A Triagem neonatal  auditiva: conhecimento do Pediatra  de Minas Gerais

Detalhes bibliográficos
Ano de defesa: 2009
Autor(a) principal: Ludmila Teixeira Fazito Rezende
Orientador(a): Não Informado pela instituição
Banca de defesa: Não Informado pela instituição
Tipo de documento: Dissertação
Tipo de acesso: Acesso aberto
Idioma: por
Instituição de defesa: Universidade Federal de Minas Gerais
UFMG
Programa de Pós-Graduação: Não Informado pela instituição
Departamento: Não Informado pela instituição
País: Não Informado pela instituição
Palavras-chave em Português:
Link de acesso: http://hdl.handle.net/1843/GMGS-7ZSSM4
Resumo: The main part of the newborn hearing screening programs is the early diagnosis of hearing problems and the appropriate educational intervention. So that the screening programs can be successful, it is unquestionable the participation of pediatricians, because they have an important role in the parents decisions related to their newborn child. This study aimed to the investigation of the pediatricians knowledge about the correct procedures, the used techniques and the early diagnosis of the hearing problems in newborns, besides identifying the possible factors related to their knowledge about the newborn hearing screening and its interfaces in Childs Health. It is a cross-section study, performed by inquiry of 93 pediatricians associated to the Minas Gerais Pediatrics Association and through questionnaires answered by 34 pediatricians who participated in a congress of pediatric otolaryngology in Minas Gerais. The variables that provided information about the pediatricians profiles were: years of graduation, which college the doctor graduated from, type of specialization, place and year of the conclusion of the residency, type of pos-graduation and year of its conclusion, environment of work and where their knowledge of hearing and its problems were taken. The variables that investigated the doctors knowledge about the hearing screening programs and its interfaces were: the knowledge about which is the best age to perform the screening, the hearing diagnose and the use of the hearing equipments, the knowledge of the risk factors to deafness and the identifications of which children must pass through the program, the methods of evaluation available and the best moment to perform the screening, which conduct is more appropriated in cases of altered screening and normal triage, educational interventions available, justification to perform the early diagnosis and the role of the pediatrician in those cases. It was analyzed as well if the pediatrician had the knowledge of the difference between the deaf children diagnosed and treated precociously and children with normal hearing, the age to initiate the speech pathologist therapy and their interest to obtain more information about the subject and which are the best ways to get that information. According to the results obtained, only 47 (37%) of de pediatricians were considered knower of the subject. 98% demonstrate that they have knowledge about the possibility of evaluating hearing before 30 days of life, but do not know to identify which exams are available to this evaluation, and only 59% of them send all of the newborns to the hearing screening. Most of the pediatrician do not know until which age the diagnosis must be concluded and just a few (8%) know that a baby with less than 30 days can use hearing aids. There were no statistics differences between pediatricians who know the subject and those who don´t related to the average of time of graduation (p=0,52), nature of the institution of graduation (0,06), period of conclusion of the residency (p=0,17), kind of pediatrics specialization (p=0,76), nature of their work environment (p=0,10), knowledge of which age is possible to evaluate the babies hearing (p=0,18) and knowledge that all of the children must pass through the hearing screening process (p=0,07). The other variables researched demonstrate differences statistically significant between knowers and unknowers. The results of this study suggest a real necessity to establish a more effective way to divulgate to the pediatricians the advantages of the newborn hearing screening, the techniques available to its realization and, mainly, which conducts are more appropriate to the after screening steps. There were no specific characteristics found in the pediatricians profiles that could improve the fact of being a knower or unknower of the subject. Information about the importance of the screening to the development of the childs oral language and the necessity that all of the children must pass through the screening; tend to be common knowledge of the pediatricians. The other variables analyzed suggest to change the knowledge of the pediatricians, emphasizing the importance of specific orientations about the theme, due to the fact that most of them (63%) were classified as unknowers of the procedures and conducts involving the screening.
