Impactos da pandemia de covid-19 no acompanhamento de prematuros no ambulatório de neonatologia de um hospital universitário
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Tipo de documento: | Trabalho de conclusão de curso |
Idioma: | por |
Título da fonte: | Repositório Institucional da UFU |
Texto Completo: | https://repositorio.ufu.br/handle/123456789/37497 |
Resumo: | Introduction: The Covid-19 pandemic is a worldwide threat, due to its high dissemination, becoming the biggest public health problem globally. Social isolation deprived many children of regular health monitoring, as is the case with premature infants, who must be frequently monitored by the outpatient team, due to possible changes and delays in neurodevelopment. Objective: To analyze the impact of the Covid-19 pandemic on consultations of premature children in the outpatient clinic of a University Hospital. Methodology: This is a mixed survey, carried out between February and July 2022, with the participants being 10 guardians and 12 premature children aged zero to two years, attended at the neonatology outpatient clinic between 2019 and 2021. Data collection took place through semi-structured interviews and subsequently, the analysis of 258 medical records was carried out, in order to know the clinical and socioeconomic profile of the patients. Quantitative analysis was performed using descriptive statistics, and qualitative analysis, using inductive thematic analysis. Results: In the 258 charts analyzed, there was a predominance of males (60.5%), late preterm delivery (48.1%), diagnosis of pre-eclampsia during pregnancy (24.4%) and cesarean section as the route delivery (81.8%). In the qualitative analysis, the following categories emerged: 1) repercussions of the pandemic on premature care; 2) challenges through the pandemic context; and 3) coping strategies and quality in preterm outpatient care. The main difficulties faced included the reduction of consultations compared to the non-pandemic period, unemployment, fear of contamination and child mourning. Strengthening aspects were the use of some strategies, such as scheduling face-to-face consultations at spaced times to avoid crowds in the waiting room and the use of teleconsultation in specific cases, although infrequent. Final considerations: Despite the negative feelings brought about by the pandemic context, such as fear, anxiety, anguish, and financial instability, the reorganization of the outpatient service was of great importance for the non-discontinuity of the premature health care. It is concluded that the organization of the flow of care and reformulation of the work routine adopted by the health service, such as adherence to sanitary measures and spacing between consultations, maintaining face-to-face support associated with technology, was an essential factor for the satisfaction of those responsible for the assistance provided. |
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Impactos da pandemia de covid-19 no acompanhamento de prematuros no ambulatório de neonatologia de um hospital universitárioImpacts of the covid-19 pandemic on the follow-up of premature infants in the neonatology ambulatory of university hospitalPrematuridadePrematurityCovid-19Covid-19Acompanhamento ambulatorialOutpatient follow-upImpactoImpactPandemiaPandemicCNPQ::CIENCIAS DA SAUDEIntroduction: The Covid-19 pandemic is a worldwide threat, due to its high dissemination, becoming the biggest public health problem globally. Social isolation deprived many children of regular health monitoring, as is the case with premature infants, who must be frequently monitored by the outpatient team, due to possible changes and delays in neurodevelopment. Objective: To analyze the impact of the Covid-19 pandemic on consultations of premature children in the outpatient clinic of a University Hospital. Methodology: This is a mixed survey, carried out between February and July 2022, with the participants being 10 guardians and 12 premature children aged zero to two years, attended at the neonatology outpatient clinic between 2019 and 2021. Data collection took place through semi-structured interviews and subsequently, the analysis of 258 medical records was carried out, in order to know the clinical and socioeconomic profile of the patients. Quantitative analysis was performed using descriptive statistics, and qualitative analysis, using inductive thematic analysis. Results: In the 258 charts analyzed, there was a predominance of males (60.5%), late preterm delivery (48.1%), diagnosis of pre-eclampsia during pregnancy (24.4%) and cesarean section as the route delivery (81.8%). In the qualitative analysis, the following categories emerged: 1) repercussions of the pandemic on premature care; 2) challenges through the pandemic context; and 3) coping strategies and quality in preterm outpatient care. The main difficulties faced included the reduction of consultations compared to the non-pandemic period, unemployment, fear of contamination and child mourning. Strengthening aspects were the use of some strategies, such as scheduling face-to-face consultations at spaced times to avoid crowds in the waiting room and the use of teleconsultation in specific cases, although infrequent. Final considerations: Despite the negative feelings brought about by the pandemic context, such as fear, anxiety, anguish, and