Preparação dos pais para alta do seu filho prematuro da UTI Neonatal

Detalhes bibliográficos
Ano de defesa: 2015
Autor(a) principal: Haro, Deborah Grohmann Tondo lattes
Orientador(a): Azevedo, Gisele Regina de lattes
Banca de defesa: Não Informado pela instituição
Tipo de documento: Dissertação
Tipo de acesso: Acesso aberto
Idioma: por
Instituição de defesa: Pontifícia Universidade Católica de São Paulo
Programa de Pós-Graduação: Programa de Estudos Pós-Graduados em Educação nas Profissões da Saúde
Departamento: Faculdade de Ciências Médicas e da Saúde
País: BR
Palavras-chave em Português:
Palavras-chave em Inglês:
Área do conhecimento CNPq:
Link de acesso: https://tede2.pucsp.br/handle/handle/9513
Resumo: The technological advance allowed for greater survival of premature newborns, and, with this, very prolonged hospitalizations. To accomplish a nursing care focused on the preparation of parents for the discharging of their premature babies is the goal of this work, for this was necessary to know the problems faced by the parents of premature newborns after the discharges from the Intensive Care Unit Neonatal-ICU, to capacitate the nursing team to precociously introduce the parents into taking care of their premature baby, and to know, after the training of the nursing team, the adaptation of the parents at home after the discharging from the NICU. We observed that the nursing team was centred on intensive cares of the premature newborn, and felt threatened by the presence of their parents within the ICU, hindering their participation in the care of the child, or even to carry it with frequence, if its clinical condition allows. After the training and continuing guidance, the team appreciated the feelings, fears, insecurities and, especially, the maternal and paternal dreams. Parents were encouraged to participate in the care of, and in one of the reports was noted that the mother and the father believed the touch could hurt, or muddle up the development of the baby, and after the team insistently guiding about the touch, both parents were able to interact with the premature daughter. We conclude that a hospital discharge generates feelings of fear and anguish, however we noted from the reports of the first group of interviews, that fear was related to the anguish of not knowing how to take care of, of something going wrong by parental failure and, in the second group of interviews, there was no account of fear or insecurity about failing in performing some care because they felt capable. From the training, the team became more sensitized to the humanitarian part that exists behind the ICU techniques, the human aspect started to became part of the care, parents had their roles in the ICU setting, and also the team began to value the feel and not just the do. Considering that the technical part does save lives, but does not save what was felt, the mothers and the babies feeling must be rebuilt with the help from the nursing-staff, together with the faith of the families