Oportunidades do ambiente domiciliar para o desenvolvimento motor de crianças verticalmente expostas ao HIV
Ano de defesa: | 2018 |
---|---|
Autor(a) principal: | |
Orientador(a): | |
Banca de defesa: | , |
Tipo de documento: | Dissertação |
Tipo de acesso: | Acesso aberto |
Idioma: | por |
Instituição de defesa: |
Universidade Federal de Santa Maria
Centro de Ciências da Saúde |
Programa de Pós-Graduação: |
Programa de Pós-Graduação em Enfermagem
|
Departamento: |
Enfermagem
|
País: |
Brasil
|
Palavras-chave em Português: | |
Palavras-chave em Inglês: | |
Área do conhecimento CNPq: | |
Link de acesso: | http://repositorio.ufsm.br/handle/1/14316 |
Resumo: | Infant motor development can be influenced by biological and environmental factors. The vertical exposure to human immunodeficiency virus (HIV) is among the biological factors. The environmental factors are those provided by the domicile in which the infant is inserted. Thus, considering the home environment of the infant vertically exposed to HIV, the objective was to evaluate the opportunities of the home environment for the motor development of infants vertically exposed to HIV, from 3 to 18 months of age, being followed up at the health service. A cross-sectional study carried out in southern Brazil between December 2015 and September 2017 with 83 family caregivers of these infants, characterizing the socio-demographic and clinical environment of the main caregiver and the exposed infant. The instrument Affordances in the home environment for motor development - Infant Scale was used to measure the quantity and quality of the opportunities of the environment regarding physical space, stimulation variety, toys for fine and gross motor skills and total score. Data insertion in the Epi-info® program and statistical analysis in R, with absolute and relative frequency, correlation of Pearson and Spearman and simple linear regression, with a significance level of 5%. All ethical aspects have been respected. The environment was characterized by houses (94%), with up to two rooms (72.3%) with one to two adults (74.7%) and one to two children (65.1%), from those children (84.3%) do not attend day care centers. Family caregivers are characterized by women (97.6%), living with HIV (95.2%), aged from 27-36 years old (50.6%), with high school education (53.0%) and unemployed (65. 1%). The infants were born full-term (71.1%), with no health problems and with no simblings exposed to HIV (60.2%). The opportunities were classified as moderately sparse for infants with less than one year old (23.11) and over one year old (31.45). The significant variable for the spatial opportunity were income (p = 0.007 and p = 0.011). Variety of stimulation showed positive association with having sibling exposed to HIV (p = 0.006 and p = 0.009) and the greater the age of the caregiver (p = 0.019 and p = 0.049) and the child (p = 0.001 and p = 0.001) greater this opportunity. As the income increases (p = 0.008 and p = 0.005) and the age of the child (p = 0.014 and p = 0.005) increases the opportunity of toys with gross motor skills, whereas fine motor skills toys maintained association only with the infant's age (p = 0.050 eps = 0.032). In the regression, the variables associated with the total score were: age of the caregiver (p = 0.004) and of the child (p = 0.003), schooling (p = 0.000) and having a sibling exposed to HIV (p = 0.026). The sociodemographic and clinical variables of the family caregiver and the infant influenced the opportunities of the home for motor development were classified as moderate. These findings enphasize the need to explore the household according to each family in order to provide opportunities in quality and quantity considered excellent. |
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2018-09-14T22:05:04Z2018-09-14T22:05:04Z2018-02-22http://repositorio.ufsm.br/handle/1/14316Infant motor development can be influenced by biological and environmental factors. The vertical exposure to human immunodeficiency virus (HIV) is among the biological factors. The environmental factors are those provided by the domicile in which the infant is inserted. Thus, considering the home environment of the infant vertically exposed to HIV, the objective was to evaluate the opportunities of the home environment for the motor development of infants vertically exposed to HIV, from 3 to 18 months of age, being followed up at the health service. A cross-sectional study carried out in southern Brazil between December 2015 and September 2017 with 83 family caregivers of these infants, characterizing the socio-demographic and clinical environment of the main caregiver and the exposed infant. The instrument Affordances in the home environment for motor development - Infant Scale was used to measure the quantity and quality of the