financial instability, the reorganization of the outpatient service was of great importance for the non-discontinuity of the premature health care. It is concluded that the organization of the flow of care and reformulation of the work routine adopted by the health service, such as adherence to sanitary measures and spacing between consultations, maintaining face-to-face support associated with technology, was an essential factor for the satisfaction of those responsible for the assistance provided.Pesquisa sem auxílio de agências de fomentoTrabalho de Conclusão de Curso (Graduação)Introdução: A pandemia de Covid-19 constitui uma ameaça mundial, devido a sua alta disseminação, se tornando o maior problema de saúde pública a nível global. O isolamento social privou muitas crianças do acompanhamento regular de saúde, como o caso dos prematuros, que devem ser acompanhados frequentemente pela equipe ambulatorial, devido a possíveis alterações e atrasos no neurodesenvolvimento. Objetivo: Analisar o impacto da pandemia de Covid-19 nas consultas de crianças prematuras no ambulatório de um Hospital Universitário. Metodologia: Trata-se de uma pesquisa mista, realizada entre fevereiro e julho de 2022, tendo como participantes, 10 responsáveis e 12 crianças prematuras de zero a dois anos, atendidas no ambulatório de neonatologia entre 2019 e 2021. A coleta de dados se deu através de entrevistas semiestruturadas e posteriormente, decorreu-se a análise de 258 prontuários, para conhecer o perfil clínico e socioeconômico dos pacientes. A análise quantitativa ocorreu por estatística descritiva, e a qualitativa, conforme análise temática indutiva. Resultados: Nos 258 prontuários analisados, observou-se predominância do sexo masculino (60,5%), parto pré-termo tardio (48,1%), diagnóstico de pré-eclâmpsia na gestação (24,4%) e cesariana como via de parto (81,8%). Na análise qualitativa emergiram as categorias: 1) repercussões da pandemia na assistência ao prematuro; 2) desafios mediante o contexto pandêmico; e 3) estratégias de enfrentamento e qualidade na atenção ambulatorial ao prematuro. As principais dificuldades enfrentadas englobaram a redução das consultas comparadas ao período não pandêmico, desemprego, medo da contaminação e o luto infantil. Os aspectos fortalecedores foram o uso de algumas estratégias como, o agendamento de consultas presenciais com horários espaçados para evitar aglomerações na sala de espera e o emprego da teleconsulta em casos específicos, embora pouco frequentes. Considerações finais: Apesar dos sentimentos negativos trazidos pelo contexto pandêmico, como medo, ansiedade, angústia, e instabilidade financeira, a reorganização do serviço ambulatorial foi de grande importância para a não descontinuidade do cuidado de saúde do prematuro. Conclui-se que a organização do fluxo de atendimentos e reformulação da rotina de trabalho adotado pelo serviço de saúde, como a adesão de medidas sanitárias e espaçamento entre consultas, mantendo o suporte presencial associado a tecnologia, foi fator imprescindível para a satisfação dos responsáveis quanto a assistência prestada.Universidade Federal de UberlândiaBrasilEnfermagemGiuliani, Carla Denarihttp://lattes.cnpq.br/0924515986721388Scalia, Luana Araújo Macedohttp://lattes.cnpq.br/8088836332961672Peres, Cristina Ila de Oliveirahttp://lattes.cnpq.br/3319976156493507Oliveira, Lívia Ferreirahttp://lattes.cnpq.br/4452605246663278Silva, Ana Luiza2023-03-13T12:46:09Z2023-03-13T12:46:09Z2023-01-25info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/bachelorThesisapplication/pdfSILVA, Ana Luiza. Impactos da pandemia de covid-19 no acompanhamento de prematuros no ambulatório de neonatologia de um hospital universitário. 2023. 37 f. Trabalho de Conclusão de Curso (Graduação em Enfermagem) - Universidade Federal de Uberlândia, Uberlândia, 2023.https://repositorio.ufu.br/handle/123456789/37497porhttp://creativecommons.org/licenses/by-nc-nd/3.0/us/info:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFUinstname:Universidade Federal de Uberlândia (UFU)instacron:UFU2023-03-14T06:15:31Zoai:repositorio.ufu.br:123456789/37497Repositório InstitucionalONGhttp://repositorio.ufu.br/oai/requestdiinf@dirbi.ufu.bropendoar:2023-03-14T06:15:31Repositório Institucional da UFU - Universidade Federal de Uberlândia (UFU)false |
dc.title.none.fl_str_mv |
Impactos da pandemia de covid-19 no acompanhamento de prematuros no ambulatório de neonatologia de um hospital universitário Impacts of the covid-19 pandemic on the follow-up of premature infants in the neonatology ambulatory of university hospital |
title |
Impactos da pandemia de covid-19 no acompanhamento de prematuros no ambulatório de neonatologia de um hospital universitário |
spellingShingle |
Impactos da pandemia de covid-19 no acompanhamento de prematuros no ambulatório de neonatologia de um hospital universitário Silva, Ana Luiza Prematuridade Prematurity Covid-19 Covid-19 Acompanhamento ambulatorial Outpatient follow-up Impacto Impact Pandemia Pandemic CNPQ::CIENCIAS DA SAUDE |
title_short |
Impactos da pandemia de covid-19 no acompanhamento de prematuros no ambulatório de neonatologia de um hospital universitário |
title_full |
Impactos da pandemia de covid-19 no acompanhamento de prematuros no ambulatório de neonatologia de um hospital universitário |
title_fullStr |
