Actuación del enfermero en la atención al niño con trastorno del espectro autista: una revisión integradora
DOI:
https://doi.org/10.9789/2175-5361.rpcfo.v18.14868Palabras clave:
Salud del Niño, Enfermería, Trastorno Autista, RevisiónResumen
Objetivo: identificar la actuación del enfermero en la atención a la salud del niño con Trastorno del Espectro Autista en la Atención Primaria de Salud. Método: revisión integradora de la literatura realizada en las bases de datos National Library of Medicine, EMBASE y Web of Science, con recolección de datos entre junio y noviembre de 2025. Resultados: se identificaron 290 estudios y, tras aplicar los criterios de elegibilidad, se seleccionaron ocho para la muestra final. La mayoría fue publicada en 2024 (37,5%), en Estados Unidos. Predominaron los estudios observacionales (62,5%), con nivel de evidencia V. Los hallazgos revelaron tres ejes de actuación: consultas de puericultura, composición de equipos multiprofesionales y cualificación profesional. Conclusión: los resultados amplían la comprensión del papel de la enfermería en el Trastorno del Espectro Autista y contribuyen a una práctica clínica orientada a las demandas emergentes de esta población.
Descargas
Citas
American Psychiatric Association. Diagnostic and statistical manual of mental disorders: DSM-5. 5th ed. Arlington (VA): American Psychiatric Publishing; 2013. DOI: 10.1176/appi.books.9780890425596.
Costa AA, Almeida MTC, Maia FA, Rezende LF, Saeger VSA, Oliveira SLN, et al. Transtorno do espectro do autismo e o uso materno e paterno de medicamentos, tabaco, álcool e drogas ilícitas. Ciênc Saúde Coletiva. [Internet]. 2024 [acesso em 1 dezembro 2025];29(2):e01942023. Disponível em: https://doi.org/10.1590/1413-81232024292.01942023.
Louwen F, Deuster E, McAuliffe FM, Jacobsson B, Geary M, Fleischman S, et al. Paracetamol (acetaminophen) use during pregnancy and autism risk: evidence does not support causal association. Int J Gynaecol Obstet. [Internet]. 2025 [cited 2025 Dec 2];171(3):e70577. Available from: https://doi.org/10.1002/ijgo.70577.
Centers for Disease Control and Prevention. Community report of autism 2021 [Internet]. Atlanta: Centers for Disease Control and Prevention; 2021 [acesso em 28 agosto 2025]. Disponível em: https://www.cdc.gov/autism/media/pdfs/addm-community-autism-report-12-2-021_final-h.pdf.
Ostrowski J, Religioni U, Gellert B, Sytnik-Czetwertyński J, Pinkas J. Autism spectrum disorders: etiology, epidemiology, and challenges for public health. Med Sci Monit. [Internet]. 2024 [cited 2025 Sep 1];30:e944161. Available from: https://doi.org/10.12659/MSM.944161.
Spies MF, Gasparotto GS. Production of knowledge about motor development and autistic spectrum disorder: a bibliometric review. Rev Bras Educ Espec. [Internet]. 2023 [cited 2025 Sep 5];29:e0013. Available from: https://doi.org/10.1590/1980-54702023v29e0013.
Fears NE, Palmer SA, Miller HL. Motor skills predict adaptive behavior in autistic children and adolescents. Autism Res. [Internet]. 2022 [cited 2025 Sep 18];15(6). Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC9167704/.
Scamati V, Cantorani JRH, Picinin CT. Os desafios na aprendizagem de indivíduos com transtorno do espectro autista (TEA): uma revisão. Rev Bras Terap Cognit Comport. [Internet]. 2025 [acesso em 19 setembro 2025];33(3):e04453. Disponível em: https://doi.org/10.1590/S0104-40362025003304453.
