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2099-12-31
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PARENTAL PRIORITIES IN THE HOME CARE OF PRETERM AND FULL TERM NEWBORNS
Author
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Universidade Federal de Minas Gerais. Belo Horizonte, MG, Brazil.
Department of Occupational Therapy. Graduate Program in Rehabilitation Sciences. Universidade Federal de Minas Gerais. Belo Horizonte, MG, Brazil.
Department of Physical Therapy. Universidade Federal de Minas Gerais. Belo Horizonte, MG, Brazil.
Departament of Medicine. Universidade Federal de Minas Gerais. Belo Horizonte, MG, Brazil.
René Rachou Institute. Oswaldo Cruz Foundation. Belo Horizonte, MG, Brazil.
Department of Occupational Therapy. Graduate Program in Rehabilitation Sciences. Universidade Federal de Minas Gerais. Belo Horizonte, MG, Brazil.
Department of Occupational Therapy. Graduate Program in Rehabilitation Sciences. Universidade Federal de Minas Gerais. Belo Horizonte, MG, Brazil.
Department of Physical Therapy. Universidade Federal de Minas Gerais. Belo Horizonte, MG, Brazil.
Departament of Medicine. Universidade Federal de Minas Gerais. Belo Horizonte, MG, Brazil.
René Rachou Institute. Oswaldo Cruz Foundation. Belo Horizonte, MG, Brazil.
Department of Occupational Therapy. Graduate Program in Rehabilitation Sciences. Universidade Federal de Minas Gerais. Belo Horizonte, MG, Brazil.
Abstract
Background: The initial weeks after hospital discharge is a period of adaptation when parents assume great responsibility for the care of their child. Preterm birth may impact their demands of care.
Aims: To compare parental priorities in the care of preterm and full-term newborns in the first two months after hospital discharge and to identify changes in priorities over time.
Methods: Parents of 22 full-term and 19 preterm infants were followed for two months after hospital discharge, with three timepoint evaluations of the parental priorities. They reported on infant care demands in a semi-structured interview.
Results: Despite prematurity, demands were similar between groups. Within-group changes occurred over time. Priorities related to bathing and caring for the navel showed significant reduction (p < 0.01); demands related to children's health care increased in the groups (p < 0.01). Feeding and sleep priorities were reduced in the full-term group (p < 0.02). Children's adaptation to routine increased significantly in the preterm group (p = 0.04).
Conclusion: Knowledge of parents' priorities in caring for preterm or full-term newborns at home helps health care teams develop appropriate support strategies and improve specialized assistance to the families.
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