Abstract

OLIVEIRA, Fabiana Pereira Sabino de; FERREIRA, Eleonora Arnaud Pereira; NOVAES, Vera Ribeiro  and  LIMA, Jeisiane dos Santos. Analysis of the behavior of children victims of burnings during surgical dressing without anesthetical drugs in infirmary. Rev. bras. crescimento desenvolv. hum. [online]. 2009, vol.19, n.3, pp. 369-382. ISSN 0104-1282.

The aversive nature of many medical procedures is widely available in the literature. These procedures are considered as potential stressors, especially in pediatric patients affected by burns. Burning is a highly aversive experience for the child. Associated with it are the negative effects to the proper development of children resulting from hospitalization and invasive medical procedures used in treatment. Child victims of burns are constantly exposed to procedures such as dressings, physiotherapy, which are regarded as extremely aversive and related to treatment. This study aimed to analyse behaviors of children suffering burns during dressing procedure performed without sedation in the ward. Attended six children aged between six and twelve years. Used: (a) roadmap for semi-structured questions on sociodemographic data and questions relating to the accident which caused the burn, and (b) scale of behavioral observation (Observation Scale of Behavioral Distress [OSDB]). The results indicate that all children had a higher frequency of behaviors competitors to 80%, as opposed to non-competitive behavior. There was a higher prevalence of behavioral categories: protesting (43%), behave nervously (24%) and crying (20%). Among the categories of not competitor behavior, those which had the greatest frequency were: talking (37.5%) and answering (25%). Thus, invasive medical procedures require interventions aimed at reducing the suffering of children..

Keywords : child victims of burns; pediatric psychology; observational scale of distress behavior; direct observation of behavior.

        · abstract in Portuguese     · text in Portuguese     · Portuguese ( pdf )