Hage SVR, Sawasaki LY, Hyter Y, Fernandes FDM. Social communication and pragmatic skills of children with autism spectrum disorder and developmental language disorder. CoDAS. [Internet]. 2021 [cited 2025 Sep 28];34(2):e20210075. Available from: https://doi.org/10.1590/2317-1782/20212021075.
Mirzakhania N, Asadzandib S, Ahmadib MS, Saeic S, Pashmdarfard M. The effect of Son-Rise and Floor-Time programs on social interaction skills and stereotyped behaviors of children with autism spectrum disorders: a clinical trial. Cad Bras Ter Ocup. [Internet]. 2022 [cited 2025 Oct 4];30:e248732532. Available from: https://doi.org/10.1590/2526-8910.ctoAO248732532.
Ministério da Saúde. Caderneta da criança menina: passaporte da cidadania [Internet]. 7. ed. Brasília: Ministério da Saúde; 2024 [acesso em 1 novembro 2025]. Disponível em: https://bvsms.saude.gov.br/bvs/publicacoes/caderneta_crianca_menina_passaporte_cidadania_7ed.pdf.
Robins DL, Fein D, Barton ML, Green JA. The Modified Checklist for Autism in Toddlers: an initial study investigating the early detection of autism and pervasive developmental disorders. J Autism Dev Disord. [Internet]. 2001 [cited 2025 Sep 28];31(2). Available from: https://pubmed.ncbi.nlm.nih.gov/11450812/.
Losapio MF, Pondé MP. Tradução para o português da escala M-CHAT para rastreamento precoce de autismo. Rev Psiquiatr RS. [Internet]. 2008 [acesso em 14 novembro 2025];30(3). Disponível em: https://www.scielo.br/j/rprs/a/fJsx7JhDNbjswLKPZ7Td69J/.
Alabdulaziz HM, Alghamdi SA, Aladwani AM, Alharthi RA, Almadani LK, Niyazi KA, et al. Assessment of knowledge and attitudes toward children with autism spectrum disorder among undergraduate nursing students. Cureus. [Internet]. 2024 [cited 2025 Oct 28];16(3):e55829. Available from: https://doi.org/10.7759/cureus.55829.
Hopia H, Latvala E, Liimatainen L. Reviewing the methodology of an integrative review. Scand J Caring Sci. [Internet]. 2016 [cited 2025 Nov 6];30(4). Available from: https://doi.org/10.1111/scs.12327.
Page MJ, Moher D, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. PRISMA 2020 explanation and elaboration: updated guidance and exemplars for reporting systematic reviews. BMJ Open. [Internet]. 2021 [cited 2025 Sep 9];372(1):n160. Available from: https://doi.org/10.1136/bmj.n160.
Grosvenor LP, Croen LA, Lynch FL, Marafino BJ, Maye M, Penfold RB, et al. Autism diagnosis among US children and adults, 2011-2022. JAMA Netw Open. [Internet]. 2024 [cited 2025 Nov 6];7(10):e442218. Available from: https://doi.org/10.1001/jamanetworkopen.2024.42218.
Polit D, Beck C. Lippincott Course Point Enhanced for Polit’s Essentials of Nursing Research. 10th ed. Philadelphia: Wolters Kluwer Health; 2021.
Oliveira ARP, Silva LF, Souza TV, Góes FGB, Moraes JRMM. Participação de enfermeiros na detecção de sinais de autismo infantil em cuidados primários de saúde. Rev Bras Enferm. [Internet]. 2025 [acesso em 18 novembro 2025];78(1):e20230530. Disponível em: https://doi.org/10.1590/0034-7167-2023-0530.
Zheng RM, Chan SP, Law EC, Chong SC, Aishworiya R. Validity and feasibility of using the Modified Checklist for Autism in Toddlers, Revised with Follow-Up (M-CHAT-R/F) in primary care clinics in Singapore. Autism. [Internet]. 2024 [cited 2025 Aug 30];28(7). Available from: https://doi.org/10.1177/13623613231205748.
