scholarly journals CARE GIVEN TO NEWBORNS FED BY GASTRIC TUBE: CONCEPTS AND PRACTICES

2019 ◽  
Vol 28 ◽  
Author(s):  
Juliana Nascimento ◽  
Inês Maria Meneses dos Santos ◽  
Laura Johanson da Silva

ABSTRACT Objective: to describe the conduct related to feeding care through gastric tube in neonates hospitalized in the Neonatal Intensive Care Unit, from scientific articles published in the last five years. Method: an integrative literature review was developed in the databases: MEDLINE, LILACS, SciELO, CINAHL and BDENF. The search for the studies was carried out in August 2016, in English, Spanish and Portuguese. Results: 33 articles were analyzed. The level of evidence was classified as level IV (30%), level VI (27%), level II (15%), level III (18%), level I, V and VII with 3% each. The analytical categories were: Gastric tubes, their materials and their use in the Neonatal Intensive Care Unit, Nursing care for enteral nutrition through gastric tube in the Neonatal Intensive Care Unit, From the tube the oral route. The time to reach total enteral nutrition is lower, as is the decrease in length of hospital stay. The largest losses of milk fat are during gastroclysis at the expense of gavage. The relationship of food tolerance to dietary dosage form and volumes is not yet conclusive. Nursing stands out: in favor of the bond with the family, in the physical examination and evaluation, in the positioning, in the non-nutritive suction during the diet, in the oral stimulus, in the observation and conduct regarding the gastric residue. Conclusion: due to the heterogeneity of the data, more randomized and qualitative clinical trials are required to better support the conduct and improvement of nursing care.

2018 ◽  
Vol 9 (5) ◽  
pp. 14
Author(s):  
Jenn Gonya ◽  
Jessica Niski ◽  
Nicole Cistone

The neonatal intensive care unit (NICU) is, inherently, a trauma environment for the extremely premature infant. This trauma is often exacerbated by nurse caregiving practices that can be modified and still remain effective. Our study explored how behavior analytics could be used to implement an intervention known as Care by Cues and how the intervention might, ultimately, impact infant physiologic stability.


2018 ◽  
Vol 66 (6) ◽  
pp. 576-585 ◽  
Author(s):  
Riko Sano ◽  
Rachel F. Schiffman ◽  
Kotaro Shoji ◽  
Kathleen J. Sawin

2019 ◽  
Vol 13 (2) ◽  
pp. 378
Author(s):  
Ana Carolina Feitosa Chaves ◽  
Andréia Passos Santos ◽  
Karine De Magalhães Nogueira Ataíde ◽  
Karla Joelma Bezerra Cunha

