MANEJO E ASSISTÊNCIA DA EQUIPE DE ENFERMAGEM AO RECÉM-NASCIDO COM DOENÇA DA MEMBRANA HIALINAJournal: Unesc em Revista (Vol.5, No. 1)
Publication Date: 2021-09-10
Authors : Stela Cesati; Vanilda Gomes Gimenez;
Page : 25-42
Keywords : Prematurity; Care; Neonatal; Surfactant;
The Respiratory Distress Syndrome (RDS), also known as Hyaline Membrane Disease (HMD)is a syndrome that affects premature newborns in the gestational age between 28 to 32 weeks. This syndrome is characterized by progressive respiratory failure, resulting from the deficiency of surfactant, being one of the most common pathologies in the preterm neonatal population. This study aimed to identify the quality of assistance and the handling of the nursing team for premature newborns with HMD. The present study hasa descriptive nature, with a qualitative and quantitative approach. At first, the medical records filed at the teaching hospital in the city of Colatina were reviewed, referring to newborns who had DMH as a medical diagnosis, covering the period from 2016 to 2019. In the second moment, a semi-structured questionnaire was applied, which included 40 nursing professionals working in the Neonatal ICU, 29 nursing technicians and 11 nurses, with the Certificate of Presentation for Ethical Appreciation (CAAE) 33296820.9.0000.5062.Based on the results obtained from the medical records, it can be seen that DMH is a serious disease that leads to a high rate of neonatal mortality, since of 211 cases, 118 died, representing more than half (56%). Regarding to the data obtained through the questionnaire, it was detected the need to invest in specific training and continuing education with the nursing team, so that the care with the affected NBs can be constantly improved, since 35% had missed the pregnancy that the NB can present DMH, only 20% of the interviewees answered the main treatment (surfactant), 60% answered that there is difficulty in assisting the NB with DMH, 45% do not have / do not know / have not answered if there are any management and assistance in the neonatal unit, 52.5% answered that they are not / do not know / sometimes / did not answer if continuing education is carried out.Therefore, the efforts made regarding the care of this population must be constant, emphasizing the improvement and recurrent training, thus being able to obtain.
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