Niños con necesidades especiales de salud en un servicio de urgencias pediátricas: estudio transversal
DOI:
https://doi.org/10.5902/2179769269299Palabras clave:
Salud del niño, Enfermería pediátrica, Enfermedad crónica, Perfil de salud, Servicio de urgencia en hospitalResumen
Objetivos: buscar los niños con necesidades especiales de salud en un servicio de urgencias pediátricas y analizar sus demandas de cuidado. Método: estudio transversal, conducido de marzo a junio de 2019, en un servicio de emergencia hospitalaria infantil, en el ayuntamiento de Rio das Ostras, Rio de Janeiro, Brasil. Se aplicó la versión brasileña del Children with Special Health Care Needs Screener (CSHCN Screener®) y el instrumento de caracterización de demandas con parientes que cuidan a sus niños. Se utilizó estadística descriptiva. Resultados: los niños con necesidades especiales de salud correspondieron al 5,1% de las 235 familias procuradas. Los principales dominios de las necesidades de salud fueron el mayor uso de los servicios y la dependencia de medicamentos. Entre las demandas de cuidado, se destacaron los cuidados habituales alterados. Conclusión: las seis demandas de cuidado fueron identificadas entre los niños evaluados. Se recomienda la adopción del CSHCN Screener® para aumentar la visibilidad e indicar estrategias de atención a este grupo poblacional.
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Cianci P, D'Apolito V, Moretti A, Barbagallo M, Paci S, Carbone MT, et al. Children with special health care needs attending emergency department in Italy: analysis of 3479 cases. Ital J Pediatr. 2020;46(1):173. doi: 10.1186/s13052-020-00937-x
Góes FGB, Cabral IE. Discourses on discharge care for children with special healthcare needs. Rev Bras Enferm. 2017;70(1):154-61. doi: 10.1590/0034-7167-2016-0248
Huang L, Freed GL, Dalziel K. Children with special health care needs: how special are their health care needs? Acad Pediatr. 2020;20(8):1109-15. doi: 10.1016/j.acap.2020.01.007
Arrué AM, Neves ET, Magnago TSBS, Cabral IE, Gama SGN, Hökerberg YHM. Translation and adaptation of the children with special health care needs screener to Brazilian Portuguese. Cad Saúde Pública. 2016;32(6):1-7. doi: 10.1590/0102-11X00130215
Warden C, Yun K, Semere W. Using the children with special health care needs screener with immigrant families: an analysis of the national survey of children’s health. J Immigr Minor Health. 2018;21(1):189-97. doi: 10.1007/s10903-018-0719-4
Wahdan IH, El-Nimr NA. Identifying children with special health care needs in Alexandria, Egypt. Pediatric Res. 2018;84(1):57-61. doi: 10.1038/s41390-018-0008x
Carvalho CCO, Pimentel TGP, Cabral IE. Child with special health needs at one hospital of the Brazilian unified health system. Rev Pesq Cuid Fundam. 2021;13:1296-302. doi: 10.9789/2175-5361.rpcfo.v13.9756
Davis AM, McFadden SE, Patterson BL, Barkin SL. Strategies to identify and stratify children with special health care needs in outpatient general pediatrics settings. Matern Child Health J. 2015; 19(6):1384-92. doi: 10.1007/s10995-014-1644-3
Guo MBA, Chock G, Parlin LBA, Yamashiroya VMD, Rudoy RMD. Utilization of children with special health care needs (CSHCN) Screener© by O‘ahu’s pediatricians. Hawai MED J [Internet]. 2013 [cited 2021 Apr 30];72(5):162-6. Available from: https://www.ncbi.nlm.nih.gov/pubmed/23795320
Connor OM, Rosemana SMC, Quach J, Kvansh A, Goldef S. Special health care needs across the school and family contexts: implications for service utilization. Acad Pediatr. 2017;17(6):687-93. doi: 10.1016/j.acap.2017.02.012