Objetivo: descrever o cuidado de Enfermagem na manutenção da integridade da pele do recém-nascido prematuro dentro de uma Unidade de Terapia Intensiva Neonatal (UTIN). Método: trata-se de estudo qualitativo, exploratório, descritivo, em uma maternidade de referência, com 11 enfermeiros que atuam na UTIN. Coletaram-se os dados por meio de uma entrevista gravada semiestruturada, e, posteriormente, as falas foram transcritas e analisadas pela técnica de Análise de Conteúdo, na modalidade Análise Categorial. Resultados: analisaram-se e distribuíram-se os dados coletados em duas categorias: Assistência de Enfermagem ao neonato prematuro na UTIN e Cuidados de Enfermagem na manutenção da integridade da pele do recém-nascido prematuro na UTIN. Evidenciou-se, a partir desta pesquisa, que a Enfermagem é fundamental no cuidar dos neonatos prematuros, e que a equipe realiza diversos procedimentos no que diz respeito à prevenção de lesões de pele nos bebês, desenvolvendo um trabalho humanizado. Conclusão: acredita-se que este estudo possa contribuir para o conhecimento dos profissionais de saúde em relação ao risco ao qual o recém-nascido prematuro está exposto no desenvolvimento de lesões de pele quando internado em UTIN, de forma a contribuir no cuidado neonatal humanizado e de qualidade. Descritores: Enfermagem; Prematuro; Pele; Cuidados de Enfermagem; Unidade de Terapia Intensiva Neonatal; Assistência Integral à Saúde. ABSTRACT Objective: to describe Nursing care in maintaining premature newborn's skin integrity within a Neonatal Intensive Care Unit (NICU). Method: this is a qualitative, exploratory, descriptive study carried out in a reference maternity hospital, with 11 nurses working at the NICU. The data was collected by means of a semi-structured recorded interview, and later the speeches were transcribed and analyzed by the Content Analysis technique, in the Categorical Analysis modality. Results: the data collected was analyzed and distributed in two categories: Nursing Care to the premature neonates in the NICU and Nursing Care in the maintenance of the skin integrity of the premature newborn in the NICU. It was evidenced, from this research, that Nursing is fundamental in caring for premature neonates, and that the team performs several procedures regarding the prevention of skin lesions in babies, developing a humanized work. Conclusion: it is believed that this study may contribute to the knowledge of health professionals regarding the risk to which the premature newborn is exposed in the development of skin lesions when hospitalized in NICU, in order to contribute to the neonatal and humanized quality care. Descriptors: Nursing; Premature; Skin; Nursing care; Neonatal Intensive Care Unit; Comprehensive Health Care.RESUMEN Objetivo: describir el cuidado de enfermería en el mantenimiento de la integridad de la piel del recién nacido prematuro dentro de una Unidad de Terapia Intensiva Neonatal (UTIN). Método: se trata de un estudio cualitativo, exploratorio, descriptivo, realizado en una maternidad de referencia, con 11 enfermeros que actúan en la UTIN. Se recogieron los datos por medio de una entrevista grabada semiestructurada, y posteriormente, las palabras fueron transcritas y analizadas por la técnica de Análisis de Contenido, en la modalidad Análisis Categorial. Resultados: se analizaron y se distribuyeron los datos recogidos en dos categorías: Asistencia de Enfermería al neonato prematuro en la UTIN y Cuidados de Enfermería en el mantenimiento de la integridad de la piel del recién nacido prematuro en la UTIN. Se evidenció, a partir de esta investigación, que la Enfermería es fundamental en el cuidado de los recién nacidos prematuros, y que el equipo realiza diversos procedimientos en lo que se refiere a la prevención de lesiones de piel en los bebés, desarrollando un trabajo humanizado. Conclusión: se cree que este estudio puede contribuir al conocimiento de los profesionales de salud en relación al riesgo al que el recién nacido prematuro está expuesto en el desarrollo de lesiones de piel cuando es internado en UTIN, para contribuir en el cuidado neonatal humanizado y de calidad. Descritores: Enfermería en Salud Comunitaria; Desprendimiento Prematuro de la Placenta; Apósitos Biológicos; Atención de Enfermería; Unidades de Cuidado Intensivo Neonatal; Atención Integral de Salud.


Author(s):  
Maryana Neves De Souza ◽  
Eduardo Shimoda ◽  
Shaytner Campos Duarte

The infant mortality (IM) is caused due to a combination of biological, cultural, social events and flaws in the health system. In Brazil, it´s possible to observe that the control of IM is not yet evident. This study aimed to identify the main causes of hospitalization in a Neonatal Intensive Care Unit in 2012 and stratify their characteristics. This was a documentary cross-sectional observational study. 393 medical records were analyzed by the discharge neonatal summary and official data of deaths, made from January 2012 to December of 2012. The data were tabulated with the program “Originlab data analysis” and formatted in the Excel program. Prematurity was the main cause of hospitalization and neonatal death identified at work. Low birth weight, gestational age less than 34 weeks and the length of hospital stay were also analyzed characteristics favoring an increases risk of death. Efforts to better stratification of data from national epidemiological profiles are important for better attention to this age group.


10.3823/2464 ◽  
2017 ◽  
Vol 10 ◽  
Author(s):  
Taysa Costa da Silva ◽  
Shirley Antas de Lima ◽  
Josefa Danielma Lopes Ferreira ◽  
Carla Lidiane Jácome de Lima ◽  
Thalys Maynnard Costa Ferreira ◽  
...  

Objective: To verify the main measures of care for the newborn in the neonatal intensive care unit. Method: This is an integrative review, in which, it is possible to identify, analyze and synthesize research results with the inclusion of experimental and non-experimental studies. A total of 133 articles were collected. After reading titles, exclusion criteria and reading resumes, 10 were left, in which the sample was composed. Results: The selected publications were placed in 3 thematic categories: The importance of knowledge in nursing care, to the internal NB in ​​NICU; Nursing evaluation and care used for pain relief in NB; Main factors and adverse events that may lead to the hospitalization of the newborn and the increase of morbidity and mortality in an NICU. Conclusion: The analysis of the aforementioned study exposes the importance and main nursing care that can be administered in newborns in a NICU, so that the reduction of neonatal mortality can be provided. Descriptors: Neonatal Intensive Care Unit; Nursing care; Newborn.


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