Mejores posters del XXI Congreso Internacional de Pediatría de la Sociedad Ecuatoriana de Pediatría. Quito, 12-14 Agosto 2021

Introducción: El XXI Congreso Internacional de pediatría de la Sociedad Ecuatoriana de Pediatría fue llevado del 12 al 14 de agosto del 2021 en la ciudad de Quito-Ecuador. El objetivo del congreso fue mantener la actividad académica de la sociedad núcleo de Quito durante la pandemia de COVID-19 con el lema “Por una Atención Pediátrica Integral durante la pandemia de COvid-19”. Métodos: En modalidad virtual se realizaron videoconferencias en los temas de cardiología, gastroenterología, infectología, inmunizaciones, neonatología, neurología, nefrología, nutrición, traumatología, terapia intensiva, oncología y psicología. Se presentan los mejores posters del congreso. Resultados: Un comité de expertos seleccionó los mejores casos clínicos. Se seleccionaron los mejores posters de casos clínicos: Stent ductal bilateral en neonato con ramas arteriales pulmonares discontinuas: reporte de caso. Caso clínico: De la Acidosis tubular a la alcalosis metabólica. Síndrome de Miller Fisher, variante de guillain barré: reporte de caso. Los mejores estudios: Proyecto “mi familia como parte de mi cuidado¨ en la unidad de neonatología del Hospital Metropolitano basados en la filosofía” Family Center Care”, Factores asociados a obesidad en niños entre 5-12 años de edad, Hospital Carlos Andrade Marín, 2018. Estudio Retrospectivo Longitudinal sobre la Relación entre Trastorno del Espectro Autista (TEA) y Epilepsia en una Población Pediátrica en Quito-Ecuador. Lactancia materna en recién nacidos y lactantes con alergia a las proteínas de la leche de vaca: un estudio retrospectivo.

Augmented Reality for Health Education's Model to Children with ARI (Acute Respiratory Infection) Culture Based Through Family Center Care Approach

Acute Respiratory Infection is the main problem that always consulted or hospitalization in health care facilities, especially in the child care room. This study aims to identified health education's model to children with ARI (Acute Respiratory Infection) culture based through Family Center Care approach. This method is choosen to indeep interview out at child room in Jember Balung Hospital on may - september 2020. The subjects of the study are amount of eight person involving six nurses and two person from the families of children with ARI. The instruments used by TANNAHILS MODEL. The researcher identified 4 themes as a result of the study then all the themes are explained based on the specific objectives of the study. All the themes have sub-themes with specific categories of meaning. The results from themes that is identified in the study of interviews with preventive health protection are that each parent is different. One of the results of interviews about educational media that are suitable for the prevention of ARI in children are more often done using without media or “lesan” only when certain conditions use leaflets if needed. However, along with current technological developments, educational media are modified as attractive as possible to increase children's interest, one of which is educational media in the form of Augmented Reality (AR).

The Middle-Range Theory of the Adapting Family: From Theory to Practice

The middle-range theory of the adapting family, derived from the Roy adaptation model, was chosen as the guiding framework for the newly formed Family Center at Holy Family University. The committee governing the Family Center supported the application of this theory to the provision of resources to families through education, counseling, consultation, and advocacy. The concepts of stimuli, coping processes, and outcomes of the middle-range theory of the adapting family are examined. Services offered, including the parenting workshops, retirement workshops, and the cakes for kids program, are explained with detailed examples of how the theory is used in practice.

PELAKSANAAN ATRAUMATIC CARE DI RUMAH SAKIT

Pemberian asuhan keperawatan kepada klien anak, seorang perawat harus memahami bahwa semua asuhan keperawatan anak harus berpusat pada keluarga (family center care) untuk mencegah terjadinya trauma (atraumatik care). Atraumatic care adalah penyediaan asuhan terapeutik melalui penggunaan intervensi yang memperkecil stres psikologis dan fisik yang diderita oleh anak dan keluarganya dalam sistem pelayanan kesehatan. Atraumatic care merupakan suatu tindakan terapeutik. Ketika anak sakit dan dianjurkan untuk dirawat di rumah sakit, anak tidak pernah terlepas dari dampak negatif hospitalisasi. Oleh karenanya perawat berusaha menerapkan prinsip atraumatic care dalam memberikan asuhan keperawatan kepada anak maupun keluarganya, seperti: melibatkan orang tua dalam setiap tindakan atau implementasi yang akan dilakukan untuk kesembuhan sang buah hati, membolehkan anak membawa boneka atau robot kesayangan selama perawatan. Keluarga menyerahkan segala keputusan untuk keselamatan anaknya kepada petugas kesehatan, oleh karena itu untuk menghindari terjadinya dampak negatif hospitalisasi pada anak, maka diharapkan komunikasi antara orang tua dan petugas kesehatan selalu berkesinambungan. Penerapan atraumatic care dapat meminimalisir terjadinya stres pada anak maupun keluarga.

Abstract NS4: Implementing an In-Patient Family Support Group in a Comprehensive Stroke Center

Background: We identified that during the acute critical phase of stroke the families felt removed from the process. All focus is on stabilizing the patient while families are bystanders. Stroke creates a ripple effect; it doesn’t just happen to the patient it also happens to those around them. The purpose of initiating a Support Group was to provide an environment where family and friends are given a voice and support. Methods: The weekly Family and Friends Stroke Support Group was launched in January 2019 in the Family Center, a waiting room between the Neuro-critical Care and Neuro Intermediate Units. A flyer was posted in these Units, the Family Center, and included in education packets. After the inaugural session it was noted that there needed to be a process to increase attendance. Daily rounds were initiated to invite loved ones of current stroke patients to the support group. Discussions included: stroke education, community resources, and access to chaplain services. An open agenda offered a safe space for attendees to share their stories, thoughts, and questions. We measured the response to our intervention by reviewing Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) scores. Results: Over seven months 122 family members and friends attended the Support Group, an average of 4.5 per session. The overall response by attendees was how they enjoyed the group sessions as depicted in this reoccurring statement: “I really needed this time to talk through my emotions with other people going through the same thing it’s so encouraging!” This initiative significantly improved the patient and family experience as reflected in the HCAHPS score domains. There was an improvement of 4.2% (on a 9-10/10 scale) in the Overall Global Rating of the Hospital domain and of 8.5% (with Strongly Agreed selected) in the Good Understanding and Management of Health domain. Conclusion: A hospital based in-patient Family Support Group is beneficial to the family experience in an acute stroke setting as evidenced by improved HCAHPS scores. Daily rounds and participation of staff ensure the Support Group is well attended. Overall response of attendees has been positive: “This support group has been great I didn't even know I needed to talk until I did, thank you so much!”