Detalhes bibliográficos
| Ano de defesa: |
2022 |
| Autor(a) principal: |
Barros, Letícia Hadlich Corrêa de |
| Orientador(a): |
Dotto, Patrícia Pasquali |
| Banca de defesa: |
Resener, Tânia Denise,
Naujorks, Alexandre Antônio,
Marchiori, Mara Regina Caino Teixeira |
| Tipo de documento: |
Dissertação
|
| Tipo de acesso: |
Acesso aberto |
| Idioma: |
por |
| Instituição de defesa: |
Universidade Franciscana
|
| Programa de Pós-Graduação: |
Mestrado Profissional em Saúde Materno Infantil
|
| Departamento: |
Saúde Materno Infantil
|
| País: |
Brasil
|
| Palavras-chave em Português: |
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| Palavras-chave em Inglês: |
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| Área do conhecimento CNPq: |
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| Link de acesso: |
http://www.tede.universidadefranciscana.edu.br:8080/handle/UFN-BDTD/1085
|
Resumo: |
Asthma is an important public health problem. In face of the pandemic caused by COVID-19, the orientation of the competent authorities was to, as much as possible, replace nebulizers with pressurized metered-dose inhalers for inhaled therapy. It intensified the need for standardizing the use of these devices in the treatment of asthma exacerbations. Justification: Pinpointing health professionals' knowledge of the technique of pressurized metered-dose inhalers (pMDIs) and evaluating the pandemic's impacts on the changes in the administration of inhaled medications allows determining aspects to be improved in order to standardize professional conduct and patient orientation. Objectives: To identify the knowledge of health professionals in a pediatric emergency room about technique of pMDIs, as well as to assess the pandemic's impacts on the modification of the administration of inhaled medications, and with that to develop educational material to disseminate knowledge of pressurized metered-dose inhaler to health professionals and patients, in addition to developing and implementing a protocol regarding asthma exacerbations in pediatric care. Methodology: This is a descriptive, quantitative, action research study. Data collection was performed after approval by the Research Ethics Committee. The questionnaire was applied in person to 35 health professionals from a pediatric emergency room in a city in the interior of the state of Rio Grande do Sul -Brazil. A descriptive analysis of the data was performed using the software program Stata 14. After the research, an explanatory leaflet was prepared and then submitted to content and appearance validation by peers, along with a protocol theoretically based on the main consensuses and guidelines in the area. Results: The first manuscript, an integrative literature review, pointed out the benefits of using the pMDI and spacer to administer inhaled medications during the treatment of asthma exacerbations in children and found the need to implement protocols and guidelines on the use of the device in pediatric emergency care. Scientific research showed points to be improved in the technique employed in pMDI use by health professionals and an increase in the frequency of use of the device after the beginning of the pandemic - results reported in manuscript 2. The book chapter presents the technology developed in the dissertation, a protocol for the treatment of asthma exacerbations in pediatrics, and aims to guide the conduct of health professionals. In addition, an educational leaflet was prepared for use by professionals and patients. Final considerations: The use of pMDIs and spacers proved to be a safe, effective, and cost-effective treatment. Educational actions on the use of the device are necessary for health professionals and patients. Technical product: The technologies created represent instruments that transform the processes, being a protocol of Qualis Capes stratum T1=100 points and an educational pamphlet of Qualis Capes T1=100 points, which can be used in emergency care, equipping staff and providing educational actions for professionals, patients, and their families. |
