Avaliação comportamental de recém-nascidos prematuros com displasia broncopulmonar
Autor(a) principal: | |
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Data de Publicação: | 2014 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Institucional da Universidade Federal do Ceará (UFC) |
Texto Completo: | http://www.repositorio.ufc.br/handle/riufc/13468 |
Resumo: | Scientific and technological advances as well as improvement in neonatal intensive care have been related to a significant increase in survival of preterm infants with very low weight. However, this counteracts the benefit concomitant increased risk for the development of lesions in the central nervous system and pulmonary lesions, as bronchopulmonary dysplasia (BPD).Objective:Describe the behavioral assessment of preterm infants with BPD. Methods:This cross-sectional study enrolled preterm infants with birth weight less than 1500g and gestational age less than 32 weeks assisted ofpublic maternity in Fortaleza. The Dubowitz method was applied to assess behavior. We used analysis of seven items. Newborn behavioral state was graded in six degrees according to Brazelton (1973). All newborns were evaluated by the same examiner in a suitable environment. For statistical analysis, we used SPSS version 17.0 and chi-square test for qualitative variables crossing. Results:Studied 10 preterm infants with BPD with mean gestational age and birth weight of 29,2±1,87 weeks and 1000±231g. Out of 7 items evaluated there was a trend towards the presence of more abnormalities in three. The visual and auditory orientation of preterm evaluates was below the expected results at 40 weeks of corrected gestational age. The findings of the variables; irritability and consolability had higher incidence of abnormalities in infants with BPD, the observed persistent crying and difficult to regulate. Conclusion: The behavioral assessment of newborns with BPD showed a trend towards abnormality. These results reinforce the importation of entering neurobehavioral assessment, as inseparable component of the health care team as this illness interferes of development and quality of life in this group of children |
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Avaliação comportamental de recém-nascidos prematuros com displasia broncopulmonarBehavioral assessment of preterm infants with broncopulmonary dysplasiaPrematuroDisplasia BroncopulmonarDesenvolvimento InfantilScientific and technological advances as well as improvement in neonatal intensive care have been related to a significant increase in survival of preterm infants with very low weight. However, this counteracts the benefit concomitant increased risk for the development of lesions in the central nervous system and pulmonary lesions, as bronchopulmonary dysplasia (BPD).Objective:Describe the behavioral assessment of preterm infants with BPD. Methods:This cross-sectional study enrolled preterm infants with birth weight less than 1500g and gestational age less than 32 weeks assisted ofpublic maternity in Fortaleza. The Dubowitz method was applied to assess behavior. We used analysis of seven items. Newborn behavioral state was graded in six degrees according to Brazelton (1973). All newborns were evaluated by the same examiner in a suitable environment. For statistical analysis, we used SPSS version 17.0 and chi-square test for qualitative variables crossing. Results:Studied 10 preterm infants with BPD with mean gestational age and birth weight of 29,2±1,87 weeks and 1000±231g. Out of 7 items evaluated there was a trend towards the presence of more abnormalities in three. The visual and auditory orientation of preterm evaluates was below the expected results at 40 weeks of corrected gestational age. The findings of the variables; irritability and consolability had higher incidence of abnormalities in infants with BPD, the observed persistent crying and difficult to regulate. Conclusion: The behavioral assessment of newborns with BPD showed a trend towards abnormality. These results reinforce the importation of entering neurobehavioral assessment, as inseparable component of the health care team as this illness interferes of development and quality of life in this group of childrenOs avanços