Qualidade de vida e percepção materna sobre o método canguru aplicado ao recém-nascido prematuro de baixo peso

Detalhes bibliográficos
Ano de defesa: 2017
Autor(a) principal: Ramos, Bruna Abreu lattes
Orientador(a): Amaral, Waldemar Naves do lattes
Banca de defesa: Amaral, Waldemar Naves do, Formiga, Cibele Kayenne Martins Roberto, Sousa, Juarez Antônio de
Tipo de documento: Dissertação
Tipo de acesso: Acesso aberto
Idioma: por
Instituição de defesa: Universidade Federal de Goiás
Programa de Pós-Graduação: Programa de Pós-graduação em Ciências da Saúde (FM)
Departamento: Faculdade de Medicina - FM (RG)
País: Brasil
Palavras-chave em Português:
Palavras-chave em Inglês:
Área do conhecimento CNPq:
Link de acesso: http://repositorio.bc.ufg.br/tede/handle/tede/9716
Resumo: Introduction: The main component of the kangaroo method is skin-to-skin contact, performed to the extent that the mother / child dyad can tolerate it. Reinforcing the relationship of maternal quality of life and the bond created with the newborn. Objectives: To elaborate a systematic review article on the recommendations and repercussions of the kangaroo method in the mother-child binomial and an original article about the quality of life and the factors influencing the puerperal participants.Methods: The sample consisted of 85 women, mothers of preterm low birth weight infants and participants in the kangaroo method of the Dona Íris Maternity Hospital in Goiânia (GO), with their children hospitalized in the Neonatal Intensive Care Unit (NICU) and Kangaroo Nursing (Kangaroo). Mothers were evaluated in a single moment, through socioeconomic questionnaires, on quality of life, maternal perception about breastfeeding, kangaroo method and development and analysis of medical records. Data were analyzed using Statistical Package for Social Sciences (SPSS) 23.0. Results: In article 1, the review culminated in 22 scientific articles for final analysis in the Pubmed databases of the year 2017. The included studies were divided into three categories: Repercussions of the kangaroo method in the mother, repercussions of the kangaroo method in the newborn and recommendations in the use of the method. Article 2 pointed out that the majority of newborns were born between 33-36 weeks of gestational age, weighing between 1,501- 2,500g, with high neonatal risk. Mothers mostly aged 15-25 years, single marital status, who planned pregnancy, type of cesarean delivery. Regarding quality of life, the domain that presented worse quality of life was the environment, and several factors influenced such as weight, NMI, economic profile, hospitalization sector and pregnancy planning. Conclusion: In article 1, the scientific evidence revealed that the kangaroo method has a positive influence on the life of the newborn and the mother, strengthening the affective bond, thermal stability, stimulation to breastfeeding, development and improvement of pain relief. Article 2 showed that the majority of the newborns were female, with gestational age between 33-36 weeks, with high neonatal risk, hospitalized in the NICU and with hospitalization time of up to 20 days. The overall quality of life of the mothers participating in the kangaroo method was 64.81% according to a Whoqol, and the mothers who have their infants admitted to the NICU present greater difficulty in breastfeeding and lower milk production, leading to a worse quality of life. In addition, the quality of life of mothers participating in the kangaroo method was negatively impacted by biological and environmental risk factors in all domains evaluated, with the environmental domain being the most affected.