ABSTRACT
Atualmente o número de internações de recém-nascidos em Unidade de Terapia Intensiva Neonatal (UTIN) tem sido relevante. Ao receberem alta para a Unidade Pediátrica as mães vivenciam sentimentos positivos e negativos relacionados à responsabilidade de cuidar do filho ainda em tratamento e preparar-se para a alta hospitalar. O estudo objetivou desvelar a visão das mães em relação ao cuidado com o recém-nascido durante o período de internação em Unidade Pediátrica, após alta da UTIN. Trata-se de uma pesquisa descritiva e exploratória com abordagem qualitativa. Foram entrevistadas cinco mães maiores de dezoito anos e com filhos menores de um ano, sendo que todas passaram pela experiência de terem seus filhos internados logo após o nascimento em uma UTIN e, após, receberam alta para uma Unidade Pediátrica. A partir da análise dos depoimentos, revelaram-se três categorias: a vivência dos primeiros momentos com o filho após a alta da UTIN; a percepção da mãe em relação aos cuidados prestados pela equipe de enfermagem na unidade pediátrica; e experienciando o momento de ir para casa. As mães desvelaram sentimentos de angústia, medo, impotência, alívio, alegria e satisfação frente ao cuidado. Assim observamos a importância do gerenciamento da assistência de enfermagem, realizada pelo enfermeiro com o intuito de orientar e capacitar as mães para o cuidado com o filho após a alta da Unidade Pediátrica. Sendo assim, buscamos instrumentalizar os profissionais enfermeiros com o intuito de contribuir para o processo de humanização da assistência de enfermagem.
The number of current hospitalizations of newly-born infants in Neonatal Intensive Therapy Units (NITU) is currently high. When the children are discharged from NITU, the mothers experience positive and negative feelings related to the responsibility of taking care of their children still under treatment and preparing themselves for total hospital discharge. Current analysis investigates the perspective of mothers with regard to the care of the newly-born during this period in the Pediatric Unit (PU) after discharge from NITU. The descriptive, quality and exploratory research comprised interviews with five over eighteen-year-old mothers with less than one-year-old children, who had their children hospitalized immediately after birth in NITU, coupled to a later stay at the Pediatric Unit. Interviews revealed three categories: experience of the first instances with the child after discharge from NITU; the mother´s perception with regard to care provided by the nursing team in the PU; experiencing the moment of returning home. Mothers revealed feelings of anxiety, fear, impotence, relief, happiness and satisfaction in the wake of care given. The administration in nursing to give guidance and capacity to mothers for child care after discharge from the PU is highly relevant. Nursing professionals should be capacitated to contribute towards the humanization of nursing assistance.
Subject(s)
Male , Female , Patient Discharge , Intensive Care Units, Neonatal , Humanization of Assistance , Nursing Care , EmotionsABSTRACT
Objective To investigate the relative factors of the neonates that were abandoned in hospital less than 24 hours,then the level of the local neonates medical service and the neonatal remedy skills and the life quality could be improved.Methods The clinical data of 379 cases of hospitalized neonates less than 24 hours from 2007 to 2011 were analyzed retrospectively.The correlation factors of the neonates abandoned in hospital less than 24 hours(122 cases) and hospitalized more than 24 hours (244 cases) were analyzed by single and multiple factor regression analysis.Results (1) There were 379 neonates who were in hospital less than 24 hours,among them,122 neonates were gave up the treatments.The differences of the gestational age and weight among abandon group,hospital referral group,improve group and uncured group were significant(P ＜0.01).(2) The numbers of neonates abandoned in hospital less than 24 hours were different significantly from 2007 to 2011 (P ＜0.05) and tendency was decreased year by year(chi-square trend test x2 =6.115,P =0.013).The uncured group was increased year by year (P ＜ 0.05).The hospital referral group,improved group were fluctuation,but no descend or rise tendency(P ＞0.05).(3) The differences of the gestational age,birth weight,uterine-incision delivery,intrapartum asphyxia,intrauterine distress,birth hospital,family income less than twenty thousand yuan every year,father's culture level,diagnosed premature,very low birth weight infant,low birth weight infant,respiratory distress syndrome and brain injuries were significant between neonates in hospital less than 24 hours and more than 24 hours(P ＜ 0.05).The differences of the male,intrapartum high risk factors,mother's morbid state and miscarriage were not significant(P ＞0.05).(4) The uterine-incision delivery,intrapartum asphyxia,birth in the county and below county hospital,family income less than twenty thousand yuan every year and diagnosed respiratory distress syndrome were correlation to the abandon treatment in 24 hours.There were no correlation to the gave up treatment in 24 hours to the rest of the factors.Conclusion We should set up the systemic gravid detection system,avoid premature birth and respiratory distress syndrome,add the hardware configuration and medical personnel to the neonate department,improve the professional technology level,perfect social security system mechanism,decrease the hospital discharge rate of the hospitalization less than 24 hours,improve the level of the local neonatal treatment technology and the quality of population.
ABSTRACT
BACKGROUND: The harmfulness of smoking is well known, but the smoking rate of adult males in Korea is still high. Therefore, we wanted to find out the factors related to smoking cessation among patients who had been admitted to hospital and to make an effective smoking cessation program. METHODS: We reviewed the medical records of patients who had been admitted to the department of internal medicine or orthopedic surgery of an hospital from January 25, 2005 to June 15, 2005. We enrolled 104 male patients who were smokers and gave them telephone interviews. Among them, 74 patients answered (71.2%). RESULTS: Among the subjects, 10 patients quit smoking and 64 smoked continuously. Age, duration and amount of smoking, past experiences of smoking cessation were not significantly different between the two groups. The patients who were admitted to the department of internal medicine (P=0.047) and advised from doctors to quit smoking (P=0.010) showed a high smoking cessation rate. The patients who were advised by doctors showed a higher rate of planning for smoking cessation, even though they were still smoking (P=0.001). CONCLUSION: For smoking cessation in admission patient's, doctor's advice to quit smoking was important.