Family vulnerability of children with special needs of multiple, complex and continuous care
DOI:
https://doi.org/10.5935/1415-2762.20170037Keywords:
Vulnerability Analysis, Health Vulnerability, Pediatric Nursing, Child Health, Family NursingAbstract
The aim of this study was to identify the family vulnerability of children with multiple, complex and continuous special needs. It is a crosssectional
study with families of 68 children. Data were collected from June to September 2015, through interviews conducted at home. Nonprobabilistic
sampling was used for convenience, and data were analyzed by means of descriptive statistics and Pearson's correlation. All
families were vulnerable, however, 8.8% presented up to 40% vulnerability. In this study, it was identified a notable individual vulnerability due
to the clinical fragility of the child, social exclusion, and programmatic regarding the precariousness of access to health services. Health care
networks need to be re-evaluated by their managers in order to provide access and care to this population. It is also important to invest in
the training of qualified professionals to work in primary care, who understand the context of the families and value their vulnerability in the
implementation of care actions.
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References
Cabral IE. Aliança de saberes no cuidado e estimulação da criança-bebê: concepções de estudantes e mães no espaço acadêmico de enfermagem. Rio de Janeiro: Escola de Enfermagem Anna Nery; 1999.
Neves ET, Cabral IE. Cuidar de crianças com necessidades especiais de saúde: desafios para as famílias e enfermagem pediátrica. Rev Eletrônica Enferm. 2009[cited 2017 Feb 22]11(3):527-38. Available from: http://www.fen.ufg.br/revista/v11/n3/v11n3a09.htm.
Edwards JD, Houtrow AJ, Vasilevskis EE, Rehm RS, Markovitz BP, Graham RJ, AbreItalicoet al.FechaItalico Chronic conditions among children admitted to U .S. pediatric intensive care units: their prevalence and impact on risk for mortality and prolonged length of stay. Crit Care Med. 2012[cited 2017 Feb 22]40:196-203. Available from: https://www.ncbi.nlm.nih.gov/pubmed/22564961
Child and Adolescent Health Measurement Initiative (CAHMI). Data resource center for child and adolescent health. [cited 2017 Feb 22]. Available from: http://www.cahmi.org
Rehm RS. Nursing's contribution to research about parenting children with complex chronic conditions: an integrative review, 2002 to 2012. Nurs Outlook. 2013[cited 2016 Dec 22]6(1):266-90. Available from: https://www.ncbi.nlm.nih.gov/pubmed/23809600
Silveira A, Neves ET. Vulnerability of children with special health care needs: implications for nursing. Rev Gaúcha Enferm. 2012[cited 2016 Dec 22]33(4):172-80. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1983-14472012000400022&lng=en.
Ayres JRCM, Júnior I, Calazans GJ, Filho HC. O conceito de vulnerabilidade e as práticas de saúde: novas perspectivas e desafios. In: Czeresnia D, Freitas CM, organizadores. Promoção da saúde: conceitos, reflexões, tendências. Rio de Janeiro: Fiocruz; 2003. p. 117-39.
Pedroso MLR, Motta MGC. Children and family living with chronic conditions: mesosystem in connection with program vulnerability. Texto Contexto Enferm. 2013[cited 2016 Dec 22]22(2):493-9. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0104-07072013000200027&lng=en
Rezende JMM, Cabral IE. As condições de vida das crianças com necessidades especiais de saúde: determinantes da vulnerabilidade social na rede de cuidados em saùde as crianças com necessidades especiais de saúde. Rev Pesq Cuid Fundam online. 2010[cited 2016 Dec 22]2(Supl.):22-5. Available from: http://www.seer.unirio.br/index.php/cuidadofundamental/article/view/773
Côa TF, Pettengill MAM. The vulnerability experienced by the family of children hospitalized in a pediatric intensive care unit. Rev Esc Enferm USP. 2011[cited 2016 Dec 22]45(4):825-32. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342011000400005&lng=en.
