Public Policies: the importance of effective applicability for early detection of congenital heart disease
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Research, Society and Development |
Texto Completo: | https://rsdjournal.org/index.php/rsd/article/view/19371 |
Resumo: | Introduction: Malformations in the heart and vessels are derived from errors in cardiac development and evolution during pregnancy and persist after birth. These events characterize congenital heart disease (CC). Neonatal Screening is essential for the prevention, promotion, and health recovery of newborns. Objective: assess whether public policies implemented effectively interfere in the early detection of congenital heart disease. Methods: FAMERP Research and Ethics Committee approved the study. We conducted a cross-sectional study with a descriptive design and quantitative-analytical approach in a reference hospital in the inland of São Paulo State. We formulated a four-part questionnaire with characterization, data regarding prenatal care; diagnosis; knowledge of family members. Inclusion criteria: parents who volunteered to participate in the research. Exclusion criteria: parents not found to answer the questionnaire. Results: predominantly female sample, married, residing in the Southeast Region, aged up to 30 years, one child, completed high school, and a family income of one minimum wage. We noticed that 43.14% of pregnant women attended six or more prenatal consultations, as recommended. In 60.78% of neonates with CC, the diagnosis took place only after birth. There are reports from mothers about not having a multidisciplinary team during prenatal care. Conclusion: with trained health professionals and the work of the multidisciplinary team, it is possible to notice signs suggestive of CC, promote qualified care, and detect CC early. It is possible to start the treatment at the origin service or forward it, Considering the material and human resources, even under the home treatment resource (TFD), recommended by the Ministry of Health. |
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Public Policies: the importance of effective applicability for early detection of congenital heart diseasePolíticas públicas: la importancia de la aplicabilidad efectiva para la detección temprana de cardiopatías congénitasPolíticas Públicas: a importância da aplicabilidade efetiva para detecção precoce da cardiopatia congênitaCardiopatia congênitaDetecção precoceSaúde da criançaPolíticas públicas. Congenital heart diseaseEarly detectionChild healthPublic policy.Cardiopatías congénitasDetección tempranaSalud de los niñosPolíticas públicas.Introduction: Malformations in the heart and vessels are derived from errors in cardiac development and evolution during pregnancy and persist after birth. These events characterize congenital heart disease (CC). Neonatal Screening is essential for the prevention, promotion, and health recovery of newborns. Objective: assess whether public policies implemented effectively interfere in the early detection of congenital heart disease. Methods: FAMERP Research and Ethics Committee approved the study. We conducted a cross-sectional study with a descriptive design and quantitative-analytical approach in a reference hospital in the inland of São Paulo State. We formulated a four-part questionnaire with characterization, data regarding prenatal care; diagnosis; knowledge of family members. Inclusion criteria: parents who volunteered to participate in the research. Exclusion criteria: parents not found to answer the questionnaire. Results: predominantly female sample, married, residing in the Southeast Region, aged up to 30 years, one child, completed high school, and a family income of one minimum wage. We noticed that 43.14% of pregnant women attended six or more prenatal consultations, as recommended. In 60.78% of neonates with CC, the diagnosis took place only after birth. There are reports from mothers about not having a multidisciplinary team during prenatal care. Conclusion: with trained health professionals and the work of the multidisciplinary team, it is possible to notice signs suggestive of CC, promote qualified care, and detect CC early. It is possible to start the treatment at the origin service or forward it, Considering the material and human resources, even under the home treatment resource (TFD), recommended by the Ministry of Health.Introducción: Las malformaciones en el corazón y los vasos se derivan de errores en el desarrollo y evolución cardíaca durante el embarazo y persisten después del nacimiento. Estos eventos caracterizan la cardiopatía congénita (CC). El cribado neonatal es fundamental para la prevención, promoción y recuperación de la salud de los recién nacidos. Objetivo: evaluar si las políticas públicas implementadas