Itinerário clínico e terapêutico de crianças e adolescentes com encefalopatia crônica e disfunções pulmonares

Abstract

OBJECTIVE: To analyze the clinical profile and clinical itinerary of children and adolescents with chronic encephalopathy and pulmonary dysfunctions submitted to physiotherapeutic treatment at the Infirmary and Physiotherapy Service of the University Hospital Lauro Wanderley (HULW), Federal University of Paraíba (UFPB). METHODOLOGY: This is a descriptive and exploratory study, with a quantitative and qualitative approach. The study was carried out with the parents / guardians for the first year of schooling and with children / adolescents with chronic encephalopathy and pulmonary dysfunction, aged 0 to 15 years, undergoing a respiratory physiotherapeutic evaluation. The collected quantitative data were tabulated in a Microsoft Office Excel 2007 spreadsheet and transferred to SPSS for Windows (Statistical Package for Social Science) software in category 20. of Fisher. For all statistical tests, consider a significance level of 5%. For qualitative analysis the content analysis was used, ensuring an objective, systematic description and with a manifest richness at the moment of their collection. RESULTS ANALYSIS: The study consisted of 14 patients, the majority of whom were male (57.1%) and had a prevalent age range of 3 years. Of these participants, 78.6% had spastic type cerebral palsy and 50% had hemiplegia, 21.4% had excavated, rickety, and kyphoscoliotic chest, 42.9% had decreased expandability, and 71.4% had accessory muscles. Most of the individuals in this study were referred to physiotherapy services and regularly followed up by other health professionals. Regarding the physiotherapeutic care, a greater proportion of children (64%) started rehabilitation treatment with a short waiting time. It was observed that the preferential service for emergency and emergency care are UBS, followed by public hospitals. CONCLUSION: The data showed that children and adolescents are from low-income families, where the main caretaker is the maternal figure (71.4%) and for health care they make exclusive use of public services. In view of the dependence of prolonged treatment in patients with chronic encephalopathy and their vulnerability to presenting chest and / or respiratory dysfunctions, it is necessary to reflect on the assistance model in order to guarantee continuity, completeness and accessibility to services, with expanded health options.