Atividades lúdicas realizadas pelos enfermeiros junto à criança com bexiga neurogênica para a educação em Saúde

Abstract

Neurogenic Bladder (BN) refers to voiding disorders caused by neurological disorders in the Central or Peripheral Nervous System; where they cause changes in the patient's voiding patterns, mainly in vesico-sphincter innervations, and in the phases of bladder filling or emptying. Children with this chronic condition may present different demands for care, such as: Technological, Modified Habitual, Medication and Developmental Care, among others. Faced with these multiple demands for care, it is important for nurses to equip these children with care based on playful activities. Objectives: to identify health education activities mediated by recreational activities carried out by nurses with children with neurogenic bladder; to describe how the ludic activities are developed by the nurse with children with neurogenic bladder in the outpatient context, to analyze the facilities and difficulties for carrying out these activities with children with Neurogenic Bladder in the outpatient context. Methodology: qualitative, descriptive and exploratory research developed through a semi-structured interview with 18 nurses. The research was approved by the Research Ethics Committee, under opinion 3,971,136. Data were analyzed using the IRAMUTEQ®️ software. Results: Health education activities are mediated by nurses through playful activities to explain primarily the child with a neurogenic bladder about the procedure for performing intermittent bladder catheterization and care related to visualization and hygiene of the genitalia. To this end, different playful objects are used, such as: dolls, mirrors, hospital and extra-hospital materials, drawings and comics, as well as simulation strategies, and presentation of educational videos. The ludic was pointed out as a facilitating element for the understanding, understanding and safety of the child in carrying out the care, in addition to making the care for the child less traumatic. Among the listed difficulties, the nurses revealed the parents resistance to performing intermittent bladder catheterization in and for their children, the lack of adequacy of some physical spaces, and the reduced number of rooms for child care; the lack of inputs and time on the part of nurses to prepare and carry out recreational activities.Final considerations: it is concluded that nurses in the outpatient context, despite the challenges faced, seek to promote health education by carrying out recreational activities aimed at promoting the quality of life of children with neurogenic bladder.