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Follow-up care for premature children: the repercussions of the COVID-19 pandemic

OBJECTIVE: to analyze elements of the follow-up care provided to premature children amidst the COVID-19 pandemic. METHOD: qualitative study from the perspective of philosophical hermeneutics, interpreting experiences with childcare provided at home. Twelve mothers and 14 children aged two years old...

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Autores principales: da Silva, Rosane Meire Munhak, Pancieri, Letícia, Zilly, Adriana, Spohr, Fabiana Aparecida, Fonseca, Luciana Mara Monti, de Mello, Débora Falleiros
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8040775/
https://www.ncbi.nlm.nih.gov/pubmed/33852686
http://dx.doi.org/10.1590/1518-8345.4759.3414
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author da Silva, Rosane Meire Munhak
Pancieri, Letícia
Zilly, Adriana
Spohr, Fabiana Aparecida
Fonseca, Luciana Mara Monti
de Mello, Débora Falleiros
author_facet da Silva, Rosane Meire Munhak
Pancieri, Letícia
Zilly, Adriana
Spohr, Fabiana Aparecida
Fonseca, Luciana Mara Monti
de Mello, Débora Falleiros
author_sort da Silva, Rosane Meire Munhak
collection PubMed
description OBJECTIVE: to analyze elements of the follow-up care provided to premature children amidst the COVID-19 pandemic. METHOD: qualitative study from the perspective of philosophical hermeneutics, interpreting experiences with childcare provided at home. Twelve mothers and 14 children aged two years old were interviewed online via a text messaging application. Data were analyzed by interpreting meanings. RESULTS: weaknesses stood out in the follow-up care provided to children such as gaps of communication, lack of guidance and delayed immunizations, while care intended to meet health demands was interrupted. Vulnerability aspects affecting child development included: social isolation measures that impeded the children from socializing with their peers, increased screen time, the manifestation of demanding behaviors and irritation and the mothers experiencing an overload of responsibilities. The elements that strengthened maternal care included the mothers being attentive to contagion, enjoying greater experience and satisfaction with the maternal role, spending more time with their children, and recognizing respiratory signs and symptoms, especially fever. CONCLUSION: follow-up care provided to children in stressful situations implies implementing practices that support the wellbeing of children and families, decreasing the likelihood of children being exposed to development deficits, and detecting signs and symptoms timely. The use of nursing call centers can break the invisibility of longitudinal needs and promote health education actions at home.
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spelling pubmed-80407752021-04-21 Follow-up care for premature children: the repercussions of the COVID-19 pandemic da Silva, Rosane Meire Munhak Pancieri, Letícia Zilly, Adriana Spohr, Fabiana Aparecida Fonseca, Luciana Mara Monti de Mello, Débora Falleiros Rev Lat Am Enfermagem Original Article OBJECTIVE: to analyze elements of the follow-up care provided to premature children amidst the COVID-19 pandemic. METHOD: qualitative study from the perspective of philosophical hermeneutics, interpreting experiences with childcare provided at home. Twelve mothers and 14 children aged two years old were interviewed online via a text messaging application. Data were analyzed by interpreting meanings. RESULTS: weaknesses stood out in the follow-up care provided to children such as gaps of communication, lack of guidance and delayed immunizations, while care intended to meet health demands was interrupted. Vulnerability aspects affecting child development included: social isolation measures that impeded the children from socializing with their peers, increased screen time, the manifestation of demanding behaviors and irritation and the mothers experiencing an overload of responsibilities. The elements that strengthened maternal care included the mothers being attentive to contagion, enjoying greater experience and satisfaction with the maternal role, spending more time with their children, and recognizing respiratory signs and symptoms, especially fever. CONCLUSION: follow-up care provided to children in stressful situations implies implementing practices that support the wellbeing of children and families, decreasing the likelihood of children being exposed to development deficits, and detecting signs and symptoms timely. The use of nursing call centers can break the invisibility of longitudinal needs and promote health education actions at home. Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo 2021-04-12 /pmc/articles/PMC8040775/ /pubmed/33852686 http://dx.doi.org/10.1590/1518-8345.4759.3414 Text en Copyright © 2020 Revista Latino-Americana de Enfermagem https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
da Silva, Rosane Meire Munhak
Pancieri, Letícia
Zilly, Adriana
Spohr, Fabiana Aparecida
Fonseca, Luciana Mara Monti
de Mello, Débora Falleiros
Follow-up care for premature children: the repercussions of the COVID-19 pandemic
title Follow-up care for premature children: the repercussions of the COVID-19 pandemic
title_full Follow-up care for premature children: the repercussions of the COVID-19 pandemic
title_fullStr Follow-up care for premature children: the repercussions of the COVID-19 pandemic
title_full_unstemmed Follow-up care for premature children: the repercussions of the COVID-19 pandemic
title_short Follow-up care for premature children: the repercussions of the COVID-19 pandemic
title_sort follow-up care for premature children: the repercussions of the covid-19 pandemic
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8040775/
https://www.ncbi.nlm.nih.gov/pubmed/33852686
http://dx.doi.org/10.1590/1518-8345.4759.3414
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