Diagnóstico de enfermagem em crianças menores de um ano acompanhadas na consulta de enfermagem em puericultura numa unidade básica de saúde de Fortaleza-Ce

Abstract

Consultating a child is one of the nurses’ duties in the Saúde da Família Program. The systematization of the nursing consultation and the Identification of the nurse’s diagnosis have contributed to more efficient actions, focusing on the necessary interventions to each patient, in their needs and difficulties, and in the understanding of more than the sickness itself in the familiar and communitarian context. This study aims to analyze the nursing diagnosis of children under one year of age, who have been monitored in their child care nursing consultation in the Basic Unit of the Family Health in Fortaleza-Ce. This is a descriptive study of a transversal section, evaluating 58 children, up to one year of age, healthy or not, with the consent of a responsible person, registered by the Family Health team. The data have been presented in tables and statistical tests have been applied to check the associations. The results have shown that the average age of those children’s mothers is 24. The majority have not finished elementary school. They have a mate, they are catholic, and they are housewives whose income ranges from zero to one hundred reais (R$ 100,00) per person. Their delivery have been predominately normal, two pregnancies average but one or two deliveries, less than one abortion and normal delivery time as the most frequent situation. Among the children studied the masculine gender was predominant, average age 5 4 months old, taking no medication, being fed by formula, with no health problem. In those who presented health problems, the great majority presented respiratory problems and cold was the most frequent one. We have identified 27 nursing diagnosis in 7 of the 13 places investigated. The Risk diagnosis for falis, Efficient breast feeding, Inefficient breast-feeding, Interrupted familiar processes, Efficient control of the therapeutical regime and Damaged skin integrity, have presented above 75 percent. We have checked 83 defining characteristics, 7 of them over 25 percent and 90 related aspects, 11 of them over 25 percent. We have found statistical association in Efficient breast-feeding and Inefficient breast-feeding but inverted for they are incompatible. We have identified that for the children who presented Risk of falling, the average was over six months old and for the Efficient breast-feeding diagnosis, the children were under six months old. We have also identified a significant association between the nursing diagnosis Efficient control of the therapeutical regime and Health problems and Medicine use variables. The results have shown that there is a need for the nurse to work more, together with these patients, particularly counseling the mothers to be more responsible not only when it comes to their children’s health but also to the recovering of those who have been seriously ill, respecting their individuality and social and familiar conditions. To monitor a child in a childcare nursing consultation is not only to weigh and measure their height, but also to have a holistic look over the child s and the family's health condition, as well as to monitor its biopsicosocial development. It is hoped that the results found may be of practical use to the nursing, providing a systematized aid through the child nursing consultation.