O'Hara PT, Cabrejo PT, Earland TV. Early detection of neurodevelopmental disorders in paediatric primary care: a scoping review. Fam Pract. [Internet]. 2024 [cited 2025 Oct 9];41(6). Available from: https://doi.org/10.1093/fampra/cmad072.
Beauvois L, Kverno K. Desafios no tratamento de crianças com transtorno do espectro autista: implicações para enfermeiros psiquiátricos e especialistas em saúde mental. J Psychiatr Nurs Ment Health Serv. [Internet]. 2020 [acesso em 28 outubro 2025];58(12). Disponível em: https://doi.org/10.3928/02793695-20201112-02.
Giaretta NM, Trufeli SP, Alckmin-Carvalho F, Teixeira MCTV. Implementation of M-CHAT for screening of early signs of autism in the Brazilian health care system: a feasibility study. Nurs Rep. [Internet]. 2025 [cited 2025 Nov 19];15(4). Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC12029837/.
Mathews TL, Klepper CN, Roberts HJ, Paff ML, Mullarkey JP, Jordan P. Screening for pediatric behavioral health in primary care in rural and urban clinics. Fam Syst Health. [Internet]. 2023 [cited 2025 Nov 14];41(1). Available from: https://pubmed.ncbi.nlm.nih.gov/35653739/.
Cashin A, Pracilio A, Buckley T, Morphet J, Kersten M, Trollor JN, et al. A cross-practice context exploration of nursing preparedness and comfort to care for people with intellectual disability and autism. J Clin Nurs. [Internet]. 2021 [cited 2025 Nov 19];30(24). Available from: https://pubmed.ncbi.nlm.nih.gov/34787352/.
Gore K, Gilbert M, Hawk M, Barbaro J. Investigating autism knowledge, self-efficacy, and confidence following maternal and child health nurse training for the early identification of autism. Front Neurol. [Internet]. 2024 [cited 2025 Nov 18];21(1). Available from: https://doi.org/10.3389/fneur.2023.1201292.
Albenaz ALG, Couto MCV. A puericultura no SUS: o cuidado da criança na perspectiva da atenção integral à saúde. Saúde Debate. [Internet]. 2022 [acesso em 14 novembro 2025];46:e519. Disponível em: https://doi.org/10.1590/0103-11042022E519.
Santos LCL, Bastos MA, Oliveira IA. A enfermagem na identificação precoce dos sinais de autismo nas consultas de puericultura: uma revisão sistematizada da literatura. Rev Multidisc Integr. [Internet]. 2025 [acesso em 28 setembro 2025];6(1). Disponível em: https://doi.org/10.61164/pdwr9w67.
Vieira DS, Santos NCCB, Nascimento JA, Collet N, Toso BRGO, Reichert APS. A prática do enfermeiro na consulta de puericultura na estratégia saúde da família. Texto Contexto Enferm. [Internet]. 2018 [acesso em 29 setembro 2025];27(4):e4890017. Disponível em: https://doi.org/10.1590/0104-07072018004890017.
Pereira JG, Oliveira MA. Autonomia da enfermeira na atenção primária: das práticas colaborativas à prática avançada. Acta Paul Enferm. [Internet]. 2018 [acesso em 26 setembro 2025];31(6). Disponível em: https://doi.org/10.1590/1982-0194201800086.
Almeida VC, Lopes MVO, Damasceno MM. Teoria das relações interpessoais de Peplau: análise fundamentada em Barnaum. Rev Esc Enferm USP. [Internet]. 2005 [acesso em 16 novembro 2025];39(2). Disponível em: https://doi.org/10.1590/S0080-62342005000200011.
Han YL, Sulaiman WSW, Badayai ARA, Abdullah W. Validating the Malaysian modified checklist for autism in toddlers, revised with follow-up (M-CHAT-R/F): a cross-cultural adaptation. Front Child Adolesc Psychiatry. [Internet]. 2023 [cited 2025 Sep 24];2. Available from: https://doi.org/10.3389/frcha.2023.1221933.
