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Previous issue date: 2017-12-14 / INTRODU??O: A infec??o pelo v?rus Zika ? caracterizada como uma doen?a febril aguda com maior preval?ncia da infec??o assintom?tica. A microcefalia ? uma anomalia, na qual h? m? forma??o cerebral, com irregularidades de estruturas e fun??es ao rec?m-nascido, presentes no momento do nascimento. Justifica-se o estudo pela import?ncia do conhecimento acerca do crescimento e desenvolvimento das crian?as portadoras de microcefalia relacionada ao Zika v?rus, com vistas ao acompanhamento e estimula??o de suas aptid?es junto ? fam?lia e profissionais. OBJETIVO: Analisar as altera??es no crescimento e desenvolvimento de crian?as com microcefalia relacionada ? transmiss?o vertical do Zika v?rus. METODOLOGIA: Trata-se de um estudo epidemiol?gico e descritivo de abordagem quantitativa realizado no ambulat?rio de pediatria da Universidade Federal do Rio Grande do Norte, localizado no munic?pio de Natal, Rio Grande do Norte. O estudo teve como p?blico alvo todas as crian?as diagnosticadas com microcefalia relacionada ? transmiss?o pelo Zika v?rus e acompanhadas no local de pesquisa que totalizou o quantitativo de 36 crian?as durante o per?odo de coleta. A coleta realizou-se entre os meses julho e outubro de 2017, mediante um instrumento dividido em duas partes, aplicado ?s m?es de crian?as portadoras de Microcefalia e a outra parte com dados da consulta de crescimento e desenvolvimento destas. O projeto teve aprova??o do Comit? de ?tica em Pesquisa da Universidade Federal do Rio Grande do Norte sob o n? de parecer 2.166.462. Os dados foram submetidos ao software Statistical Package for the Social Sciences- SPSS vers?o 21, por meio da estat?stica descritiva e inferencial e foi aplicado o teste de Fisher e Mann Whitney ao n?vel de signific?ncia ? ? 5%. RESULTADOS: Os resultados apontaram altera??es, com base no padr?o de normalidade, de quase todo o marcos do desenvolvimento da crian?a. Dentre os marcos do desenvolvimento infantil, o ?nico que foi apresentado em 100% das crian?as investigadas foi o ?Emite sons, balbuciando?. Houve importantes altera??es no que diz respeito ao desenvolvimento neuropsicomotor da crian?a portadora de Microcefalia relacionada ao v?rus Zika, al?m de d?ficits oculares, visuais, na fala, na escuta, altera??es de cunho muscular como hipertonia ou hipotonia, al?m de descontrole cervical e altera??es tamb?m no crescimento concernente a peso, estatura e ?ndice de Massa Corporal. Registraram-se associa??es entre a hist?ria materna e infantil com os seus marcos de desenvolvimento. CONCLUS?O: As principais altera??es encontradas no crescimento e desenvolvimento de crian?as com microcefalia relacionada ? transmiss?o vertical do Zika v?rus foram altera??es no desenvolvimento neuropsicomotor, altera??es oculares, visuais, retardos na comunica??o e altera??es musculares. Quanto ao crescimento detectou-se comprometimento nos ?ndices de massa corporal. A partir do alcance dos objetivos pode-se pensar na realiza??o de estimula??o a esses pacientes no intuito de aumentar sua expectativa e qualidade de vida. / INTRODUCTION: Zika virus infection is characterized as an acute febrile illness with a higher prevalence of asymptomatic infection. Microcephaly is an anomaly, in which there is poor brain formation, with irregularities of structures and functions to the newborn present at birth. The study is justified by the importance of knowledge about the growth and development of children with microcephaly related to Zika virus, with a view to monitoring and stimulating their skills with family and professionals. OBJECTIVE: The objective was to analyze the changes in the growth and development of children with microcephaly related to the vertical transmission of the Zika virus. METHODOLOGY: This is an epidemiological and descriptive study of a quantitative approach performed at the pediatric outpatient clinic of the Federal University of Rio Grande do Norte, located in the city of Natal, Rio Grande do Norte. The study had as a target audience all children diagnosed with microcephaly related to transmission by the Zika virus and accompanied at the research site that totaled the quantitative of 36 children during the collection period. The collection was performed between July and October 2017, using an instrument divided into two parts, applied to the mothers of children with Microcephaly and the other part with data on the consultation of growth and development of this children. The project was approved by the Research Ethics Committee of the Federal University of Rio Grande do Norte under the number CAAE 64872817.2.0000.5537. Data were submitted to the Statistical Package for Social Sciences - SPSS version 21, using descriptive and inferential statistics, and the Fisher and Mann Whitney test was applied at significance level ? ? 5%. RESULTS: The results indicated changes, based on the normality pattern, of almost all the child developmental milestones. Among the milestones of child development, the only one that was presented in 100% of the children investigated was the "Emits sounds, babbling". There were important changes in the neuropsychomotor development of the child with Microcephaly related to the Zika virus, as well as visual, speech, hearing, muscular changes such as hypertonia or hypotonia, as well as cervical uncontrol and alterations in the growth related to weight, height and body mass index. Associations between maternal and infant history were identified with their developmental milestones. CONCLUSION: The main alterations found in the growth and development of children with microcephaly related to the vertical transmission of Zika virus were alterations in neuropsychomotor development, ocular, visual alterations, communication delays and muscular alterations. Growth was detected in the body mass index. From the reach of the objectives one can think of the accomplishment of stimulation to these patients in order to increase their expectation and quality of life.
| Identifer | oai:union.ndltd.org:IBICT/oai:repositorio.ufrn.br:123456789/24740 |
| Date | 14 December 2017 |
| Creators | Vitorino, Ana Beatriz Ferreira |
| Contributors | 42997186404, N?brega, Cristyanne Samara Miranda de Holanda da, 75098296404, Pinto, Erika Simone Galv?o, 85208426404, Souza, Nilba Lima de |
| Publisher | PROGRAMA DE P?S-GRADUA??O EM ENFERMAGEM, UFRN, Brasil |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis |
| Source | reponame:Repositório Institucional da UFRN, instname:Universidade Federal do Rio Grande do Norte, instacron:UFRN |
| Rights | info:eu-repo/semantics/openAccess |
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