Salud auditiva infantil: práctica de los enfermeros de la estrategia salud de la familia

Azevedo, Suelen Brito; Leal, Luciana Pedrosa; Lima, Maria Luiza Lopes Timóteo; Griz, Silvana Maria Sobral

doi:10.1590/S0080-6234201400005000013

Acessibilidade / Reportar erro

Brasil

Revista da Escola de Enfermagem da USP

Español English

Brasil

Español English

sumário « anterior atual seguinte »

Sumário

Original Article • Rev. esc. enferm. USP 48 (05) • Oct 2014 • https://doi.org/10.1590/S0080-6234201400005000013 copiar

Salud auditiva infantil: práctica de los enfermeros de la estrategia salud de la familia

Autoría SCIMAGO INSTITUTIONS RANKINGS

Objetivo

Evaluar la práctica de los enfermeros de la Estrategia Salud de la Familia en la atención a la salud auditiva infantil.

Método

Evaluación normativa de la estructura y el proceso, con 37 enfermeros en las Unidades de Salud de la Familia del municipio de Recife, Pernambuco. El instrumento de recolección de datos se originó del modelo lógico de la atención a la salud auditiva infantil prestada por el enfermero de la Estrategia Salud de la Familia y la matriz de indicadores para evaluación de la práctica de los enfermeros.

Resultados

Todos los enfermeros identificaron los marcos del desarrollo auditivo, el 94,5%, por lo menos, dos factores de riesgo, y el 21,6% realizaron actividades educativas.

Conclusión

La evaluación normativa fue considerada adecuada a pesar de haber limitaciones en la estructura y el procedimiento.

Niño; Pérdida auditiva; Desarrollo infantil; Enfermería pediátrica; Estrategia de Salud Familiar

Physical space and needed materials	Micro area 1		Micro area 2		Micro area 3		Sanitary district IV
Physical space and needed materials	n=14	%	n=07	%	n=15	%	n=36	%
Room for consultation	14	100.0	07	100.0	15	100.0	36	100.0
Space for educational activities	14	100.0	06	85.7	13	86.7	33	91,7
Table/ chairs/ bed/gurney/exam table	14	100.0	07	100.0	15	100.0	36	100.0
Instruments used for emission of sound	04	28.6	04	57.1	03	20.0	11	30,6
Child health booklet	14	100.0	07	100.0	15	100.0	36	100.0
Registration card/child medical record	14	100.0	07	100.0	15	100.0	36	100.0
Informational materials	00	0.0	00	0.0	02	13.3	02	5,6

Dimension	Sub dimensions	Addressed criteria	Value n=37	Total value %
Technical-scientific adequacy and professional training	Management of risk factors for hearing loss	Identification of risk factors	35	94.5
		Association of risk factors with developmental milestones	37	100.0
		Registration of hearing developmental milestones on form/medical record/child health booklet	37	100.0
		Use of instruments and/or strategies for emission of sound (clapping, snapping fingers, talking, making noise with some instrument as keys, paper, ruler, pen, etc.)	37	100.0
	Monitoring of hearing developmental milestones and conduct	Direct hearing developmental milestones	37	100.0
		Indirect hearing developmental milestones	37	100.0
		Start of hearing screening in the 1st month of life	28	75.6
		Universal Newborn Hearing Screening (UNHS) – qualified audiologist	32	86.4
		Ideal age for the diagnosis of hearing loss	12	32.4
		Ideal age for the intervention/rehabilitation of hearing loss	4	10.8
		Resolution of case 1	33	89.1
		Resolution of case 2	15	40.5
		Resolution of case 3	35	94.5
		Resolution of case 4	37	100.0
	Educational practices	Educational activities on child health hearing for the community	8	21.6
Professional training		Discipline with content related to child health hearing	8	21.6
Professional training		Courses and/or trainings on child hearing health care	3	8.1

Assessment methods	N	%
Percussion instruments	2	5.4
Stimuli for the emission of sound	24	64.9
Percussion instruments and stimuli for the emission of sound	11	29.7
Types of forms for registration
Medical records	13	35.1
Medical records and child registration form	17	46.0
Medical records, child registration form, and child health booklet	4	10.8
Medical records and child health booklet	3	8.1

Evaluated factor	Minimum	Maximum	Mean	Median	Standard deviation	CI (95%)	p-value
Gender
Male	61.2	72.5	66.8	66.8	8.0	-	0.018¹ 1 Student’s t test-
Female	63.8	85.6	75.0	75.0	4.3	73.5 – 76.4
Age (years)
< 40	63.8	85.6	75.6	75.0	5.1	73.1 – 78.1	0.159¹ 1 Student’s t test-
≥ 40	61.2	81.2	73.4	74.4	4.2	71.3 – 75.5	0.159¹ 1 Student’s t test-
Time since graduation (years)
≤ 10	61.2	85.6	73.5	73.7	6.6	69.5 – 77.5	0.246²
nov/20	70.6	81.8	76.5	76.8	3.9	73.9 – 79.2
> 20	70.6	77.4	73.8	75.0	2.6	72.2 – 75.4
Academic title
Specialization	63.8	85.6	74.6	75.0	4.6	72.9 – 76.4	0.662² 2 Anova. It was not possible to calculate the confidence interval due to the small number of observations of the male gender
Residence	61.2	81.8	73.7	75.0	6.2	68.0 – 79.4
Master	76.9	76.9	76.9	-	-	-
Operating time (years)
0 - 5	61.2	76.9	72.3	75.0	5.9	67.8 – 76.8	0.262² 2 Anova. It was not possible to calculate the confidence interval due to the small number of observations of the male gender
06/out	70.6	85.6	75.6	73.7	5.4	72.0 – 79.3
> 10	70.6	81.8	75.0	75.6	3.5	73.2 – 76.8
Micro area of practice
1	63.8	83.1	74.1	74.4	4.9	71.3 – 76.9	0.926² 2 Anova. It was not possible to calculate the confidence interval due to the small number of observations of the male gender
2	70.6	78.1	74.9	75.3	2.7	72.7 – 77.1
3	61.2	85.6	74.7	75.0	5.8	71.5 – 77.9

Universidade de São Paulo, Escola de Enfermagem Av. Dr. Enéas de Carvalho Aguiar, 419 , 05403-000 São Paulo - SP/ Brasil, Tel./Fax: (55 11) 3061-7553, - São Paulo - SP - Brazil
E-mail: reeusp@usp.br

Acompanhe os números deste periódico no seu leitor de RSS

[1] Correspondence: Suelen Brito de Azevedo.  Universidade Federal de Pernambuco, Centro de Ciências da Saúde.  Av. Prof. Moraes Rego, 1235 - Cidade Universitária.  CEP 50670-901- Recife, PE, Brasil.  suelenbritoazevedo@gmail.com