RESUMO
Objetivou-se identificar os fatores determinantes da remoçaÌo naÌo eletiva do cateter central de inserçaÌo perifeÌrica em receÌm-nascidos internados em Unidade de Terapia Intensiva Neonatal. Estudo transversal, realizado em uma maternidade refereÌncia no atendimento materno-infantil de alto risco situada no Nordeste do Brasil. A coleta foi realizada com 108 neonatos e ocorreu no periÌodo de fevereiro a novembro de 2016. Observou-se a prevaleÌncia de neonatos do sexo masculino (60,19%), nascidos de parto cesaÌrea (74,07%) e baixo peso ao nascer (29,62%). A remoçaÌo naÌo eletiva ocorreu em 41,66% neonatos por infiltraçaÌo (12,03%), traçaÌo acidental (11,11%), ruptura externa (9,25%), oclusaÌo (5,55%), mau posicionamento (1,85%) e suspeita de infecçaÌo (1,85%). A prevaleÌncia e os fatores de remoçaÌo naÌo eletiva indicam a necessidade de estrateÌgias por parte da Enfermagem na prevençaÌo de complicaçoÌes evitaÌveis relacionadas ao cateter, destacando-se a capacitaçaÌo e aprimoramento de habilidades quanto aÌ inserçaÌo, manutençaÌo, retirada e observaçaÌo desse dispositivo.
The objective was to identify the determinant factors of the non-elective removal of the peripherally inserted central catheter in newborns admitted to a Neonatal Intensive Care Unit. A cross-sectional study conducted in reference maternity for high-risk maternal-infant attention located in Northeastern Brazil. The data collection was conducted with 108 neonates during February to November 2016. We observed the prevalence of male neonates (60.19%), born from cesarean section birth (74.07%) and low weight at birth (29.62%). The non-elective removal occurred in 41.66% neonates by infiltration (12.03%), accidental traction (11.11%), external rupture (9.25%), occlusion (5.55%), bad positioning (1.85%) and infection suspicion (1.85%). The prevalence and non-elective removal factors indicated the need for Nursing strategies to prevent avoidable complications catheter-related, noting the training and improvement of abilities regarding insertion, maintenance, removal and, observation of this device.
Assuntos
Humanos , Masculino , Feminino , Recém-Nascido , Cateterismo Periférico/efeitos adversos , Cateterismo Periférico/métodos , Enfermagem Neonatal , Remoção de Dispositivo , Terapia Intensiva NeonatalRESUMO
Many children with motor impairments cannot participate in games and jokes that contribute to their formation. Currently, commercial computer games there are few options of software and sufficiently flexible access devices to meet the needs of this group of children. In this study, a peripheral access device and a 3D computerized game that do not require the actions of dragging, clicking, or activating various keys at the same time were developed. The peripheral access device consists of a webcam and a supervisory system that processes the images. This method provides a field of action that can be adjusted to various types of motor impairments. To analyze the sensitivity of the commands, a virtual course was developed using the scenario of a path of straight lines and curves. A volunteer with good ability in virtual games performed a short training with the virtual course and, after 15min of training, obtained similar results with a standard keyboard and the adapted peripheral device. A 3D game in the Amazon forest was developed using the Blender 3D tool. This free software was used to model the characters and scenarios. To evaluate the usability of the 3D game, the game was tested by 20 volunteers without motor impairments (group A) and 13 volunteers with severe motor limitations of the upper limbs (group B). All the volunteers (group A and B) could easily execute all the actions of the game using the adapted peripheral device. The majority positively evaluated the questions of usability and expressed their satisfaction. The computerized game coupled to the adapted device will offer the option of leisure and learning to people with severe motor impairments who previously lacked this possibility. It also provided equality in this activity to all the users.