científicos e tecnológicos bem como a melhoria nos cuidados intensivos neonatais tem se relacionado a um considerável aumento na sobrevida de recém-nascidos prematuros de muito baixo peso. Todavia, a esse benefício se contrapõe o aumento concomitante do risco para o desenvolvimento de lesões no sistema nervoso central bem como lesões pulmonares, como a displasia broncopulmonar (DBP).Objetivo:Descrever a avaliação comportamental de recémnascidos prematuros com DBP. Métodos:Estudo transversal de recém-nascidos prematuros com peso ao nascer menor que 1500g e idade gestacional inferior a 32 semanas de uma maternidade pública no município de Fortaleza. Utilizou-se o método proposto por Dubowitz e Dubowitz com análise dos 7 itens comportamentais. O estado de consciência do recém-nascido foi graduado segundo Brazelton (1973). Todos os neonatos foram avaliados pela mesma examinadora em um ambiente adequado. Para análise estatística, utilizaram-se o SPSS versão 17.0 e o teste qui-quadrado para o cruzamento de variáveis qualitativas. Resultados:Foram analisados 10 recém-nascidos prematuros com DBP com idade gestacional ao nascer de 29,2±1,87 semanas e peso de nascimento de 1000±231g. Dos 7 itens avaliados,observou-se maior tendência a anormalidades em três. A orientação visual e auditiva dos neonatos avaliados mostrou-se abaixo dos resultados esperados para a idade corrigida de 40 semanas. Os achados das variáveis; irritabilidade e consolabilidade tiveram maior incidência de anormalidades nos recém-nascidos com DBP, sendo observado o choro persistente e de difícil regulação.Conclusão:A avaliação comportamental dos recém-nascidos pré-termo com DBP evidenciou uma tendência à anormalidade. Tais resultados reforçam a importância de se inserir a avaliação comportamental como componente indissociável do cuidado da equipe de saúde, visto que tal enfermidade interfere no desenvolvimento neuropsicomotor e na qualidade de vida desse grupo de crianças.Revista Fisioterapia & Saúde Funcional2015-10-13T16:01:49Z2015-10-13T16:01:49Z2014-08info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfALMEIDA, A. K. F. et al. Avaliação comportamental de recém-nascidos prematuros com displasia broncopulmonar. Revista Fisioterapia & Saúde Funcional, Fortaleza, v. 3, n. 2, p. 13-23, ago./dez. 2014.2238-8028 (Online)http://www.repositorio.ufc.br/handle/riufc/13468Almeida, Ana Karine Fontenele deCarvalho, Elisete MendesSá, Fabiane Elpídio deFrota, Lêda Maria da Costa PinheiroCastro, Margareth Gurgelporreponame:Repositório Institucional da Universidade Federal do Ceará (UFC)instname:Universidade Federal do Ceará (UFC)instacron:UFCinfo:eu-repo/semantics/openAccess2020-09-22T20:50:18Zoai:repositorio.ufc.br:riufc/13468Repositório InstitucionalPUBhttp://www.repositorio.ufc.br/ri-oai/requestbu@ufc.br || repositorio@ufc.bropendoar:2024-09-11T18:31:40.101575Repositório Institucional da Universidade Federal do Ceará (UFC) - Universidade Federal do Ceará (UFC)false |
dc.title.none.fl_str_mv |
Avaliação comportamental de recém-nascidos prematuros com displasia broncopulmonar Behavioral assessment of preterm infants with broncopulmonary dysplasia |
title |
Avaliação comportamental de recém-nascidos prematuros com displasia broncopulmonar |
spellingShingle |
Avaliação comportamental de recém-nascidos prematuros com displasia broncopulmonar Almeida, Ana Karine Fontenele de Prematuro Displasia Broncopulmonar Desenvolvimento Infantil |
title_short |
Avaliação comportamental de recém-nascidos prematuros com displasia broncopulmonar |
title_full |
Avaliação comportamental de recém-nascidos prematuros com displasia broncopulmonar |
title_fullStr |
Avaliação comportamental de recém-nascidos prematuros com displasia broncopulmonar |
title_full_unstemmed |
Avaliação comportamental de recém-nascidos prematuros com displasia broncopulmonar |
title_sort |
Avaliação comportamental de recém-nascidos prematuros com displasia broncopulmonar |
author |
Almeida, Ana Karine Fontenele de |
author_facet |
Almeida, Ana Karine Fontenele de Carvalho, Elisete Mendes Sá, Fabiane Elpídio de Frota, Lêda Maria da Costa Pinheiro Castro, Margareth Gurgel |
author_role |
author |
author2 |