opportunities of the environment regarding physical space, stimulation variety, toys for fine and gross motor skills and total score. Data insertion in the Epi-info® program and statistical analysis in R, with absolute and relative frequency, correlation of Pearson and Spearman and simple linear regression, with a significance level of 5%. All ethical aspects have been respected. The environment was characterized by houses (94%), with up to two rooms (72.3%) with one to two adults (74.7%) and one to two children (65.1%), from those children (84.3%) do not attend day care centers. Family caregivers are characterized by women (97.6%), living with HIV (95.2%), aged from 27-36 years old (50.6%), with high school education (53.0%) and unemployed (65. 1%). The infants were born full-term (71.1%), with no health problems and with no simblings exposed to HIV (60.2%). The opportunities were classified as moderately sparse for infants with less than one year old (23.11) and over one year old (31.45). The significant variable for the spatial opportunity were income (p = 0.007 and p = 0.011). Variety of stimulation showed positive association with having sibling exposed to HIV (p = 0.006 and p = 0.009) and the greater the age of the caregiver (p = 0.019 and p = 0.049) and the child (p = 0.001 and p = 0.001) greater this opportunity. As the income increases (p = 0.008 and p = 0.005) and the age of the child (p = 0.014 and p = 0.005) increases the opportunity of toys with gross motor skills, whereas fine motor skills toys maintained association only with the infant's age (p = 0.050 eps = 0.032). In the regression, the variables associated with the total score were: age of the caregiver (p = 0.004) and of the child (p = 0.003), schooling (p = 0.000) and having a sibling exposed to HIV (p = 0.026). The sociodemographic and clinical variables of the family caregiver and the infant influenced the opportunities of the home for motor development were classified as moderate. These findings enphasize the need to explore the household according to each family in order to provide opportunities in quality and quantity considered excellent.O desenvolvimento motor infantil pode ser influenciado por fatores biológicos e ambientais. Dentre os biológicos está a exposição vertical ao vírus da imunodeficiência humana (HIV) e os ambientais, aqueles proporcionados pelo domicílio no qual a criança encontra-se inserida. Assim, considerando o ambiente domiciliar da criança verticalmente exposta ao HIV, o objetivo foi avaliar as oportunidades do ambiente domiciliar para o desenvolvimento motor de crianças verticalmente expostas ao HIV, de três a 18 meses de idade, em acompanhamento em serviço de saúde. Estudo transversal realizado no Sul do Brasil entre dezembro de 2015 a setembro de 2017 com 83 cuidadores familiares dessas crianças mediante caracterização do ambiente, sociodemográfica e clínica do cuidador familiar e da criança exposta. O instrumento Affordances in the home environment for motor development - Infant Scale foi utilizado para mensurar a quantidade e qualidade das oportunidades do ambiente quanto ao espaço físico, variedade de estimulação, brinquedos para motricidade fina e grossa e pontuação total. Inserção dos dados no programa Epi-info® e análise estatística no R, com frequência absoluta e relativa, correlação de Pearson e Spearman e regressão linear simples, com nível de significância de 5%. Todos os aspectos éticos foram respeitados. O ambiente foi caracterizado por casas (94%), com até dois quartos (72,3%) com um a dois adultos (74,7%) e uma a duas crianças (65,1%), das quais a maioria não frequenta creche (84,3%). Os cuidadores familiares caracterizam-se de mulheres (97,6%), com HIV (95,2%) idade de 27 a 36 anos (50,6%), escolaridade ensino médio (53,0%) e desempregadas (65,1%). As crianças nasceram a termo (71,1%), sem problemas de saúde (78,3%) e não possuem irmãos expostos ao HIV (60,2%). As oportunidades foram classificadas como moderadamente adequada para ambas as crianças, menores de um ano de idade (23,11) e maiores de um ano de idade (31,45). A variável significativa com influência positiva para oportunidade de espaço físico foi renda (p = 0,007 e p = 0,011). Variedade de estimulação mostrou associação positiva com possuir irmão exposto ao HIV (p = 0,006 e p = 0,009) e quanto maior a idade do cuidador (p = 0,019 e p = 0,049) e da criança (p ˂ 0,001 e p = 0,001) maior esta oportunidade. Conforme aumenta a renda (p = 0,008 e p = 0,005) e a idade da criança (p = 0,014 e p = 0,005) aumenta a oportunidade de brinquedos de motricidade grossa, enquanto brinquedos de motricidade fina manteve associação somente com idade da criança (p = 0,050 e p = 0,032). Na regressão, as variáveis associadas a pontuação total foram: idade do cuidador (p = 0,004) e da criança (p = 0,003), escolaridade (p = 0,000) e possuir irmão exposto ao HIV (p = 0,026). As variáveis sociodemográfica e clínica do cuidador familiar e da criança influenciaram nas oportunidades do domicílio para o desenvolvimento motor, classificadas como moderadas. Tais achados salientam a necessidade de explorar o domicílio de acordo com cada família a fim de proporcionar oportunidades em qualidade e quantidade consideradas excelentes.Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPESporUniversidade Federal de Santa MariaCentro de Ciências da SaúdePrograma de Pós-Graduação em EnfermagemUFSMBrasilEnfermagemAttribution-NonCommercial-NoDerivatives 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessDesenvolvimento infantilTransmissão verticalHIVMeio ambienteFamíliaChild developmentVertical transmissionHIVEnvironmentFamilyCNPQ::CIENCIAS DA SAUDE::ENFERMAGEMOportunidades do ambiente domiciliar para o desenvolvimento motor de crianças verticalmente expostas ao HIVDomiciliary environment opportunities for the motor development of infants vertically exposed to HIVinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisPaula, Cristiane Cardoso dehttp://lattes.cnpq.br/8247264269439154Rodrigues, Analu Lopeshttp://lattes.cnpq.br/2403912790384543Motta, Maria da Graça Corso dahttp://lattes.cnpq.br/0797151560301379http://lattes.cnpq.br/3369920023951534Ferreira, Tamiris400400000000600955f52bc-fa26-4000-9f63-fe6b25fb65c7661434ad-2b19-4576-99e6-42f9e5f55ba09a5b124a-da72-4eb4-ab2c-92decb1710952560a0c8-df4f-4af5-99ab-a336cecda1afreponame:Biblioteca Digital de Teses e Dissertações do UFSMinstname:Universidade Federal de Santa Maria (UFSM)instacron:UFSMCC-LICENSElicense_rdflicense_rdfapplication/rdf+xml; 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dc.title.por.fl_str_mv |
Oportunidades do ambiente domiciliar para o desenvolvimento motor de crianças verticalmente expostas ao HIV |
dc.title.alternative.eng.fl_str_mv |
Domiciliary environment opportunities for the motor development of infants vertically exposed to HIV |
title |
Oportunidades do ambiente domiciliar para o desenvolvimento motor de crianças verticalmente expostas ao HIV |
spellingShingle |
Oportunidades do ambiente domiciliar para o desenvolvimento motor de crianças verticalmente expostas ao HIV Ferreira, Tamiris Desenvolvimento infantil Transmissão vertical HIV Meio ambiente Família Child development Vertical transmission HIV Environment Family CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM |
title_short |
Oportunidades do ambiente domiciliar para o desenvolvimento motor de crianças verticalmente expostas ao HIV |
title_full |
Oportunidades do ambiente domiciliar para o desenvolvimento motor de crianças verticalmente expostas ao HIV |
title_fullStr |
Oportunidades do ambiente domiciliar para o desenvolvimento motor de crianças verticalmente expostas ao HIV |
title_full_unstemmed |
Oportunidades do ambiente domiciliar para o desenvolvimento motor de crianças verticalmente expostas ao HIV |
title_sort |
Oportunidades do ambiente domiciliar para o desenvolvimento motor de crianças verticalmente expostas ao HIV |
author |
Ferreira, Tamiris |
author_facet |
Ferreira, Tamiris |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Paula, Cristiane Cardoso de |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/8247264269439154 |
dc.contributor.referee1.fl_str_mv |
Rodrigues, Analu Lopes |
dc.contributor.referee1Lattes.fl_str_mv |
http://lattes.cnpq.br/2403912790384543 |
dc.contributor.referee2.fl_str_mv |
Motta, Maria da Graça Corso da |
dc.contributor.referee2Lattes.fl_str_mv |
http://lattes.cnpq.br/0797151560301379 |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/3369920023951534 |
dc.contributor.author.fl_str_mv |
Ferreira, Tamiris |
contributor_str_mv |
Paula, Cristiane Cardoso de Rodrigues, Analu Lopes Motta, Maria da Graça Corso da |
dc.subject.por.fl_str_mv |
Desenvolvimento infantil Transmissão vertical HIV Meio ambiente Família |
topic |
Desenvolvimento infantil Transmissão vertical HIV Meio ambiente Família Child development Vertical transmission HIV Environment Family CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM |
dc.subject.eng.fl_str_mv |
Child development Vertical transmission HIV Environment Family |
dc.subject.cnpq.fl_str_mv |
CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM |
description |
