to all tests. Results showed that 52 Fortaleza children were aged 2m15d to 3m15d whereas in Sobral, 47 were between 11m16d and 12m15d. According to data, there was a significant statistical correlation between the baby delivery method and the two municipalities (p=0.020) and the marital status of Fortaleza mothers with the HINT final scores (p=0.035). There was also a remarkable difference in the Ministry of Health Development Protocol between term and preterm babies in Fortaleza (p=0.000) and Sobral (p=0.000) and the family income in Sobral (p=0.022). No statistically relevant differences were noticed between the two municipalities with regards to socio-demographic variables such as income, home floor type, basic sanitation and garbage collection. As for the HINT questionnaire directed to those responsible for looking after the children, in Fortaleza, 117 parents affirmed that they felt their baby was “strong and firm”, 88 of them stated that the child’s mobility was “excellent” and 85 reported that their children were “above expected standards” when compared to others of the same age. In Sobral, 132 parents affirmed to feel their child to be “strong and firm”, 92 said their mobility was “excellent” and 87 said that the child was in “normal development for his/her age”. The result of the neuromotor evaluation performance through the HINT program showed that most children, 98 (59.3%) in Fortaleza got a normal score and when evaluated through the Ministry of Health Control Protocol (Child Health Booklet) 127 (77%) in Fortaleza and 144 (87.3%) in Sobral were classified with adequate development. However, both instruments did not present a significant correlation between each other (K = -0.010). Despite this fact, both instruments proved to be useful for the target public, presenting advantages and disadvantages, which require further research with different samples and guidelines.A avaliação do desenvolvimento infantil é necessária para que haja o monitoramento e o acompanhamento das mudanças ocorrentes na vida da criança, buscando identificar as características próprias e relacioná-las com os respectivos períodos de desenvolvimento do ser humano. O estudo objetivou avaliar o desenvolvimento neuromotor de crianças com idade de 2m15d a 12m15d. Estudo descritivo-exploratório, transversal, com enfoque analítico, realizado em Centro de Saúde da Família nos municípios de Fortaleza e Sobral, Ceará, Brasil. A amostra foi composta por 330 crianças e seus respectivos pais/responsáveis, 165 em cada município referido. A coleta de dados ocorreu de março a junho/2012, utilizando Harris Infant Neuromotor Test (HINT) versão brasileira e Instrumento de Vigilância do Desenvolvimento do Ministério da Saúde (Caderneta de Saúde da Criança), formulário contendo dados sociodemográficos dos pais/cuidadores. A coleta de dados se deu após aprovação pelo Comitê de Ética em pesquisa da Universidade Federal do Ceará. Os dados foram organizados no programa Excel e analisados no SPSS versão 18 e para todos os testes foi utilizado o Intervalo de Confiança de 95% (p<0,05). Os resultados mostraram que 52 crianças de Fortaleza estavam na idade de 2m15d a 3m15d, e, em Sobral, 47 estavam na idade de 11m16d a 12m15d. De acordo com os dados, houve associação estatística significante entre o tipo de parto e os dois municípios (p=0,020) e o estado civil das mães de Fortaleza com os escores finais do HINT (p=0,035). Houve diferença significativa do Instrumento de Vigilância do Desenvolvimento do Ministério da Saúde entre crianças nascidas a termo e pré-termo de Fortaleza (p=0,000) e Sobral (p=0,000) e da renda familiar em Sobral (p=0,022). Não houve diferença estatisticamente significante entre os dois municípios ao se associar as variáveis sociodemográficas renda, tipo de chão, esgoto e coleta de lixo. Quanto aos questionamentos do HINT direcionado aos responsáveis pelas crianças, em Fortaleza, 117 pais afirmaram sentir o bebê “sólido e firme”, 88 que a movimentação da criança era “excelente” e 85 relataram que os filhos estavam “acima do padrão esperado” ao serem comparadas com outras da mesma idade. Em Sobral, 132 pais afirmaram sentir o filho “sólido e firme”, 92 que a movimentação era “excelente” e 87 que o filho estava “de acordo com a idade”. O resultado da avaliação do desempenho neuromotor por meio do HINT mostrou que a maioria das crianças, 98 (59,3%) em Fortaleza, pontuou com escore normal e ao serem avaliadas com o Instrumento de Vigilância do Desenvolvimento do Ministério da Saúde (Caderneta de Saúde da Criança), 127 (77%) em Fortaleza e 144 (87,3%) em Sobral, foram classificadas com o desenvolvimento adequado. Entretanto, os dois instrumentos não mostraram correlação significativa entre si (K = -0,010). Apesar disso, os dois instrumentos pertinentes para uso com a clientela estudada, apresentando vantagens e desvantagens, exigindo que novas pesquisas sejam realizadas com amostras e delineamentos diferentes.Cardoso, Maria Vera Lúcia Moreira LeitãoMaia, Polyana Candeia2013-10-14T13:47:15Z2013-10-14T13:47:15Z2013info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisapplication/pdfMAIA, P. C. O enfermeiro e a avaliação do desenvolvimento neuromotor do lactente. 2013. 162 f. Dissertação (Mestrado em Enfermagem) - Faculdade de Farmácia, Odontologia e Enfermagem, Universidade Federal do Ceará, Fortaleza, 2013.http://www.repositorio.ufc.br/handle/riufc/6170porreponame:Repositório Institucional da Universidade Federal do Ceará (UFC)instname:Universidade Federal do Ceará (UFC)instacron:UFCinfo:eu-repo/semantics/openAccess2019-02-15T17:24:54Zoai:repositorio.ufc.br:riufc/6170Repositório InstitucionalPUBhttp://www.repositorio.ufc.br/ri-oai/requestbu@ufc.br || repositorio@ufc.bropendoar:2024-09-11T18:29:08.820752Repositório Institucional da Universidade Federal do Ceará (UFC) - Universidade Federal do Ceará (UFC)false
