Palavras-chave
Icterícia-Neonatal
Recém-Nascido
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Resumo
Objetivo: Identificar as barreiras e os facilitadores relacionados à fototerapia domiciliar na hiperbilirrubinemia neonatal, segundo a percepção de pais e profissionais de saúde. Métodos: Trata-se de uma revisão integrativa, realizada nas bases de dados PubMed, Scopus, Web of Science e EMBASE, por meio dos seguintes descritores: “neonatal hyperbilirubinemia”, “hyperbilirubinem”, “jaundice”, “phototherap”, “lighttherap”, “home care”, “home setting”, “parents”, “caregivers” e “health personnel”. Foram incluídos estudos publicados entre 2020 a 2025 que abordassem barreiras ou facilitadores da fototerapia domiciliar. Resultados: A amostra final consistiu em 08 artigos. A maioria dos estudos foi conduzida em países de alta renda, como Reino Unido, Austrália, Países Baixos, Suécia e Itália. Predominaram estudos qualitativos e descritivos. As barreiras identificadas na fototerapia domiciliar incluíram dificuldades no manejo dos dispositivos, limitações na monitorização clínica domiciliar, lacunas de capacitação multiprofissional, ausência de mecanismos de reembolso e insegurança parental. Como facilitadores, destacaram-se o cuidado centrado na família, o conforto do domicílio, a satisfação parental, a autoeficácia dos profissionais e a redução da sobrecarga hospitalar. Considerações finais: A fototerapia domiciliar apresenta potencial para ampliação do cuidado neonatal, desde que sejam enfrentadas barreiras organizacionais, profissionais e parentais, com fortalecimento do suporte familiar e da estrutura dos serviços de saúde.
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