Percepciones y prácticas de autocuidado de niños y adolescentes con osteogénesis imperfecta

estudio cualitativo

Autores/as

Palabras clave:

Enfermería Pediátrica, Niño, Adolescente, Osteogénesis Imperfecta, Autocuidado

Resumen

Objetivo: Comprender la percepción y las prácticas de autocuidado entre niños y adolescentes con osteogénesis imperfecta.

Método: Estudio cualitativo y descriptivo, realizado con 14 niños y adolescentes de un hospital público de referencia en Brasília, entre agosto de 2024 y junio de 2025, utilizando la Dinámica de Creatividad y Sensibilidad-Cuerpo-Saber y el análisis temático.

Resultados: El análisis temático reveló tres categorías: (1) actividades que promueven el autocuidado y la participación; (2) fracturas recurrentes y limitaciones funcionales; y (3) actividades que sustentan el autocuidado.

Consideraciones finales: Aun ante las restricciones impuestas por la enfermedad, los niños relatan estrategias de protección, manejo del dolor, adaptaciones en el entorno y organización de las actividades para reducir riesgos y preservar la autonomía y el bienestar.

Biografía del autor/a

Tayane de Jesus Resende, Universidad de Brasilia, Brasilia, DF, Brasil.

Enfermera. Residente de Enfermería Cardiovascular, Universidad de Brasilia, Brasilia, DF, Brasil.

Lara Mabelle Milfont Boeckmann, Universidad de Brasilia, Brasilia, DF, Brasil.

Enfermera. Doctora en Enfermería, Profesora de la Universidad de Brasilia, Brasilia, DF, Brasil.

Fabíola Mara Gonçalves de Siqueira Amaral, Universidad de Brasilia, Brasilia, DF, Brasil.

Enfermera. Candidata a Doctor en Enfermería, Profesora de la Universidad de Brasilia, Brasilia, DF, Brasil.

Luciene Rodrigues Barbosa, Universidad de Pernambuco, Pernambuco, PE, Brasil.

Enfermera. Doctora en Ciencias, Profesora de la Universidad de Pernambuco, Pernambuco, PE, Brasil.

Rita de Cassia Melão de Morais, Universidade de Brasília

Enfermera. Doctora en Enfermería, Profesora de la Universidad de Brasilia, Brasilia, DF, Brasil.

Citas

1. Ward LM, Rauch F, Travers R, Chabot G, Azouz EM, Lalic L, et al. Osteogenesis imperfecta type VII: an autosomal recessive form of brittle bone disease. Bone [Internet]. 2002 [cited 2025 Nov 3];31(1):12-8. Available from: https://doi.org/10.1016/S8756-3282(02)00790-1

2. Nijhuis W, Verhoef M, Van Bergen C, Weianns H, Sakkers R. Fractures in osteogenesis imperfecta: pathogenesis, treatment, rehabilitation and prevention. Children (Basel) [Internet]. 2022 [cited 2025 Nov 3];9(2):268. Available from: https://doi.org/10.3390/children9020268

3. Madhuri V, Ramesh S, Goos A, Paul TV, Kesava SN, Mathews V, et al. Evaluation of safety and efficacy of multiple intravenous and intraosseous doses of foetal liver-derived mesenchymal stem cells in children with severe osteogenesis imperfecta. Bone Jt Open [Internet]. 2025 [cited 2025 Nov 13];24;6(3):361-372. Available from: https://doi.org/10.1302/2633-1462.63.BJO-2024-0115.R1

4. Santana RC, da Silva LF. Health information needs of school-age children with sickle cell anemia for self-care: a qualitative descriptive study. Online Braz J Nurs. [Internet] 2025; [cited 2025 Nov 13];24(1):e20256875. Available from: https://doi.org/10.17665/1676-4285.20256875

5. Santana RC, da Silva LF, da Gama PSM, Nascimento LCN, da Silveira ALD, de Moraes JRMM. Educational technologies for the self-care of children with sickle cell anemia: an integrative review. Cogitare Enferm [Internet]. 2024 [cited 2026 May 19];29:e96369. Available from: https://doi.org/10.1590/ce.v29i0.96369

6. da Silva PO, de Carvalho LLS, Tunger NTM, da Silva QF, de Oliveira ES, Marta CB. A Enfermagem na autogestão de cuidados em contextos de doenças crônicas não transmissíveis e vulnerabilidade socioeconômica. Rev Educ Meio Amb Saúde [Internet]. 2025 [cited 2025 Oct 30];15:1-2. Available from: https://remas.faculdadedofuturo.edu.br/remas/article/view/62

7. Souza VRS, Marziale MHP, Silva GTR, Nascimento PL. Translation and validation into Brazilian Portuguese and assessment of the COREQ checklist. Acta Paul Enferm [Internet]. 2021; [cited 2025 May 3];34:eAPE02631. Available from: http://dx.doi.org/10.37689/acta-ape/2021AO02631

8. de Moura CO, Silva ÍR, da Silva TP, Santos KA, Crespo MDCA, da Silva MMD. Methodological path to reach the degree of saturation in qualitative research: grounded theory. Rev Bras Enferm [Internet]. 2021 [cited 2025 May 15];75(2):e20201379. Available from: https://doi.org/10.1590/0034-7167-2020-1379

9. Alvim NAT, Ferreira MA, Cabral IE, de Almeida Filho AJ. The use of medicinal plants as a therapeutical resource: from the influences of the professional formation to the ethical and legal implications of its applicability as an extension of nursing care practice. Rev Latino-Am Enferm [Internet]. 2006 [cited 2025 May 15];14(3):316-23. Available from: https://doi.org/10.1590/S0104-11692006000300003

10. Cabral IE. Aliança de saberes no cuidado e estimulação da criança-bebê: concepções de estudantes e mães no espaço acadêmico de enfermagem. Rio de Janeiro (RJ): Editora da Escola de Enfermagem Anna Nery; 1999. 210 p.