dc.title.none.fl_str_mv O enfermeiro e a avaliação do desenvolvimento neuromotor do lactente
The nurse and the assessment of neuromotor development of the infant
title O enfermeiro e a avaliação do desenvolvimento neuromotor do lactente
spellingShingle O enfermeiro e a avaliação do desenvolvimento neuromotor do lactente
Maia, Polyana Candeia
Desenvolvimento Infantil
Avaliação de Desempenho
Criança
title_short O enfermeiro e a avaliação do desenvolvimento neuromotor do lactente
title_full O enfermeiro e a avaliação do desenvolvimento neuromotor do lactente
title_fullStr O enfermeiro e a avaliação do desenvolvimento neuromotor do lactente
title_full_unstemmed O enfermeiro e a avaliação do desenvolvimento neuromotor do lactente
title_sort O enfermeiro e a avaliação do desenvolvimento neuromotor do lactente
author Maia, Polyana Candeia
author_facet Maia, Polyana Candeia
author_role author
dc.contributor.none.fl_str_mv Cardoso, Maria Vera Lúcia Moreira Leitão
dc.contributor.author.fl_str_mv Maia, Polyana Candeia
dc.subject.por.fl_str_mv Desenvolvimento Infantil
Avaliação de Desempenho
Criança
topic Desenvolvimento Infantil
Avaliação de Desempenho
Criança
description The evaluation of infant development is necessary to monitor and follow-up changes in children’s lives, seeking to identify their own characteristics and relate them to the respective human development stages. This study aims at evaluating motor development in children aged 2m15d to 12m15d. It is a descriptive-exploratory transversal study with an analytic approached carried out in Family Health Centers in the municipalities of Fortaleza and Sobral, Ceará, Brazil. The sample is composed of 330 children and their respective parents/caregivers, 165 from each referred municipality. Data collection took place from March to June 2012 using the Harris Infant Neuromotor Test (HINT) Brazilian version and the Ministry of Health Development Control Protocol, a form that includes socio-demographic data on parents/caregivers. Data was collected after approval granted by the Ceará Federal University Research Ethics Committee. Data was organized in Excel charts and analyzed through the SPSS version 18, and a Confidence Interval of 95% (p<0.05) was applied to all tests. Results showed that 52 Fortaleza children were aged 2m15d to 3m15d whereas in Sobral, 47 were between 11m16d and 12m15d. According to data, there was a significant statistical correlation between the baby delivery method and the two municipalities (p=0.020) and the marital status of Fortaleza mothers with the HINT final scores (p=0.035). There was also a remarkable difference in the Ministry of Health Development Protocol between term and preterm babies in Fortaleza (p=0.000) and Sobral (p=0.000) and the family income in Sobral (p=0.022). No statistically relevant differences were noticed between the two municipalities with regards to socio-demographic variables such as income, home floor type, basic sanitation and garbage collection. As for the HINT questionnaire directed to those responsible for looking after the children, in Fortaleza, 117 parents affirmed that they felt their baby was “strong and firm”, 88 of them stated that the child’s mobility was “excellent” and 85 reported that their children were “above expected standards” when compared to others of the same age. In Sobral, 132 parents affirmed to feel their child to be “strong and firm”, 92 said their mobility was “excellent” and 87 said that the child was in “normal development for his/her age”. The result of the neuromotor evaluation performance through the HINT program showed that most children, 98 (59.3%) in Fortaleza got a normal score and when evaluated through the Ministry of Health Control Protocol (Child Health Booklet) 127 (77%) in Fortaleza and 144 (87.3%) in Sobral were classified with adequate development. However, both instruments did not present a significant correlation between each other (K = -0.010). Despite this fact, both instruments proved to be useful for the target public, presenting advantages and disadvantages, which require further research with different samples and guidelines.
publishDate 2013
dc.date.none.fl_str_mv 2013-10-14T13:47:15Z
2013-10-14T13:47:15Z
2013
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/masterThesis
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dc.identifier.uri.fl_str_mv MAIA, P. C. O enfermeiro e a avaliação do desenvolvimento neuromotor do lactente. 2013. 162 f. Dissertação (Mestrado em Enfermagem) - Faculdade de Farmácia, Odontologia e Enfermagem, Universidade Federal do Ceará, Fortaleza, 2013.
http://www.repositorio.ufc.br/handle/riufc/6170
identifier_str_mv MAIA, P. C. O enfermeiro e a avaliação do desenvolvimento neuromotor do lactente. 2013. 162 f. Dissertação (Mestrado em Enfermagem) - Faculdade de Farmácia, Odontologia e Enfermagem, Universidade Federal do Ceará, Fortaleza, 2013.
url http://www.repositorio.ufc.br/handle/riufc/6170
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dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Repositório Institucional da Universidade Federal do Ceará (UFC)
instname:Universidade Federal do Ceará (UFC)
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instname_str Universidade Federal do Ceará (UFC)
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reponame_str Repositório Institucional da Universidade Federal do Ceará (UFC)
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