Vivencia de madres de prematuros con oxígeno en un programa madre canguro de Bogotá, Colombia

Pediatría Pub Date : 2020-06-09 DOI:10.14295/RP.V53I2.224
Sonia Esperanza Guevara Suta, Martha O. Ospina-Rubiano, Héctor F. Restrepo-Guerrero
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Abstract

Preterm birth is considered a public health problem and responsible for a high neonatal morbidity and mortality. A large percentage of premature infants require oxygen and mechanical ventilation to meet their physiological needs, and about 40% of them are discharged from neonatal units to kangaroo mother programs. Objective: To describe the experiences of mothers of babies with oxygen admitted to a kangaroo mother program, from their cultural context. Materials and methods: Qualitative, ethnographic study, a semi-structured interview was applied to nineteen mothers of babies with oxygen, aged between 16-38 years. Results: four categories: identification of respiratory alarm signs and care of equipment at home; adaptation to handling with oxygen; relationship with cultural setting and attendance at oximetry controls, which arose from the interview analysis process. Conclusions: the mothers stated that they received training on identifying respiratory warning signs and oxygen equipment care before discharge, expressed feelings such as fear, worry, fatigue and nerves to face new challenges, indicated that babies need “extreme care”, They reported difficulties the first night at home to manage oxygen and how important it is to be confident and do “things right”, but they also felt joy in having their babies at home.
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在哥伦比亚波哥大的一个袋鼠妈妈项目中,早产儿的母亲在氧气下的经历
早产被认为是一个公共卫生问题,是造成新生儿高发病率和死亡率的原因。很大比例的早产儿需要氧气和机械通气来满足他们的生理需求,其中约40%的早产儿从新生儿病房出院到袋鼠妈妈计划。目的:从文化背景出发,描述袋鼠妈妈项目中吸氧婴儿的母亲的经历。材料与方法:采用半结构化访谈法,采用定性、民族学研究方法,对19名年龄在16-38岁之间的吸氧婴儿母亲进行访谈。结果:四大类:呼吸报警信号的识别及家居设备的护理;适应与氧气打交道;与文化背景和参加血氧饱和度控制的关系,这是在访谈分析过程中产生的。结论:母亲们表示,她们在出院前接受了识别呼吸警告信号和氧气设备护理方面的培训,表达了面对新挑战时的恐惧、担忧、疲劳和紧张等感受,表明婴儿需要“极度护理”。她们报告了第一天晚上在家管理氧气的困难,以及自信和“正确做事”的重要性,但她们也为在家生孩子感到高兴。
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