efectivamente interfieren en la detección temprana de cardiopatías congénitas. Métodos: El Comité de Ética e Investigación de la FAMERP aprobó el estudio. Realizamos un estudio transversal con diseño descriptivo y abordaje cuantitativo-analítico en un hospital de referencia del interior del Estado de São Paulo. Se formuló un cuestionario de cuatro partes con caracterización, datos sobre atención prenatal; diagnóstico; conocimiento de los miembros de la familia. Criterios de inclusión: padres que se ofrecieron como voluntarios para participar en la investigación. Criterios de exclusión: padres no encontrados para responder el cuestionario. Resultados: muestra predominantemente femenina, casada, residente en la Región Sudeste, edad hasta 30 años, un hijo, bachillerato completo y un ingreso familiar de un salario mínimo. Observamos que el 43,14% de las embarazadas acudieron a seis o más consultas prenatales, según lo recomendado. En el 60,78% de los neonatos con CC, el diagnóstico se realizó solo después del nacimiento. Hay informes de madres sobre no contar con un equipo multidisciplinario durante la atención prenatal. Conclusión: con profesionales de la salud capacitados y el trabajo del equipo multidisciplinario, es posible detectar signos sugestivos de CC, promover una atención calificada y detectar de manera precoz la CC. Es posible iniciar el tratamiento en el servicio de origen o reenviarlo, considerando los recursos materiales y humanos, incluso bajo el recurso de tratamiento domiciliario (TFD), recomendado por el Ministerio de Salud.Introdução: a cardiopatia congênita (CC) é caracterizada por malformações no coração e/ou nos vasos que o constituem, derivados de erros no desenvolvimento e na evolução cardíaca durante a gestação e que permanecem após o nascimento. A Triagem Neonatal é essencial para a prevenção, promoção e recuperação da saúde de neonatos. Objetivo: avaliar se as políticas públicas realizadas de forma efetiva interferem na detecção precoce da cardiopatia congênita. Métodos: pesquisa aprovada pelo Comitê de Ética em Pesquisa da FAMERP. Estudo transversal, delineamento descritivo, abordagem quantitativa-analítica, realizado em um hospital de referência do estado de São Paulo. Foi aplicado um questionário com quatro partes: caracterização; dados em relação ao pré-natal; diagnóstico; conhecimento dos familiares. Critérios de inclusão: pais que se prontificaram a participar da pesquisa. Critérios de exclusão: pais não encontrados para responder ao questionário. Resultados: amostra predominantemente feminina, casadas, residentes na Região Sudeste, idade até 30 anos, um filho, Ensino Médio completo e renda familiar de um salário-mínimo. Percebeu-se que 43,14% das gestantes foram a seis ou mais consultas no pré-natal, como o preconizado. Em 60,78% dos neonatos com CC, o diagnóstico aconteceu somente após o nascimento. Houve relatos de mães sobre não haver equipe multiprofissional durante o pré-natal. Conclusão: com profissionais de saúde capacitados e atuação da equipe multidisciplinar, pode-se perceber sinais sugestivos de CC, promover assistência qualificada e detectar precocemente a CC. Considerando os recursos materiais e humanos, é possível iniciar o tratamento no serviço de origem ou encaminhar, inclusive sob recurso de tratamento fora do domicílio (TFD), preconizado pelo Ministério da Saúde.Research, Society and Development2021-08-22info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/1937110.33448/rsd-v10i11.19371Research, Society and Development; Vol. 10 No. 11; e56101119371Research, Society and Development; Vol. 10 Núm. 11; e56101119371Research, Society and Development; v. 10 n. 11; e561011193712525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIporhttps://rsdjournal.org/index.php/rsd/article/view/19371/17268Copyright (c) 2021 Bruna Eduarda Lopes Felice; Alexandre Lins Werneck; Daise Lais Machado Ferreirahttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessFelice, Bruna Eduarda Lopes Werneck, Alexandre Lins Ferreira, Daise Lais Machado 2021-10-23T19:01:11Zoai:ojs.pkp.sfu.ca:article/19371Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:39:16.649775Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false |
dc.title.none.fl_str_mv |
Public Policies: the importance of effective applicability for early detection of congenital heart disease Políticas públicas: la importancia de la aplicabilidad efectiva para la detección temprana de cardiopatías congénitas Políticas Públicas: a importância da aplicabilidade efetiva para detecção precoce da cardiopatia congênita |
title |
Public Policies: the importance of effective applicability for early detection of congenital heart disease |
spellingShingle |
