PREVALENCE OF HOSPITALIZATIONS AND INFANT MORTALITY FOR RENAL INSUFFICIENCY IN BRAZIL

To know the prevalence of hospitalizations and the correlation with infant mortality due to renal failure. Method: ecological, descriptive study, based on information from the DATASUS database, referring to hospital admissions and mortality rate due to renal failure, using the following variables: sex, age, hospitalization and death by renal failure, in the five regions of Brazil, from 2008 to 2014. Pearson's correlation coefficient was used for intentional non-probabilistic sampling. Results: 11,802 hospitalizations for renal failure were recorded in Brazil, with an average of 8.4 to 13.8 days. The male gender and the age range of five to nine years were predominant. The Northeastern region had a higher number of hospitalizations and mortality and North, to lower. Conclusion: the disparity in information may be related to the socioeconomic and health care characteristics of each region. Descriptors: Child; Renal insufficiency; Prevalence; Mortality; Hospitalization. To learn more

CHILDREN IN CONSERVATIVE RENAL TREATMENT: EXPERIENCES OF FAMILY CAREGIVERS

To understand the experience of the family caregiver of the child in conservative renal treatment. A qualitative study. Participants consisted of 11 family caregivers of children in conservative renal treatment in the South of Brazil, during the period of April to August of 2015. For the collection of the information, semi-structured interviews were carried out, whose data were recorded. For the analysis of the information, transcription of the interviews was used, codification, and organization of the categories according to the scholars. the data allowed the construction of five categories: discovering the disease, dealing with the disease, realization of the child’s health; living life for the child; and realizing the existence of support. the experience of family caregivers is related to affective, social, professional and economic changes.

This study provided an opportunity to understand the experience of family caregivers of children in conservative renal treatment, being understood as an experience that generates affective, social, professional and economic changes. Regarding affective changes, there may be an association with the divorces experienced by family caregivers and the abandonment of the children by the fathers, compromising the adjustment of the child’s health care. Concerning social aspects, they refer to the impossibility of carrying out leisure activities and the conviviality with family members and friends and attending daycare centers, since in many cases they need to carry out care that does not allow such activities or do not have a support network for the care, causing a fastidious overload on the caregiver. The change of professional order was related to the commitment of the family caregiver to the child’s health care, which prevents them from carrying out other paid activities. As for the economic aspects, they were due to professional and / or affective changes, since some caregivers were financially dependent on their spouses and after diagnosis of the child’s kidney disease, they began to count on the help of family, friends and assistance.

Understanding the experiences of the family caregiver directs primary health care nursing to contribute to the improvement of the quality of life of the family and children, since this study provided a voice to the participants, demonstrating the complexity of this experience, which requires a lot of from themselves and from all family members. The aspects related to the need for guidance for the family caregivers of children with renal disease can be overcome through support in the adaptation so that the adjustments with the new demands occur naturally. However, this will only be possible with family empowerment, or rather, family participation in decisions involving the health of children with kidney disease. This involvement values ​​it as a being, since professional knowledge is only one part of care. Learn more.

CARING THE FAMILIES OF CHILDREN WITH RENAL FAILURE: INTEGRATIVE REVIEW

Renal failure (RF) is a condition related to irreversible kidney damage that can occur regardless of age, and is a global public health problem. The early stage is a scarcely investigated event, and most of the information referred to is concentrated in epidemiological studies in adults. During childhood, only the final stages of the disease are studied, when replacement therapy (dialysis or transplantation) is required to sustain life, which reduces the possibility of treatment in the early stages. This is still a disease that, when it occurs in childhood, affects the entire family unit.1 The prevalence of children affected by RF in the United States, during 2007, was 84.6 cases per million of the population of a compatible age (pmpca). In 1998, the estimated incidence in Japan, was of four new pmpca cases, while in a survey involving 12 European countries between 1985 and 1990, the incidence was ten new pmpca cases.1 These numbers represent a challenge for health services, since the RF is associated with high mortality and cardiovascular morbidity, as well as impaired growth, and the need for psychosocial adjustments that impact the children's quality of life. Unfortunately, Brazil does not have exact data on the prevalence of RF in the childhood, regardless of the stage of the disease, which reinforces the need for epidemiological studies. Among the restrictions imposed by RF on the child, there are limitations to motor skills and autonomy in performing basic activities when compared to others of the same age, such as in eating, dressing, playing, and hygiene.3 From this perspective, it is essential to know how the family experiences caring for a child with RF at different stages, at diagnosis, progressive RF, and endstage renal disease, which includes a form of substitutive treatment: hemodialysis, peritoneal dialysis and/or kidney transplant). Professionals can develop care strategies to achieve better results in the medium and long term; preventing injuries from conservative renal treatment, given that RF entails a burden to the quality of life, affecting the daily activities of children and their families. Learn more: https://periodicos.ufpe.br/revistas/revistaenfermagem/article/view/11095/12550