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Abstract(s)
A prematuridade é uma condição de risco biológico, sendo geralmente associada a problemas neurocognitivos.
Os recém-nascidos prematuros, com menos de 37 semanas de idade de gestação, e com peso igual ou inferior a 1500 gramas, constituem uma população com elevado risco de apresentar alterações neuropsicológicas e modificações no seu desenvolvimento.
Este estudo teve por objetivo descrever o perfil comportamental das crianças prematuras, verificar a existência de indicadores de psicopatologia e avaliar como os fatores biológicos e ambientais podem estar associados a problemas comportamentais das destas crianças.
O trabalho foi de natureza quantitativa, com uma amostra de conveniência probabilística, realizada para os pais em ambiente de consulta de pré termo de um hospital na zona norte do país, através de uma Checklist de Comportamento Infantil, bem como algumas questões que estes preenchem por escrito (CBCL), que incluiu a idade gestacional (IG), peso em gramas (Gr), tempo de internamento (TI), Idade cronológica em meses (IC2), (Mprof), profissão do pai (Pprof), nível educacional da mãe (MHab) e o nível educacional do pai (Phab), entre outros. A amostra é constituída por 6 crianças.
A amostra na totalidade não apresenta alterações comportamentais com relevância clinica. Os resultados sugerem também que, os fatores de risco foram atenuados devido às práticas médicas e hospitalares, e ao acompanhamento das crianças prematuras quer dos pais, através da mobilização de intervenções precoces, mas também pelas caraterísticas sociodemográficas dos pais e mães, o nível educacional, pelo apoio e estabilidade familiar e pelo acompanhamento longitudinal em consulta prétermo.
Concluímos que os fatores de risco do desenvolvimento inerentes à prematuridade são, por si só, uma condição negativa, que podem ser minorados através de fatores de proteção, nomeadamente através do acompanhamento médico das crianças e famílias.
Prematurity is a condition of biological risk and is usually associated with neurocognitive problems. Preterm newbornsborn alive before 37 weeks of pregnancyand weighing not more than 1500 grams, constitute a population with a high risk of neuropsychological changes and modifications in their development. This study aimed to describe the behavioral profile of premature infants, to verify the existence of indicators of psychopathology and to evaluate how biological and environmental factors may be associated with behavioral problems of these children. The study was quantitative in nature, with a probabilistic convenience sample, performed to the parents in a consultation environment, through a Child Behavior Checklist (CBCL), which included the gestational age (GI), weight in grams (Gr), length of hospital stay (Mprof), chronological age in months (IC), profession of the father (Pprof), literary qualifications of the mother (MHab) and literary qualifications of the father (Phab), among others. The sample consists of 6 children. The sample in its entirety does not present behavioral changes with clinical relevance. The results also suggest that risk factors were attenuated due to medical and hospital practices, both in monitoring premature newborns and parents, due to the entry of children, at an early age, into the educational system, by parents' academic qualifications, family support and stability and for longitudinal follow-up in preterm consultation. We conclude that developmental risk factors inherent to prematurity are in themselves, a negative condition, which can be mitigated through protective factors, namely through medical monitoring of children and families.
Prematurity is a condition of biological risk and is usually associated with neurocognitive problems. Preterm newbornsborn alive before 37 weeks of pregnancyand weighing not more than 1500 grams, constitute a population with a high risk of neuropsychological changes and modifications in their development. This study aimed to describe the behavioral profile of premature infants, to verify the existence of indicators of psychopathology and to evaluate how biological and environmental factors may be associated with behavioral problems of these children. The study was quantitative in nature, with a probabilistic convenience sample, performed to the parents in a consultation environment, through a Child Behavior Checklist (CBCL), which included the gestational age (GI), weight in grams (Gr), length of hospital stay (Mprof), chronological age in months (IC), profession of the father (Pprof), literary qualifications of the mother (MHab) and literary qualifications of the father (Phab), among others. The sample consists of 6 children. The sample in its entirety does not present behavioral changes with clinical relevance. The results also suggest that risk factors were attenuated due to medical and hospital practices, both in monitoring premature newborns and parents, due to the entry of children, at an early age, into the educational system, by parents' academic qualifications, family support and stability and for longitudinal follow-up in preterm consultation. We conclude that developmental risk factors inherent to prematurity are in themselves, a negative condition, which can be mitigated through protective factors, namely through medical monitoring of children and families.
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Keywords
Prematuridade Baixo peso Extremo baixo peso Fatores de risco Fatores de proteção Problemas de comportamento Prematurity Low weight Extreme low weight Risk factors Protective factors Behavioral problems