Blackburn CM, Spencer NJ, Read JM. Prevalence of childhood disability and the characteristics and circumstances of disabled children in the UK: secondary analysis of the Family Resources Survey. BMC Pediatr. 2010;10(21):1-28. doi: 10.1186/1471-2431-10-21
Mohler-Kuo M, Dey M. A comparison of health-related quality of life between children with versus without special health care needs, and children requiring versus not requiring psychiatric services. Qual Life Res. 2012;21(9):1577-86. doi: 10.1007/s11136-011- 0078-2
Okido ACC, Neves ET, Cavicchioli GN, Jantsch LB, Pereira FP, Lima RAG. Factors associated with family risk of children with special health care needs. Rev Esc Enferm USP. 2018;52:e03377. doi: 10.1590/S1980-220X2017048703377
Hoffmann I, Diefenbach C, Gräf C, König J, Schmidt MF, Schnick-Volmer K, et al. Chronic health conditions and school performance in first graders: a prospective cohort study. PLoS One. 2018;13(3):e0194846. doi: 10.1371/journal.pone.0194846
Góes FGB, Cabral IE. Children with health special needs and his care demands. Rev Pesq Cuid Fundam [Internet]. 2010 [cited 2021 Apr 30];2(2):889-901. Available from: http://www.seer.unirio.br/index.php/cuidadofundamental/article/view/579/pdf_22
Barreiros CFC, Gomes MASM, Mendes Júnior SCS. Children with special needs in health: challenges of the single health system in the 21st century. Rev Bras Enferm. 2020;73(Suppl 4):e20190037. doi: 10.1590/0034-7167-2019-0037
Mario DN, Rigo L, Boclin KLS, Malvestio LMM, Anziliero D, Horta BL, et al. Qualidade do pré-natal no Brasil: Pesquisa Nacional de Saúde 2013. Ciênc Saúde Colet. 2019;24(3):1223-32. doi: 10.1590/1413-81232018243.13122017
Gonçalves MKS, Cardoso MD, Lima RAF, Oliveira CM, Bonfim CV. Prevalence and factors associated with congenital malformations in live births. Acta Paul Enferm. 2021;34:eAPE00852. doi: 10.37689/acta-ape/2021AO00852
Bossa PMA, Pacheco STA, Araújo BBM, Nunes MDR, Silva LF, Cardoso JMRM. Home care challenges facing families of children using a tracheostomy cannula. Rev Enferm UERJ. 2019; 27:e43335. doi: 10.12957/reuerj.2019.43335
Rossetto V, Toso BRGO, Rodrigues RM, Viera CS, Neves ET. Development care for children with special health needs in home care at Paraná - Brazil. Esc Anna Nery Rev Enferm. 2019;23(1):e20180067. doi: 10.1590/2177-9465-EAN-2018-0067
Góes FGB, Cabral IE. Hospital discharge in children with special health care needs and its different dimensions. Rev Enferm UERJ. 2017;25:e18684. doi: 10.12957/reuerj.2017.18684
Matiz LA, Kostacos C, Robbins-Milne L, Chang SJ, Rausch JC, Tariq A. Integrating nurse care managers in the medical home of children with special health care needs to improve their care coordination and impact health care utilization. J Pediatr Nurs. 2021;59:32-6. doi: 10.1016/j.pedn.2020.12.018
Samuels C, Harris T, Gonzales T, Mosquera RA. The case for the use of nurse practitioners in the care of children with medical complexity. Children (Basel). 2017;4(4):24. doi: 10.3390/children4040024
Neves ET, Okido ACC, Buboltz FL, Santos RP, Lima RAG. Accessibility of children with special health needs to the health care network. Rev Bras Enferm. 2019;72(Suppl 3):65-71. doi: 10.1590/0034-7167-2017-0899
Bertoldo CS, Silva JH, Silveira A, Ribeiro AC, Kegler JJ, Neves ET. Characterization of adolescents with diabetes mellitus attended in ambulatory of teaching hospital. Rev Enferm UFSM. 2019;9:e55. doi: 10.5902/2179769232870
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