Banca de DEFESA: LEILA SILVA MEIRA

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : LEILA SILVA MEIRA
DATE: 09/12/2022
TIME: 09:00
LOCAL: Sala de Reuniões 2º Andar - Pavilhão Administrativo, IMS/CAT/UFBA
TITLE:

Premature care reorganization: modeling of care after hospital discharge

KEY WORDS:

Infant, Premature; Planning; Delivery of Health Care

PAGES: 93
BIG AREA: Ciências da Saúde
AREA: Saúde Coletiva
SUBÁREA: Epidemiologia
SUMMARY:

Introduction: Chronic conditions care in childhood, especially for premature infants, needs to take place in an appropriate place and at the right time. This newborn, upon being discharged from the hospital, will need early multidisciplinary care, in addition to the care network with frequent visits to services. It is important to maintain the continuity of care with shared plans between Primary Health Care (PHC) and Specialized Care. From the perspective of premature infants care, planning enables creative spaces, providing tools for reorganizing and qualifying the work process and it encourages care management by health teams. Objective: This study discusses comprehensive care for premature children in the context of the care network, bringing health planning as a (re)guiding tool for care. Methods: A quantitative-qualitative approach was used, with 291 preterm newborn (PTNB) who were discharged from Neonatal Intensive Care Units (NICU) to their homes in the neonatal period, between Jan/16-Dec/17, in Vitoria da Conquista, BA. Descriptive analysis of maternal and newborn variables and characteristics of the clinical evolution and diagnoses of preterm infants during the period of hospitalization was performed. The qualitative approach was descriptive, with the elaboration of the clinical case and modeling of care for the PTNB from hospital discharge to outpatient follow-up, carried out within the scope of PHC and Specialized Care, using the planning tool as the guiding axis of actions. Results: Of the PTNB, 84.2% had black/brown mothers, 47.8% had no partner and 47.8% had up to 5 prenatal consultations. Late preterm infants were 38.8%, 29.6% moderate, 26.8% very preterm and 4.8% extremely preterm, 52.2% had birth weight ≥ 1,500 and < 2,500g and 10.2% had Apgar 5th minute < 7. During hospitalization, 37.8% used 1-7 days of central venous access, most were diagnosed with respiratory problems and had early or late sepsis. For care, we elaborated the instruments: identification of the NICU egress; anamnesis and physical examination of the discharged from the NICU; risk classification and follow-up in the care network; prioritization and ordering of preterm problems; and planning of care for premature infants. Conclusions: We can envision the production of effective care, considering the technical, scientific, political dimensions and human sensitivity to the subjectivity of the subject. The proposal for planning care for PTNB promotes continuity of care after hospital discharge, with PHC as the receiver, coordinator and organizer of the care network, through the connection between outpatient units and specialized health care.

COMMITTEE MEMBERS:
Presidente - 1524763 - DANIELLE SOUTO DE MEDEIROS
Interno - 1553664 - ADRIANO MAIA DOS SANTOS
Externa à Instituição - RAQUEL CRISTINA GOMES LIMA - UESB