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spelling A Triagem neonatal  auditiva: conhecimento do Pediatra  de Minas GeraisTriagem neonatalAuditiçãoPediatriaSurdezDiagnóstico precoceTriagem neonatalEstudos transversaisAudiçãoOtorrinolaringopatiasTomada de decisõesPapel do médicoRecém-nascidoPerda auditivaThe main part of the newborn hearing screening programs is the early diagnosis of hearing problems and the appropriate educational intervention. So that the screening programs can be successful, it is unquestionable the participation of pediatricians, because they have an important role in the parents decisions related to their newborn child. This study aimed to the investigation of the pediatricians knowledge about the correct procedures, the used techniques and the early diagnosis of the hearing problems in newborns, besides identifying the possible factors related to their knowledge about the newborn hearing screening and its interfaces in Childs Health. It is a cross-section study, performed by inquiry of 93 pediatricians associated to the Minas Gerais Pediatrics Association and through questionnaires answered by 34 pediatricians who participated in a congress of pediatric otolaryngology in Minas Gerais. The variables that provided information about the pediatricians profiles were: years of graduation, which college the doctor graduated from, type of specialization, place and year of the conclusion of the residency, type of pos-graduation and year of its conclusion, environment of work and where their knowledge of hearing and its problems were taken. The variables that investigated the doctors knowledge about the hearing screening programs and its interfaces were: the knowledge about which is the best age to perform the screening, the hearing diagnose and the use of the hearing equipments, the knowledge of the risk factors to deafness and the identifications of which children must pass through the program, the methods of evaluation available and the best moment to perform the screening, which conduct is more appropriated in cases of altered screening and normal triage, educational interventions available, justification to perform the early diagnosis and the role of the pediatrician in those cases. It was analyzed as well if the pediatrician had the knowledge of the difference between the deaf children diagnosed and treated precociously and children with normal hearing, the age to initiate the speech pathologist therapy and their interest to obtain more information about the subject and which are the best ways to get that information. According to the results obtained, only 47 (37%) of de pediatricians were considered knower of the subject. 98% demonstrate that they have knowledge about the possibility of evaluating hearing before 30 days of life, but do not know to identify which exams are available to this evaluation, and only 59% of them send all of the newborns to the hearing screening. Most of the pediatrician do not know until which age the diagnosis must be concluded and just a few (8%) know that a baby with less than 30 days can use hearing aids. There were no statistics differences between pediatricians who know the subject and those who don´t related to the average of time of graduation (p=0,52), nature of the institution of graduation (0,06), period of conclusion of the residency (p=0,17), kind of pediatrics specialization (p=0,76), nature of their work environment (p=0,10), knowledge of which age is possible to evaluate the babies hearing (p=0,18) and knowledge that all of the children must pass through the hearing screening process (p=0,07). The other variables researched demonstrate differences statistically significant between knowers and unknowers. The results of this study suggest a real necessity to establish a more effective way to divulgate to the pediatricians the advantages of the newborn hearing screening, the techniques available to its realization and, mainly, which conducts are more appropriate to the after screening steps. There were no specific characteristics found in the pediatricians profiles that could improve the fact of being a knower or unknower of the subject. Information about the importance of the screening to the development of the childs oral language and the necessity that all of the children must pass through the screening; tend to be common knowledge of the pediatricians. The other variables analyzed suggest to change the knowledge of the pediatricians, emphasizing the importance of specific orientations about the theme, due to the fact that most of them (63%) were classified as unknowers of the procedures and conducts involving the screening.O principal papel dos programas de triagem auditiva neonatal é o diagnóstico precoce dos problemas auditivos e a intervenção educacional adequada e em tempo hábil. Para que os programas de triagem sejam bem sucedidos é indiscutível a necessidade da participação dos médicos pediatras, pois exercem importante papel na tomada de decisões dos pais em relação aos seus filhos recém-nascidos. Este estudo objetivou investigar o conhecimento de pediatras sobre os procedimentos adequados e as técnicas utilizadas para a detecção e o diagnóstico precoce dos problemas auditivos em neonatos além de identificar os possíveis fatores relacionados com o conhecimento deles sobre a triagem