Questions of informal caregivers of children regarding the postoperative period of cochlear implant

ABSTRACT Objective: To identify the main questions of informal caregivers of children with hearing impairments on the postoperative care of cochlear implant. Method: Cross-sectional study developed in a public and tertiary hospital of the state of São Paulo, Brazil. The sample consisted of 48 informal caregivers who were monitoring children subjected to cochlear implant. Data collection took place during the preoperative nursing consultation, by structured interview, between September 2016 and July 2017. The questions identified were categorized by similarity. Results: The questions were related to: rest, dressing, feeding, length of stay, system activation time, infection, removal of stitches, bleeding, medicines, immediate sound stimulation, and pain. Conclusion: The prevalent questions were about rest, dressing, and feeding, and identifying them made it possible to plan and implement a nursing care aimed at the caregiver needs, as well as prepare them for care maintenance after hospital discharge.

摘要
研究目的：明确听力障碍儿童的非正式照护者对于人工耳蜗植入（cochlear implant）术后护理的核心疑问。
研究方法：本研究为横断面研究，在巴西圣保罗州的一所公立三级医院开展。研究样本包含48名正在照料接受人工耳蜗植入手术儿童的非正式照护者。数据采集于2016年9月至2017年7月期间，通过结构化访谈在术前护理会诊时完成。所识别出的照护疑问按相似性进行分类。
研究结果：所识别的疑问涉及休息、伤口敷料、喂养、住院时长、植入系统激活时间、感染、拆线、出血、用药、即刻声音刺激及疼痛。
研究结论：占比最高的疑问集中于休息、伤口敷料与喂养相关内容；通过识别此类疑问，可规划并实施贴合照护者需求的护理干预，同时帮助照护者做好出院后持续护理的准备。