Avaliação de instrumento específico de dimensionamento e complexidade assistencial para pacientes do Alojamento Conjunto - Um Relato de Experiência

Abstract

INTRODUCTION: The rooming-in unit is crucial for accommodating puerperal women and their newborns, promoting a favorable environment for mother-child interaction. However, the assessment of the degree of dependence of these patients still lacks specific tools. This research aims to compare the Fantinelli and the Binomial Classification Instrument (BCI) scales. OBJECTIVE: To describe the experience of applying two patient classification tools to assess the puerperal/newborn binomial in the rooming-in unit of a University Hospital. METHOD: This was a descriptive study conducted over 10 days in the rooming-in unit. The Fantinelli and IBC scales were applied to puerperae and newborns. Cases where the newborn had been admitted to the NICU or NICU were excluded. Two researchers collected data according to the criteria of each scale, recording the scores in a table and then in a Microsoft Excel spreadsheet. The analysis was carried out taking into account the classification and sizing of the nursing team. RESULTS: 168 binomials were included, of which, according to the Fantinelli scale, 61 were classified as minimal care, 97 as intermediate care and 10 as semi-intensive care. In turn, the ICB scale resulted in 1 semi-intensive, 20 high dependency and 146 intermediate. DISCUSSION: Both scales provided relevant information, but had strengths and weaknesses. The ICB highlights risks to care, while the Fantinelli provides indicators of the patient's general condition. Disagreements between the classifications and the COFEN Resolution suggest prolongation of hospitalization for various clinical reasons. CONCLUSION: The application of the scales provided a detailed overview of the rooming-in unit, which highlights the need for improvements to improve the assessment of the puerperal/newborn binomial. The results suggest the importance of considering specific aspects such as breastfeeding, therapy and obstetric history for more comprehensive and accurate care. These findings provide valuable information for improving nursing care in this context.