Cordeiro RN, Alves SFS, Ribeiro NSN. The role of the nursing professional in care for children with autistic spectrum. Rev Foco. [Internet]. 2024 [cited 2025 Oct 30];17(2). Available from: https://doi.org/10.54751/revistafoco.v17n2-002.
Ehsan K, Sultan K, Fatima A, Sheraz M, Chuah TC. Early detection of autism spectrum disorder through automated machine learning. Diagnostics. [Internet]. 2025 [cited 2025 Nov 9];15(15). Available from: https://doi.org/10.3390/diagnostics15151859.
Beuker KT, Schjølberg S, Lie KK, Swinkels S, Rommelse NNJ, Buitelaar JK. ESAT and M-CHAT as screening instruments for autism spectrum disorders at 18 months in the general population: issues of overlap and association with clinical referrals. Eur Child Adolesc Psychiatry. [Internet]. 2014 [cited 2025 Oct 27];23(11). Available from: https://link.springer.com/article/10.1007/s00787-014-0561-8.
Bates SM, Lina J, Allenc LN, Wrighta M, Kidda M. Can multidisciplinary teams improve the quality of primary care? A scoping review. eClinicalMedicine. [Internet]. 2025 [cited 2025 Oct 29];88(1):e103497. Available from: https://doi.org/10.1016/j.eclinm.2025.103497.
Bhargava A, Ashwin C. Barriers and facilitators towards an autism diagnosis for females within healthcare: a thematic analysis of interviews with UK healthcare professionals. Res Autism Spectr Disord. [Internet]. 2025 [cited 2025 Oct 29];121(1):e202547. Available from: https://doi.org/10.1016/j.rasd.2025.202547.
Junnarkar VS, Tong HJ, Hanna KMB, Aishworiya R, Duggal M. Occupational and speech therapists' perceptions of their role in dental care for children with autism spectrum disorder: a qualitative exploration. Int J Paediatr Dent. [Internet]. 2022 [cited 2025 Oct 29];32(3). Available from: https://doi.org/10.1111/ipd.13009.
Jerônimo TGZ, Mazzaia MC, Viana JM, Chistofolini DM. Nurses’ care to children and adolescents with autism spectrum disorder. Acta Paul Enferm. [Internet]. 2023 [cited 2025 Oct 20];36(1). Available from: https://www.scielo.br/j/ape/a/3KwWvQnjR76F3Ddwm53BVRm/.
Díaz-Agea JL, Macías-Martínez N, Leal-Costa C, Girón-Poves G, García-Méndez JA, Jiménez-Ruíz I. What can be improved in learning to care for people with autism? A qualitative study based on clinical nursing simulation. Nurse Educ Pract. [Internet]. 2022 [cited 2025 Nov 10];65(1). Available from: https://pubmed.ncbi.nlm.nih.gov/36334521/.
Descargas
Publicado
Cómo citar
Número
Sección
Licencia
Derechos de autor 2026 Revista de Pesquisa Cuidado é Fundamental Online

Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial-CompartirIgual 4.0.
TERMO DE TRANSFERÊNCIA DE DIREITOS AUTORAIS
Transfiro os direitos autorais deste artigo para a Revista de Pesquisa Cuidado é Fundamental - Online - RPCF, assim que ele for aceito para a devida publicação eletrônica. Os direitos de autor incluem o direito de reproduzir na íntegra ou em parte por qualquer meio, distribuir o referido artigo, incluindo figuras, fotografias, bem como as eventuais traduções. O autor pode ainda, imprimir e distribuir cópias do seu artigo, desde que mencione que os direitos pertencem a RPCF. Declaro que este manuscrito é original, não tendo sido submetido à publicação, na íntegra ou em partes para outros periódicos online ou não, assim cmmo em Anais de eventos científicos ou capítulos de livros.













