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Publication
A criança com Dispneia no serviço de urgência: Dados epidemiológicos para intervenção dos enfermeiros de reabilitação
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Advisor(s)
Abstract(s)
Introdução: Os problemas respiratórios são um dos motivos mais frequentes de admissão e de readmissão ao serviço
de urgência de pediatria. Este estudo pretende caracterizar as crianças que recorrem ao serviço de urgência com
quadro de dispneia e refletir sobre a necessidade de intervenção dos enfermeiros de reabilitação.
Metodologia: Estudo quantitativo, retrospetivo. A recolha dos dados foi concretizada através da análise dos
fluxogramas “Dispneia” e “Dispneia na criança” existentes no programa de Triagem de Manchester, num serviço de
urgência de pediatria, de 2018 a 2020, tendo sido triadas 8974 crianças.
Resultados: A classe com maior número de admissões correspondeu às crianças pequenas (1-2 anos). A prioridade
mais frequente foi “Pouco Urgente”. A dificuldade respiratória, a hipoxemia, a tosse e a dor pleurítica constituíram
os sinais e sintomas mais verbalizados, exigindo a adoção de estratégias que os evitem e/ou minimizem.
Discussão: A atuação do enfermeiro de reabilitação é fundamental para a capacitação dos pais, de forma a reduzir a
admissão ao serviço de urgência, aumentar os conhecimentos sobre a eventual patologia respiratória, minimizar a
sintomatologia e capacitar as crianças com compromisso no sistema respiratório para a autogestão da doença.
Conclusão: A dispneia na criança é um problema de saúde com elevado número de admissões, sendo que o enfermeiro
de reabilitação poderá apresentar um papel ativo e de elevado destaque na parceria de cuidados, promovendo o
papel parental efetivo e a autonomia da criança, garantindo simultaneamente a qualidade dos cuidados de
enfermagem.
Introduction: Respiratory deseases are one of the most frequent reasons for admission and readmission to the Pediatric Emergency Department. This study aims to characterize children who come to the emergency department with dyspnea and reflect on the need for intervention by rehabilitation nurses. Methodology: A quantitative and retrospective study. The data collection was carried out through the analysis of the “Dyspnea” and “Dyspnea in children” flowcharts existing in the Triagem de Manchester program, in a pediatric emergency service, from 2018 to 2020, with 8974 children being screened. Results: The class with the highest number of admissions corresponded to young children (1-2 years old). The most frequent priority was “Little Urgent”. The breathing difficulty, hypoxemia, cough and pleuritic pain were the most verbalized signs and symptoms what is requiring the adoption of strategies to avoid and/or minimize them. Discussion: The role of the rehabilitation nurse is essential for the training of parents, in order to reduce admission to the emergency department, increase knowledge about possible respiratory pathology, minimize symptoms and enable children with respiratory system compromise to disease self-management.Conclusion: The dyspnea in children is a health problem with a high number of admissions, and the rehabilitation nurse can play an active and prominent role in the care partnership, promoting the effective parental role and the child's autonomy, while ensuring the quality of nursing care.
Introduction: Respiratory deseases are one of the most frequent reasons for admission and readmission to the Pediatric Emergency Department. This study aims to characterize children who come to the emergency department with dyspnea and reflect on the need for intervention by rehabilitation nurses. Methodology: A quantitative and retrospective study. The data collection was carried out through the analysis of the “Dyspnea” and “Dyspnea in children” flowcharts existing in the Triagem de Manchester program, in a pediatric emergency service, from 2018 to 2020, with 8974 children being screened. Results: The class with the highest number of admissions corresponded to young children (1-2 years old). The most frequent priority was “Little Urgent”. The breathing difficulty, hypoxemia, cough and pleuritic pain were the most verbalized signs and symptoms what is requiring the adoption of strategies to avoid and/or minimize them. Discussion: The role of the rehabilitation nurse is essential for the training of parents, in order to reduce admission to the emergency department, increase knowledge about possible respiratory pathology, minimize symptoms and enable children with respiratory system compromise to disease self-management.Conclusion: The dyspnea in children is a health problem with a high number of admissions, and the rehabilitation nurse can play an active and prominent role in the care partnership, promoting the effective parental role and the child's autonomy, while ensuring the quality of nursing care.
Description
Keywords
Reabilitação Doenças Respiratórias Cuidados de Enfermagem Criança
Citation
RPER V5N2 JUL-DEZ 2022
Publisher
Associação Portuguesa dos Enfermeiros de Reabilitação (APER)