Estimulação cinestésica na posição Canguru e efeitos em lactentes prematuros

Introduction: Premature newborns (PTNB) are at greater risk of developing short and long-term morbidities due to the immaturity of their systems, which may predispose to alterations in the course of their development. Kinesthetic tactile stimulation (CTE) emerges as a technique whose scientific ev...

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Autor principal: Neves, Amanda da Silva
Outros Autores: Lima-Alvarez, Carolina Daniel de
Formato: bachelorThesis
Idioma:pt_BR
Publicado em: Universidade Federal do Rio Grande do Norte
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Endereço do item:https://repositorio.ufrn.br/handle/123456789/50490
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Resumo:Introduction: Premature newborns (PTNB) are at greater risk of developing short and long-term morbidities due to the immaturity of their systems, which may predispose to alterations in the course of their development. Kinesthetic tactile stimulation (CTE) emerges as a technique whose scientific evidence points to be favorable to weight gain and development of preterm newborns, in addition to improving self-regulation, reducing the stress experienced by them. Objectives: To evaluate the effect of kinesthetic tactile stimulation on immediate weight gain, generalized movements, motor performance and self-regulation in premature infants. Methods: 25 premature infants participated, 12 in the experimental group (mean GA: 31.66, standard deviation: 1.77) and 13 in the control group (mean GA: 31.25 weeks, standard deviation: 2.24), hospitalized at the Kangaroo Unit. Motor behavior was evaluated before and after application of the stimulation protocol using the General Movements (GM) and the Test of Infant Motor Performance (TIMP), respectively; behavioral status and weight gain were measured daily pre and post stimulation using the Neonatal Facial Coding System - NFCS and registration of vital signs of Heart Rate (HR), Peripheral Oxygen Saturation (SpO2) and weight. The ETC was applied by the mother or guardian for at least 7 days, performed with the infant in the kangaroo position, starting with the head, followed by the upper limbs, trunk and lower limbs. Results: Weight gain was observed in both studied groups, with greater weight gain in the experimental group; improvement in motor performance in the two studied groups, being statistically significant in the control group, with a tendency to improvement in the experimental group; classification of general movements equal between the two groups, showing a tendency to improvement in the experimental group; longer time in the kangaroo position of the experimental group. There were no significant reductions or increases in the results of NFCS, HR and SpO2 measurements between groups. Conclusion: The results indicate that ETC promotes the maintenance of HR and SpO2 and increases the time and frequency of the kangaroo position by those responsible.