Assistência de Enfermagem frente às principais intercorrências em recém nascidos pré-termo

Abstract

Premature birth is the one that occurs until the 36th gestational week, being a moment of physiological adaptation to the extrauterine environment, and may be associated with neonatal complications that require continuous monitoring and intensive care. The study aims to analyze the assistance of the nursing team in the identification of the main complications in preterm newborns and in the necessary interventions in the neonatal unit. This is a field research, with a qualitative approach of the descriptive- exploratory type. The scenario of this research is the municipality of Balsas, data were collected with the nursing team of the Conventional Neonatal Intermediate Care Unit (UCINCo) at the Regional Hospital of Balsas and data collection occurred through interviews and application of a semi-structured form. Thus, it was possible to verify that nursing professionals use monitoring as a way of identifying complications and that the care plan for interventions varies according to the professional and presented complications, since the unit does not have standardization regarding standard operating procedures. Regarding the perception of the newborn's pain, it was verified that the identification is made only by the nursing professional during the systematization of nursing care and that a part of the technical team believes that the premature neonate is not able to understand the pain stimulus. Finally, we emphasize the need to implement standardization regarding standard operating procedures and update the scientific knowledge of the team in order to improve the skills of identification of complications, intervention and pain management.