auditiva neonatal e suas interfaces na área da saúde da criança. Trata-se de um estudo de corte transversal realizado através de inquérito por meio eletrônico com 93 pediatras associados da Sociedade Mineira de Pediatria e através de questionários respondidos por 34 pediatras participantes de um congresso mineiro de otorrinopediatria. As variáveis que forneciam informações sobre o perfil dos pediatras foram: tempo de formado, faculdade que se graduou, tipo de especialidade, local e ano de conclusão da residência, tipo de pós-graduação e ano de conclusão, local de trabalho e onde adquiriu seus conhecimentos sobre audição e sua deficiência. As variáveis que investigavam o conhecimento médico sobre a triagem auditiva e suas interfaces foram: o conhecimento sobre a melhor idade para realizar a triagem auditiva, o diagnóstico audiológico e o uso do aparelho auditivo. Também investigavam o conhecimento dos fatores de risco para surdez e identificação de quais crianças devem, obrigatoriamente, passar pela triagem, os métodos de avaliação disponíveis e melhor momento para realizar a triagem, qual a conduta mais adequada em casos de triagem alterada e triagem normal, intervenções educacionais disponíveis, justificativa para realizar o diagnóstico precoce e o papel do pediatra nesta atuação. Ainda foi pesquisado, se o pediatra possuía conhecimento da equiparação do desenvolvimento da criança surda diagnosticada e tratada precocemente com a criança normal e idade para iniciar terapia fonoaudiológica e o interesse deles em obter maiores informações sobre o assunto e qual a melhor forma de obter tais informações. De acordo com os resultados obtidos apenas 47(37%) dos pediatras foram considerados conhecedores do assunto. 98% demonstram ter conhecimento sobre a possibilidade de se avaliar a audição antes dos 30 dias de vida, mas não sabem identificar quais os exames disponíveis para esta avaliação e apenas 59% deles encaminham todos os recém-nascidos para a triagem. A maioria dos pediatras desconhece até qual idade o diagnóstico deve preferencialmente ser concluído e poucos (8%) sabem que um bebê com menos de 30 dias pode usar aparelhos auditivos. Não houve diferenças estatísticas entre pediatras conhecedores e não conhecedores quanto à média de tempo de formado (p=0,52), natureza da instituição de graduação (p=0,06), período da conclusão da residência (p=0,17), tipo de especialidade pediátrica (p=0,76), natureza do local de trabalho (p=0,10), conhecimento de qual idade é possível avaliar a audição de bebês (p=0,18) e conhecimento de que todas as crianças devem passar pelo rastreamento auditivo (p=0,07). As demais variáveis pesquisadas demonstraram diferenças estatisticamente significativas entre conhecedores e não conhecedores. Os achados deste estudo sugerem uma real necessidade de se estabelecer uma forma mais efetiva de divulgar para os pediatras as vantagens da triagem auditiva neonatal, as técnicas disponíveis para sua realização e principalmente quais as condutas mais adequadas para as etapas pós-triagem. Não foram encontradas características específicas no perfil dos pediatras que pudessem favorecer o fato de ser conhecedor ou não do assunto. Informações sobre a importância da triagem auditiva para o desenvolvimento da linguagem oral da criança e a necessidade de que todas as crianças devam passar pela triagem tendem a ser de conhecimento geral dos pediatras. As outras variáveis analisadas sugerem influenciar no conhecimento dos pediatras enfatizando a importância de orientações específicas sobre o tema, uma vez que a maioria (63%) foi classificada como não conhecedora dos procedimentos e condutas envolvendo a triagem auditiva.Universidade Federal de Minas GeraisUFMGJoel Alves LamounierRicardo Neves GodinhoRicardo Neves GodinhoStela Maris Aguiar LemosSirley Alves da Silva CarvalhoLudmila Teixeira Fazito Rezende2019-08-13T05:12:31Z2019-08-13T05:12:31Z2009-02-10info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisapplication/pdfhttp://hdl.handle.net/1843/GMGS-7ZSSM4info:eu-repo/semantics/openAccessporreponame:Repositório Institucional da UFMGinstname:Universidade Federal de Minas Gerais (UFMG)instacron:UFMG2019-11-15T00:18:15Zoai:repositorio.ufmg.br:1843/GMGS-7ZSSM4Repositório InstitucionalPUBhttps://repositorio.ufmg.br/oairepositorio@ufmg.bropendoar:2019-11-15T00:18:15Repositório Institucional da UFMG - Universidade Federal de Minas Gerais (UFMG)false
dc.title.none.fl_str_mv A Triagem neonatal  auditiva: conhecimento do Pediatra  de Minas Gerais
title A Triagem neonatal  auditiva: conhecimento do Pediatra  de Minas Gerais
spellingShingle A Triagem neonatal  auditiva: conhecimento do Pediatra  de Minas Gerais
Ludmila Teixeira Fazito Rezende
Triagem neonatal
Auditição
Pediatria
Surdez
Diagnóstico precoce
Triagem neonatal
Estudos transversais
Audição
Otorrinolaringopatias
Tomada de decisões
Papel do médico
Recém-nascido
Perda auditiva
title_short A Triagem neonatal  auditiva: conhecimento do Pediatra  de Minas Gerais
title_full A Triagem neonatal  auditiva: conhecimento do Pediatra  de Minas Gerais
title_fullStr A Triagem neonatal  auditiva: conhecimento do Pediatra  de Minas Gerais
title_full_unstemmed A Triagem neonatal  auditiva: conhecimento do Pediatra  de Minas Gerais
title_sort A Triagem neonatal  auditiva: conhecimento do Pediatra  de Minas Gerais