Public Policies: the importance of effective applicability for early detection of congenital heart disease Felice, Bruna Eduarda Lopes Cardiopatia congênita Detecção precoce Saúde da criança Políticas públicas. Congenital heart disease Early detection Child health Public policy. Cardiopatías congénitas Detección temprana Salud de los niños Políticas públicas. |
title_short |
Public Policies: the importance of effective applicability for early detection of congenital heart disease |
title_full |
Public Policies: the importance of effective applicability for early detection of congenital heart disease |
title_fullStr |
Public Policies: the importance of effective applicability for early detection of congenital heart disease |
title_full_unstemmed |
Public Policies: the importance of effective applicability for early detection of congenital heart disease |
title_sort |
Public Policies: the importance of effective applicability for early detection of congenital heart disease |
author |
Felice, Bruna Eduarda Lopes |
author_facet |
Felice, Bruna Eduarda Lopes Werneck, Alexandre Lins Ferreira, Daise Lais Machado |
author_role |
author |
author2 |
Werneck, Alexandre Lins Ferreira, Daise Lais Machado |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Felice, Bruna Eduarda Lopes Werneck, Alexandre Lins Ferreira, Daise Lais Machado |
dc.subject.por.fl_str_mv |
Cardiopatia congênita Detecção precoce Saúde da criança Políticas públicas. Congenital heart disease Early detection Child health Public policy. Cardiopatías congénitas Detección temprana Salud de los niños Políticas públicas. |
topic |
Cardiopatia congênita Detecção precoce Saúde da criança Políticas públicas. Congenital heart disease Early detection Child health Public policy. Cardiopatías congénitas Detección temprana Salud de los niños Políticas públicas. |
description |
Introduction: Malformations in the heart and vessels are derived from errors in cardiac development and evolution during pregnancy and persist after birth. These events characterize congenital heart disease (CC). Neonatal Screening is essential for the prevention, promotion, and health recovery of newborns. Objective: assess whether public policies implemented effectively interfere in the early detection of congenital heart disease. Methods: FAMERP Research and Ethics Committee approved the study. We conducted a cross-sectional study with a descriptive design and quantitative-analytical approach in a reference hospital in the inland of São Paulo State. We formulated a four-part questionnaire with characterization, data regarding prenatal care; diagnosis; knowledge of family members. Inclusion criteria: parents who volunteered to participate in the research. Exclusion criteria: parents not found to answer the questionnaire. Results: predominantly female sample, married, residing in the Southeast Region, aged up to 30 years, one child, completed high school, and a family income of one minimum wage. We noticed that 43.14% of pregnant women attended six or more prenatal consultations, as recommended. In 60.78% of neonates with CC, the diagnosis took place only after birth. There are reports from mothers about not having a multidisciplinary team during prenatal care. Conclusion: with trained health professionals and the work of the multidisciplinary team, it is possible to notice signs suggestive of CC, promote qualified care, and detect CC early. It is possible to start the treatment at the origin service or forward it, Considering the material and human resources, even under the home treatment resource (TFD), recommended by the Ministry of Health. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-08-22 |
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://rsdjournal.org/index.php/rsd/article/view/19371 10.33448/rsd-v10i11.19371 |
url |
https://rsdjournal.org/index.php/rsd/article/view/19371 |
identifier_str_mv |
10.33448/rsd-v10i11.19371 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/19371/17268 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Research, Society and Development |
publisher.none.fl_str_mv |
Research, Society and Development |
dc.source.none.fl_str_mv |
Research, Society and Development; Vol. 10 No. 11; e56101119371 Research, Society and Development; Vol. 10 Núm. 11; e56101119371 Research, Society and Development; v. 10 n. 11; e56101119371 2525-3409 reponame:Research, Society and Development instname:Universidade Federal de Itajubá (UNIFEI) instacron:UNIFEI |
instname_str |
Universidade Federal de Itajubá (UNIFEI) |
instacron_str |
UNIFEI |
institution |
UNIFEI |
reponame_str |
Research, Society and Development |
collection |
Research, Society and Development |
repository.name.fl_str_mv |
Research, Society and Development - Universidade Federal de Itajubá (UNIFEI) |
repository.mail.fl_str_mv |
rsd.articles@gmail.com |
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1797052808206221312 |