Connelly M, Anthony KK, Schanberg LE. Parent perceptions of child vulnerability are associated with functioning and health care use in children with chronic pain. J Pain Symp Management. 2012[cited 2016 Dec 22]43(5):953-60. Available from: https://www.ncbi.nlm.nih.gov/pubmed/22285288
Nazareno LR, Junior PCS, Ignácio AS. Índice de vulnerabilidade das famílias paranaenses: mensuração a partir do cadastro único para programas sociais - Cad Único. Nota técnica IPARDES. 2012[cited 2017 May 12]. Available from: http://www.ipardes.gov.br/biblioteca/docs/Indice_Vulnerabilidade_familias.pdf
Oliveira TMV. Amostragem não probabilística: adequação de situações para uso e limitações de amostras por conveniência, julgamento e quotas. Adm online. 2001[cited 2017 May 12]2(3). Available from: http://www.fecap.br/adm_online/art23/tania2.htm.
Ministério da Saúde (BR). Estatuto da criança e do adolescente (ECA). 7ª ed. Brasília: Ministério da Saúde; 2010.
Ayres JRCM, Paiva V, Junior I. From natural history of disease to vulnerability. In: Parker R, Sommer M. Routledge handbook in global public health. New York: Routledge; 2011.
Benedetto ES, Silveira E. Solo e raízes das dimensões individual, social e programática da vulnerabilidade e as sementes no processo de saúde da criança. Texto Contexto Enferm. 2013[cited 2017 May 12]12(1):68-84. Available from: http://revistaseletronicas.pucrs.br/ojs/index.php/fass/article/viewFile/13240/9636
Cuevas PG, Romero CS, Guinea CL. Early child Intervention, fostering resiliences and formative competence in vulnerability context. Proced Soc Behav Sci. 2012[cited 2016 Jan 22]6:910-3. Available from: http://www.sciencedirect.com/science/article/pii/S1877042812031412
Costa EAO, Dupas G, Sousa EFR, Wernet M. Children's chronic disease: family needs and their relationship with the Family Health Strategy. Rev Gaúcha Enferm. 2013 [cited 2016 Jan 22]34(3):72-8. Available from: http://seer.ufrgs.br/index.php/RevistaGauchadeEnfermagem/article/view/30559/27301.
Salvato MA, Ferreira PCG, Duarte AJM'A. O impacto da escolaridade sobre a distribuição de renda. Estud Econ (São Paulo). 2010[cited 2016 Jan 22]40(4):753-91. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0101-41612010000400001
Amendola F, Alvarenga MRM, Gaspar JC, Yamashita CH, Oliveira MAC. Face validity of an index of family vulnerability to disability and dependence. Rev Esc Enferm USP. 2011[cited 2017 May 12]45(2):1736-42. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342011000800017&lng=en.
Sousa EFR, Costa EAO, Dupas G, Wernet M. Continued care for families of children with chronic diseases: perceptions of Family Health Program teams. Rev Esc Enferm USP. 2013 [cited 2017 May 12]47(6):1365-70. Available from: http://www.scielo.br/pdf/reeusp/v47n6/en_0080-6234-reeusp-47-6-01367.pdf
Silva DI, Chiesa AM, Veríssimo MLOR, Mazza VA. Vulnerability of children in adverse situations to their development: proposed analytical matrix. Rev Esc Enferm USP. 2013[cited 2016 Jan 22]47(6):1397-402. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342013000601397&lng=en.
Oliveira MLF. The explanatory conception of the concept of vulnerability, and nursing. Ciênc Cuid Saúde. 2013[cited 2015 Dec 22]12(4): 623. Available from: http://periodicos.uem.br/ojs/ind
Manoel MF, Teston EF, Waidman MAP, Dacesaro MN, Marcon SS. As relações familiares e o nível de sobrecarga do cuidador famliar. Esc Anna Nery Rev Enferm. 2013[cited 2016 Jan 22]17(2):346-53. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1414-81452013000200020&lng=en
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