Infant motor development can be influenced by biological and environmental factors. The vertical exposure to human immunodeficiency virus (HIV) is among the biological factors. The environmental factors are those provided by the domicile in which the infant is inserted. Thus, considering the home environment of the infant vertically exposed to HIV, the objective was to evaluate the opportunities of the home environment for the motor development of infants vertically exposed to HIV, from 3 to 18 months of age, being followed up at the health service. A cross-sectional study carried out in southern Brazil between December 2015 and September 2017 with 83 family caregivers of these infants, characterizing the socio-demographic and clinical environment of the main caregiver and the exposed infant. The instrument Affordances in the home environment for motor development - Infant Scale was used to measure the quantity and quality of the opportunities of the environment regarding physical space, stimulation variety, toys for fine and gross motor skills and total score. Data insertion in the Epi-info® program and statistical analysis in R, with absolute and relative frequency, correlation of Pearson and Spearman and simple linear regression, with a significance level of 5%. All ethical aspects have been respected. The environment was characterized by houses (94%), with up to two rooms (72.3%) with one to two adults (74.7%) and one to two children (65.1%), from those children (84.3%) do not attend day care centers. Family caregivers are characterized by women (97.6%), living with HIV (95.2%), aged from 27-36 years old (50.6%), with high school education (53.0%) and unemployed (65. 1%). The infants were born full-term (71.1%), with no health problems and with no simblings exposed to HIV (60.2%). The opportunities were classified as moderately sparse for infants with less than one year old (23.11) and over one year old (31.45). The significant variable for the spatial opportunity were income (p = 0.007 and p = 0.011). Variety of stimulation showed positive association with having sibling exposed to HIV (p = 0.006 and p = 0.009) and the greater the age of the caregiver (p = 0.019 and p = 0.049) and the child (p = 0.001 and p = 0.001) greater this opportunity. As the income increases (p = 0.008 and p = 0.005) and the age of the child (p = 0.014 and p = 0.005) increases the opportunity of toys with gross motor skills, whereas fine motor skills toys maintained association only with the infant's age (p = 0.050 eps = 0.032). In the regression, the variables associated with the total score were: age of the caregiver (p = 0.004) and of the child (p = 0.003), schooling (p = 0.000) and having a sibling exposed to HIV (p = 0.026). The sociodemographic and clinical variables of the family caregiver and the infant influenced the opportunities of the home for motor development were classified as moderate. These findings enphasize the need to explore the household according to each family in order to provide opportunities in quality and quantity considered excellent. |
publishDate |
2018 |
dc.date.accessioned.fl_str_mv |
2018-09-14T22:05:04Z |
dc.date.available.fl_str_mv |
2018-09-14T22:05:04Z |
dc.date.issued.fl_str_mv |
2018-02-22 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/masterThesis |
format |
masterThesis |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://repositorio.ufsm.br/handle/1/14316 |
url |
http://repositorio.ufsm.br/handle/1/14316 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.cnpq.fl_str_mv |
400400000000 |
dc.relation.confidence.fl_str_mv |
600 |
dc.relation.authority.fl_str_mv |
955f52bc-fa26-4000-9f63-fe6b25fb65c7 661434ad-2b19-4576-99e6-42f9e5f55ba0 9a5b124a-da72-4eb4-ab2c-92decb171095 2560a0c8-df4f-4af5-99ab-a336cecda1af |
dc.rights.driver.fl_str_mv |
Attribution-NonCommercial-NoDerivatives 4.0 International http://creativecommons.org/licenses/by-nc-nd/4.0/ info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Attribution-NonCommercial-NoDerivatives 4.0 International http://creativecommons.org/licenses/by-nc-nd/4.0/ |
eu_rights_str_mv |
openAccess |
dc.publisher.none.fl_str_mv |
Universidade Federal de Santa Maria Centro de Ciências da Saúde |
dc.publisher.program.fl_str_mv |
Programa de Pós-Graduação em Enfermagem |
dc.publisher.initials.fl_str_mv |
UFSM |
dc.publisher.country.fl_str_mv |
Brasil |
dc.publisher.department.fl_str_mv |
Enfermagem |
publisher.none.fl_str_mv |
Universidade Federal de Santa Maria Centro de Ciências da Saúde |
dc.source.none.fl_str_mv |
reponame:Biblioteca Digital de Teses e Dissertações do UFSM instname:Universidade Federal de Santa Maria (UFSM) instacron:UFSM |
instname_str |
Universidade Federal de Santa Maria (UFSM) |
instacron_str |
UFSM |
institution |
UFSM |
reponame_str |
Biblioteca Digital de Teses e Dissertações do UFSM |
collection |
Biblioteca Digital de Teses e Dissertações do UFSM |
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bitstream.checksum.fl_str_mv |
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bitstream.checksumAlgorithm.fl_str_mv |
MD5 MD5 MD5 MD5 MD5 |
repository.name.fl_str_mv |
Biblioteca Digital de Teses e Dissertações do UFSM - Universidade Federal de Santa Maria (UFSM) |
repository.mail.fl_str_mv |
atendimento.sib@ufsm.br||tedebc@gmail.com |
_version_ |
1793240003358228480 |