Impactos da pandemia de covid-19 no acompanhamento de prematuros no ambulatório de neonatologia de um hospital universitário |
title_full_unstemmed |
Impactos da pandemia de covid-19 no acompanhamento de prematuros no ambulatório de neonatologia de um hospital universitário |
title_sort |
Impactos da pandemia de covid-19 no acompanhamento de prematuros no ambulatório de neonatologia de um hospital universitário |
author |
Silva, Ana Luiza |
author_facet |
Silva, Ana Luiza |
author_role |
author |
dc.contributor.none.fl_str_mv |
Giuliani, Carla Denari http://lattes.cnpq.br/0924515986721388 Scalia, Luana Araújo Macedo http://lattes.cnpq.br/8088836332961672 Peres, Cristina Ila de Oliveira http://lattes.cnpq.br/3319976156493507 Oliveira, Lívia Ferreira http://lattes.cnpq.br/4452605246663278 |
dc.contributor.author.fl_str_mv |
Silva, Ana Luiza |
dc.subject.por.fl_str_mv |
Prematuridade Prematurity Covid-19 Covid-19 Acompanhamento ambulatorial Outpatient follow-up Impacto Impact Pandemia Pandemic CNPQ::CIENCIAS DA SAUDE |
topic |
Prematuridade Prematurity Covid-19 Covid-19 Acompanhamento ambulatorial Outpatient follow-up Impacto Impact Pandemia Pandemic CNPQ::CIENCIAS DA SAUDE |
description |
Introduction: The Covid-19 pandemic is a worldwide threat, due to its high dissemination, becoming the biggest public health problem globally. Social isolation deprived many children of regular health monitoring, as is the case with premature infants, who must be frequently monitored by the outpatient team, due to possible changes and delays in neurodevelopment. Objective: To analyze the impact of the Covid-19 pandemic on consultations of premature children in the outpatient clinic of a University Hospital. Methodology: This is a mixed survey, carried out between February and July 2022, with the participants being 10 guardians and 12 premature children aged zero to two years, attended at the neonatology outpatient clinic between 2019 and 2021. Data collection took place through semi-structured interviews and subsequently, the analysis of 258 medical records was carried out, in order to know the clinical and socioeconomic profile of the patients. Quantitative analysis was performed using descriptive statistics, and qualitative analysis, using inductive thematic analysis. Results: In the 258 charts analyzed, there was a predominance of males (60.5%), late preterm delivery (48.1%), diagnosis of pre-eclampsia during pregnancy (24.4%) and cesarean section as the route delivery (81.8%). In the qualitative analysis, the following categories emerged: 1) repercussions of the pandemic on premature care; 2) challenges through the pandemic context; and 3) coping strategies and quality in preterm outpatient care. The main difficulties faced included the reduction of consultations compared to the non-pandemic period, unemployment, fear of contamination and child mourning. Strengthening aspects were the use of some strategies, such as scheduling face-to-face consultations at spaced times to avoid crowds in the waiting room and the use of teleconsultation in specific cases, although infrequent. Final considerations: Despite the negative feelings brought about by the pandemic context, such as fear, anxiety, anguish, and financial instability, the reorganization of the outpatient service was of great importance for the non-discontinuity of the premature health care. It is concluded that the organization of the flow of care and reformulation of the work routine adopted by the health service, such as adherence to sanitary measures and spacing between consultations, maintaining face-to-face support associated with technology, was an essential factor for the satisfaction of those responsible for the assistance provided. |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023-03-13T12:46:09Z 2023-03-13T12:46:09Z 2023-01-25 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/bachelorThesis |
format |
bachelorThesis |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
SILVA, Ana Luiza. Impactos da pandemia de covid-19 no acompanhamento de prematuros no ambulatório de neonatologia de um hospital universitário. 2023. 37 f. Trabalho de Conclusão de Curso (Graduação em Enfermagem) - Universidade Federal de Uberlândia, Uberlândia, 2023. https://repositorio.ufu.br/handle/123456789/37497 |
identifier_str_mv |
SILVA, Ana Luiza. Impactos da pandemia de covid-19 no acompanhamento de prematuros no ambulatório de neonatologia de um hospital universitário. 2023. 37 f. Trabalho de Conclusão de Curso (Graduação em Enfermagem) - Universidade Federal de Uberlândia, Uberlândia, 2023. |
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https://repositorio.ufu.br/handle/123456789/37497 |
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Universidade Federal de Uberlândia Brasil Enfermagem |
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Universidade Federal de Uberlândia Brasil Enfermagem |
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reponame:Repositório Institucional da UFU instname:Universidade Federal de Uberlândia (UFU) instacron:UFU |
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Universidade Federal de Uberlândia (UFU) |
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Repositório Institucional da UFU - Universidade Federal de Uberlândia (UFU) |
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diinf@dirbi.ufu.br |
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