11. Minayo MCS. Técnicas de análise do material qualitativo. In: Minayo MCS. O desafio do conhecimento: pesquisa qualitativa em saúde. 14a ed. São Paulo: Hucitec; Rio de Janeiro: ABRASCO; 2014. p. 315-318.

12. Panzaru MC, Florea A, Caba L, Gorduza EV. Classification of osteogenesis imperfecta: Importance for prophylaxis and genetic counseling. World J Clin Cases. [Internet]. 2023 [cited 2025 Mar 27];11(12):2604-20. Available from: https://doi.org/10.12998/wjcc.v11.i12.2604

13. Martini CAN, Weigert CS, Stiegemaier ACB, Ferreira APRB, Gonçalves EL, Valle SF. Use of the SARC-F score as an aid in fragility fractures prevention. Rev Bras Ortop [Internet]. 2023 [cited 2025 Mar 27];58(1):157-63. Available from: https://doi.org/10.1055/s-0042-1756328

14. Cyriaco ABE, Benedito NAS, de Souza DM, Anacleto ASCB, Maia EB. The perspective of the hospitalized school-aged child on the sharing of information by healthcare professionals. Compr Child Adoles Nurs [Internet]. 2025 [cited 2025 Oct 27];48(3):123-38. Available from: https://doi.org/10.1080/24694193.2025.2509553

15. Fernandes ACN, Félix TM. Evaluation of functioning and associated factors in children and adolescents with osteogenesis imperfecta. Rev Paul Pediatr [Internet]. 2025 [cited 2025 Mar 27];43:e2023193. Available from: https://doi.org/10.1590/1984-0462/2025/43/2023193

16. Sociedade Brasileira de Pediatria. Como otimizar a ingestão de cálcio e o ganho de massa óssea em adolescentes [Internet]. SBP: Guia Prático de Atualização; 2017 [cited 2025 Oct 27];5. Available from: https://portaldeboaspraticas.iff.fiocruz.br/biblioteca/como-otimizar-a-ingestao-de-calcio-e-o-ganho-de-massa-ossea-em-adolescentes/

17. Tosta LRO, Serralha CA. Experiences of family members in caring for children hospitalized with complex chronic conditions. Psicol Estud. [Internet]. 2025; [cited 2026 May 20];30:e57582. Available from: https://doi.org/10.4025/psicolestud.v30i0.60868

18. Riegel B, Jaarsma T, Strömberg A. An update to the middle-range theory of self-care of chronic illness. Adv Nurs Sci [Internet]. 2026 [cited 2026 May 20];49(1):14-25. Available from: https://doi.org/10.1097/ans.0000000000000594

19. Spitaletta G, Biagioli V, Greco F, Mascolo R, Liburdi A, Manzi G, et al. Self-care in children and young people with complex chronic conditions: a qualitative study using Emotional Text Mining. Front Pediatr [Internet]. 2023 [cited 2026 May 20];11:1170268. Available from: https://doi.org/10.3389/fped.2023.1170268

20. Schneider M, Falkenberg I, Berger P. Parent-child play and the emergence of externalizing and internalizing behavior problems in childhood: a systematic review. Front Psychol [Internet]. 2022 [cited 2026 May 20];13:822394. Available from: https://doi.org/10.3389/fpsyg.2022.822394

21. Prins J, van der Wilt F, van der Veen C, Hovinga D. Nature play in early childhood education: a systematic review and meta-ethnography of qualitative research. Front Psychol [Internet]. 2022 [cited 2026 May 20];13:995164. Available from: https://doi.org/10.3389/fpsyg.2022.995164

22. Mello MA. Conceptual and pedagogical differences between the terms “brincadeira” and “game” in Brazil. Educ Rev [Internet]. 2023 [cited 2026 May 20];39:e26672. Available from: https://doi.org/10.1590/0102-4698368536641t

23. Liu L, Wang J. From Family socioeconomic status to adolescent mass-participation team sports capital: mediating roles of adolescents’ economic, cultural, and social capitals in the sports field. Sport, Education and Society, Nursing [Internet]. 2026 [cited 2025 Oct 27];1-16. Available from: https://doi.org/10.1080/13573322.2026.2618745

24. Song Y, Shi C. Association between sports participation and overall health in children and adolescents. Complement Ther Clin Pract [Internet]. 2023 [cited 2025 Oct 27];51:101718. Available from: https://doi.org/10.1016/j.ctcp.2022.101718

25. Andreato ÁMO, Neves ET, dos Santos MR, Marcheti MA, Misko MD. The school environment in the experience of children with special health needs: a qualitative study. Rev Esc Enferm USP [Internet]. 2025 [cited 2025 May 03]27;58:e20240215. Available from: https://revistas.usp.br/reeusp/pt_BR/article/view/247732

Publicado

2026-09-17

Cómo citar

Resende, T. de J., Boeckmann, L. M. M., Amaral, F. M. G. de S., Barbosa, L. R., & de Morais, R. de C. M. (2026). Percepciones y prácticas de autocuidado de niños y adolescentes con osteogénesis imperfecta: estudio cualitativo. Cogitare Enfermagem, 31. Recuperado a partir de https://revistas.ufpr.br/cogitare/article/view/102641

Número

Sección

Artículo Original