Profile of at-risk newborns attended by nurses in outpatient follow-up clinic: a retrospective cohort study.

Autor:	Beleza LO; Universidade de Brasília, Faculdade de Ciências da Saúde, Brasília, DF, Brazil.; Hospital Materno Infantil de Brasília, Brasília, DF, Brazil., Ribeiro LM; Universidade de Brasília, Faculdade de Ciências da Saúde, Brasília, DF, Brazil., Paula RAP; Universidade de Brasília, Faculdade de Ciências da Saúde, Brasília, DF, Brazil., Guarda LEDA; Universidade de Brasília, Faculdade de Ciências da Saúde, Brasília, DF, Brazil., Vieira GB; Universidade de Brasília, Faculdade de Ciências da Saúde, Brasília, DF, Brazil., Costa KSF; Hospital Materno Infantil de Brasília, Brasília, DF, Brazil.
Jazyk:	English; Portuguese; Spanish; Castilian
Zdroj:	Revista latino-americana de enfermagem [Rev Lat Am Enfermagem] 2019 Jan 17; Vol. 27, pp. e3113. Date of Electronic Publication: 2019 Jan 17.
DOI:	10.1590/1518-8345.2301.3113
Abstrakt:	Objective: to analyze the cohort profile of at-risk newborns attended by nurses in a multidisciplinary follow-up clinic, with emphasis on the type of feeding and weight gain, after hospital discharge. Method: retrospective cohort, whose population is composed of at-risk newborns attended in a 4-year period. Data came from medical records and attendance report, later exported to R Program. The outcome variables were number of the nursing consultation, type of feeding, daily weight gain and main guidelines. We used descriptive statistics, frequency distribution and applied Mann-Whitney, Chi-Square, Spearman correlation, Variance and Tukey analysis, with p <0.05 being significant. Results: a total of 882 consultations with 629 infants and families were analyzed. The frequencies of exclusive breastfeeding and weight gain increased as the consultations progressed. The infants who needed more consultations and with lower weight gain were those with lower gestational age (p = 0.001) and birth weight (p = 0.000), longer length of hospital stay (p <0.005), and diagnoses related to extreme prematurity (p <0.05), among others. Conclusion: nurses verified the importance of outpatient follow-up of at-risk newborns, especially in promoting breastfeeding and healthy growth.
Databáze:	MEDLINE
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