Carvalho, Elisete Mendes Sá, Fabiane Elpídio de Frota, Lêda Maria da Costa Pinheiro Castro, Margareth Gurgel |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Almeida, Ana Karine Fontenele de Carvalho, Elisete Mendes Sá, Fabiane Elpídio de Frota, Lêda Maria da Costa Pinheiro Castro, Margareth Gurgel |
dc.subject.por.fl_str_mv |
Prematuro Displasia Broncopulmonar Desenvolvimento Infantil |
topic |
Prematuro Displasia Broncopulmonar Desenvolvimento Infantil |
description |
Scientific and technological advances as well as improvement in neonatal intensive care have been related to a significant increase in survival of preterm infants with very low weight. However, this counteracts the benefit concomitant increased risk for the development of lesions in the central nervous system and pulmonary lesions, as bronchopulmonary dysplasia (BPD).Objective:Describe the behavioral assessment of preterm infants with BPD. Methods:This cross-sectional study enrolled preterm infants with birth weight less than 1500g and gestational age less than 32 weeks assisted ofpublic maternity in Fortaleza. The Dubowitz method was applied to assess behavior. We used analysis of seven items. Newborn behavioral state was graded in six degrees according to Brazelton (1973). All newborns were evaluated by the same examiner in a suitable environment. For statistical analysis, we used SPSS version 17.0 and chi-square test for qualitative variables crossing. Results:Studied 10 preterm infants with BPD with mean gestational age and birth weight of 29,2±1,87 weeks and 1000±231g. Out of 7 items evaluated there was a trend towards the presence of more abnormalities in three. The visual and auditory orientation of preterm evaluates was below the expected results at 40 weeks of corrected gestational age. The findings of the variables; irritability and consolability had higher incidence of abnormalities in infants with BPD, the observed persistent crying and difficult to regulate. Conclusion: The behavioral assessment of newborns with BPD showed a trend towards abnormality. These results reinforce the importation of entering neurobehavioral assessment, as inseparable component of the health care team as this illness interferes of development and quality of life in this group of children |
publishDate |
2014 |
dc.date.none.fl_str_mv |
2014-08 2015-10-13T16:01:49Z 2015-10-13T16:01:49Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
ALMEIDA, A. K. F. et al. Avaliação comportamental de recém-nascidos prematuros com displasia broncopulmonar. Revista Fisioterapia & Saúde Funcional, Fortaleza, v. 3, n. 2, p. 13-23, ago./dez. 2014. 2238-8028 (Online) http://www.repositorio.ufc.br/handle/riufc/13468 |
identifier_str_mv |
ALMEIDA, A. K. F. et al. Avaliação comportamental de recém-nascidos prematuros com displasia broncopulmonar. Revista Fisioterapia & Saúde Funcional, Fortaleza, v. 3, n. 2, p. 13-23, ago./dez. 2014. 2238-8028 (Online) |
url |
http://www.repositorio.ufc.br/handle/riufc/13468 |
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por |
language |
por |
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info:eu-repo/semantics/openAccess |
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openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Revista Fisioterapia & Saúde Funcional |
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Revista Fisioterapia & Saúde Funcional |
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reponame:Repositório Institucional da Universidade Federal do Ceará (UFC) instname:Universidade Federal do Ceará (UFC) instacron:UFC |
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Universidade Federal do Ceará (UFC) |
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UFC |
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UFC |
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Repositório Institucional da Universidade Federal do Ceará (UFC) |
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Repositório Institucional da Universidade Federal do Ceará (UFC) |
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Repositório Institucional da Universidade Federal do Ceará (UFC) - Universidade Federal do Ceará (UFC) |
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bu@ufc.br || repositorio@ufc.br |
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