author Ludmila Teixeira Fazito Rezende
author_facet Ludmila Teixeira Fazito Rezende
author_role author
dc.contributor.none.fl_str_mv Joel Alves Lamounier
Ricardo Neves Godinho
Ricardo Neves Godinho
Stela Maris Aguiar Lemos
Sirley Alves da Silva Carvalho
dc.contributor.author.fl_str_mv Ludmila Teixeira Fazito Rezende
dc.subject.por.fl_str_mv Triagem neonatal
Auditição
Pediatria
Surdez
Diagnóstico precoce
Triagem neonatal
Estudos transversais
Audição
Otorrinolaringopatias
Tomada de decisões
Papel do médico
Recém-nascido
Perda auditiva
topic Triagem neonatal
Auditição
Pediatria
Surdez
Diagnóstico precoce
Triagem neonatal
Estudos transversais
Audição
Otorrinolaringopatias
Tomada de decisões
Papel do médico
Recém-nascido
Perda auditiva
description The main part of the newborn hearing screening programs is the early diagnosis of hearing problems and the appropriate educational intervention. So that the screening programs can be successful, it is unquestionable the participation of pediatricians, because they have an important role in the parents decisions related to their newborn child. This study aimed to the investigation of the pediatricians knowledge about the correct procedures, the used techniques and the early diagnosis of the hearing problems in newborns, besides identifying the possible factors related to their knowledge about the newborn hearing screening and its interfaces in Childs Health. It is a cross-section study, performed by inquiry of 93 pediatricians associated to the Minas Gerais Pediatrics Association and through questionnaires answered by 34 pediatricians who participated in a congress of pediatric otolaryngology in Minas Gerais. The variables that provided information about the pediatricians profiles were: years of graduation, which college the doctor graduated from, type of specialization, place and year of the conclusion of the residency, type of pos-graduation and year of its conclusion, environment of work and where their knowledge of hearing and its problems were taken. The variables that investigated the doctors knowledge about the hearing screening programs and its interfaces were: the knowledge about which is the best age to perform the screening, the hearing diagnose and the use of the hearing equipments, the knowledge of the risk factors to deafness and the identifications of which children must pass through the program, the methods of evaluation available and the best moment to perform the screening, which conduct is more appropriated in cases of altered screening and normal triage, educational interventions available, justification to perform the early diagnosis and the role of the pediatrician in those cases. It was analyzed as well if the pediatrician had the knowledge of the difference between the deaf children diagnosed and treated precociously and children with normal hearing, the age to initiate the speech pathologist therapy and their interest to obtain more information about the subject and which are the best ways to get that information. According to the results obtained, only 47 (37%) of de pediatricians were considered knower of the subject. 98% demonstrate that they have knowledge about the possibility of evaluating hearing before 30 days of life, but do not know to identify which exams are available to this evaluation, and only 59% of them send all of the newborns to the hearing screening. Most of the pediatrician do not know until which age the diagnosis must be concluded and just a few (8%) know that a baby with less than 30 days can use hearing aids. There were no statistics differences between pediatricians who know the subject and those who don´t related to the average of time of graduation (p=0,52), nature of the institution of graduation (0,06), period of conclusion of the residency (p=0,17), kind of pediatrics specialization (p=0,76), nature of their work environment (p=0,10), knowledge of which age is possible to evaluate the babies hearing (p=0,18) and knowledge that all of the children must pass through the hearing screening process (p=0,07). The other variables researched demonstrate differences statistically significant between knowers and unknowers. The results of this study suggest a real necessity to establish a more effective way to divulgate to the pediatricians the advantages of the newborn hearing screening, the techniques available to its realization and, mainly, which conducts are more appropriate to the after screening steps. There were no specific characteristics found in the pediatricians profiles that could improve the fact of being a knower or unknower of the subject. Information about the importance of the screening to the development of the childs oral language and the necessity that all of the children must pass through the screening; tend to be common knowledge of the pediatricians. The other variables analyzed suggest to change the knowledge of the pediatricians, emphasizing the importance of specific orientations about the theme, due to the fact that most of them (63%) were classified as unknowers of the procedures and conducts involving the screening.
publishDate 2009
dc.date.none.fl_str_mv 2009-02-10
2019-08-13T05:12:31Z
2019-08-13T05:12:31Z
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UFMG
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UFMG
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