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Authors
Abstract(s)
Este Relatório de Estágio de Natureza Profissional, realizado no âmbito do Curso de
Mestrado em Ciências Aplicada à Saúde-Ramo de Intervenção Comunitária, reflete o
trabalho desenvolvido no Hospital Nacional Simão Mendes, mais concretamente no
serviço de Centro de Recuperação Nutricional Intensiva (CRENI), e Centro de
Recuperação Nutricional Aguda (CRENAG) da Guiné Bissau.
No Estágio cumpriu-se um total de 375 horas, e foi possível participar, integrado em
equipas de saúde, no processo de prestar cuidados de enfermagem às crianças internadas
e em ambulatório.
Foi ainda objetivo avaliar o estado nutricional das crianças com idades igual ou inferior
a 5 anos internados no Hospital Nacional Simão Mendes, caracterizando-as de acordo
com o perfil sociodemográfico, com recolha do diagnóstico clínico no momento de
admissão e na alta hospitalar.
Com a avaliação efetuada foi possível verificar que a desnutrição constituiu o principal
diagnóstico de entrada (83,3%), seguindo-se de anemia (20%), enfermidade diarreica
aguda (11,7%), desidratação (8,3%) e malária (3,3 %), verificando-se ainda que 28,3%
das crianças apresentavam edemas. No que concerne ao diagnóstico de saída, 3,3%
revelaram a existência de SIDA/VIH, 16,7% anemia, 8,3 % desnutrição aguda moderada,
e 3,3% desnutrição aguda e desidratação.
Considerando todos os parâmetros de peso na avaliação do z-score (peso-idade, peso-
estatura e IMC-idade), à entrada e à saída, as crianças, foram categorizadas com algum
grau de desnutrição numa percentagem que variou de 62% a 100%.
Considera-se que este Estágio foi uma mais valia, permitindo o desenvolvimento de
técnicas na área de enfermagem, assim como refletir sobre a importância dos enfermeiros
na avaliação do desenvolvimento infantil e seu estado nutricional. A intervenção dos
técnicos de saúde junto da comunidade para aumentar a literacia nutricional é
fundamental, de forma a auxiliar no alcance das metas da OMS / UNICEF para 2030 no
sentido de erradicar a desnutrição.
This Internship Report of a Professional Nature, carried out within the scope of the Master's Course in Sciences applied to Health - Community Intervention Branch, reflects the work developed at the Simão Mendes National Hospital, more specifically in the Intensive Nutritional Recovery Center service (CRENI), and Center for Acute Nutritional Recovery (CRENAG) of Guinea Bissau. A total of 375 hours were completed during the Internship, and it was possible to participate, as part of healthcare teams, in the process of providing nursing care to hospitalized and outpatient children. The objective was also to evaluate the nutritional status of children aged 5 years or less admitted to the Hospital Nacional Simão Mendes, characterizing them according to their sociodemographic profile, collecting the clinical diagnosis at the time of admission and at hospital discharge. With the evaluation carried out, it was possible to verify that malnutrition was the main diagnosis admission (83.3%), followed by anemia (20%), acute diarrheal disease (11.7%), dehydration (8.3%) and malaria (3.3%), with 28 .3% of children had edema. Regarding the initial diagnosis, 3.3% revealed the existence of AIDS/HIV, 16.7% anemia, 8.3% moderate acute malnutrition, and 3.3% acute malnutrition and dehydration. Considering all weight parameters in the z-score assessment (weight-age, weight-height and BMI-age), at entry and exit, children were categorized as having some degree of malnutrition in a percentage that varied from 62% to 100%. It is considered that this Internship was an added value allowing the development of techniques in the area of nursing, as well as reflecting on the importance of nurses in evaluating child development and their nutritional status. The intervention of health technicians in the community to increase nutritional literacy is essential, in order to help achieve the WHO / UNICEF goals for 2030 to eradicate malnutrition.
This Internship Report of a Professional Nature, carried out within the scope of the Master's Course in Sciences applied to Health - Community Intervention Branch, reflects the work developed at the Simão Mendes National Hospital, more specifically in the Intensive Nutritional Recovery Center service (CRENI), and Center for Acute Nutritional Recovery (CRENAG) of Guinea Bissau. A total of 375 hours were completed during the Internship, and it was possible to participate, as part of healthcare teams, in the process of providing nursing care to hospitalized and outpatient children. The objective was also to evaluate the nutritional status of children aged 5 years or less admitted to the Hospital Nacional Simão Mendes, characterizing them according to their sociodemographic profile, collecting the clinical diagnosis at the time of admission and at hospital discharge. With the evaluation carried out, it was possible to verify that malnutrition was the main diagnosis admission (83.3%), followed by anemia (20%), acute diarrheal disease (11.7%), dehydration (8.3%) and malaria (3.3%), with 28 .3% of children had edema. Regarding the initial diagnosis, 3.3% revealed the existence of AIDS/HIV, 16.7% anemia, 8.3% moderate acute malnutrition, and 3.3% acute malnutrition and dehydration. Considering all weight parameters in the z-score assessment (weight-age, weight-height and BMI-age), at entry and exit, children were categorized as having some degree of malnutrition in a percentage that varied from 62% to 100%. It is considered that this Internship was an added value allowing the development of techniques in the area of nursing, as well as reflecting on the importance of nurses in evaluating child development and their nutritional status. The intervention of health technicians in the community to increase nutritional literacy is essential, in order to help achieve the WHO / UNICEF goals for 2030 to eradicate malnutrition.
Description
Mestrado em parceria com a Escola Superior de Saúde do Instituto Politécnico da Guarda
Keywords
Desnutrição Prevalência Fatores de risco