Objetivo: determinar a sobrecarga do cuidado e sua associação com a rede de apoio social e estresse emocional do cuidador principal do idoso atendido no serviço de atenção domiciliar.Metodologia: estudo quantitativo e analítico realizado com 94 idosos e seus respectivos cuidadores. Quanto à coleta de dados, para o idoso foram utilizados os instrumentos deperfil sociodemográfico e morbidades, Mini Exame do Estado Mental, índice de Katz, escala de Lawton e Brody; e para o cuidador, o instrumento de perfil sociodemográfico, escala de sobrecarga de Zarit, Self-Reporting Questionnaire e instrumento de medida da rede e apoio social.Resultados: verificou-se predomínio de idosos do sexo feminino, idade superior a 80 anos, casados e com escolaridade de 1 a 4 anos. Os cuidadores principais são do sexo feminino,menores de 60 anos, casados, escolaridade de 9 a 12 anos; a maioria era filha do idoso e viviam com ele. Observouse uma associação entre a sobrecarga do cuidador e a dependência do idoso para as atividades instrumentais da vida diária, o estresse emocional e o domínio “interação social”.Conclusão: cuidar de idosos pode gerar sobrecarga quando o cuidador principal está sob estresse, não possui uma rede social de apoio e o idoso é dependente, portanto, o profissionalprecisa traçar um plano de cuidados para o binômio idoso-família.
Objective:To evaluate the confidence level of nurses in nursing care in urinary retention before and after low-fidelity simulation training. Method: This was a quasi-experimental study carried out among nurses stationed in municipal care units in the interior of São Paulo State. Data were collected during the course of a pedagogical workshop that used low-fidelity simulation training. Results: The study included 42 nurses, mostly female with over 15 years of experience. After low-fidelity simulation training, nurses showed a significant increase (p<0.05) in confidence related to nursing care in urinary retention. The lowest self-attributed scores during the activity were related to the objective assessment of urinary retention. Conclusion: Low-fidelity simulated training is an effective resource for the development of nurses with respect to nursing care in urinary retention. DESCRIPTORS Simulation;Teaching; Education, Nursing; Urinary Retention; Urinary Catheterization. Urinary retention: implications of low-fidelity simulation training on the self-confidence of nursesRetenção urinária: implicações do treino simulado de baixa fidelidade na autoconfiança do enfermeiro Retención urinaria: implicaciones del entrenamiento simulado de baja fidelidad en la autoconfianza del enfermero
Objectives: To describe the sociodemographic and clinical characteristics of patients under home care in a health district of Ribeirao Preto and to determine their risks for pressure ulcers, the use of preventive measures, and prevalence and characteristics of pressure ulcers. Methods: This was a descriptive cross-sectional study with 47 patients. Results: The age of the participants ranged from 21 to 91 years. The majority of them was whites (85%), elderly (76.6%), dependent of caregivers (91.5%), and were at risk for pressure ulcers (70.2%). There was 19.1% of prevalence of pressure ulcers. There were 17 pressure ulcers, in which 35.3% were at stage I and 29.4% were at stage IV. The trochanter of the femur (29.4%) and calcaneous (23.5%) were the anatomic regions that pressure ulcers occurred more often. The majority of patients did not use measures for preventing pressure ulcers. Conclusion: Since the majority of patients were at risk for pressure ulcers, there is a need for educational interventions to patients and home care services. Key Words: Pressure Ulcers; Prevention and Control; Home Care; Prevalence RESUMOObjetivos: Investigar as características sociodemográficas e clínicas e o risco para desenvolvimento de úlcera por pressão (UPP) em pacientes sob assistência domiciliária em um Distrito de Saúde de Ribeirão Preto, assim como a prevalência e características das úlceras, uso e adequação das medidas utilizadas para prevenção. Métodos: Estudo descritivo, transversal, abordagem quantitativa. Resultados: Foram avaliados 47 pacientes, com idades entre 21 e 91 anos; a maior frequência foi de idosos (76,6%), brancos (85%) e dependentes de cuidadores (91,5%). Trinta e três pacientes (70,2%) apresentavam risco para úlcera por pressão, sendo que a prevalência foi 19,1%, tendo sido identificadas 17 úlceras (35,3% e 29,4% nos estágios I e IV, respectivamente). As regiões anatômicas com maior frequência foram trocânter do fêmur (29,4%) e calcâneo (23,5%). Medidas básicas para prevenção não foram utilizados em sua maioria pelos pacientes. Conclusões: Considerando que a maior parte das pessoas apresentava risco para úlceras, identificou-se a necessidade de intervenção educacional junto a esta população e aos serviços de saúde. Descritores: Úlcera por pressão/prevenção e controle; Assistência domiciliar; Prevalência. RESUMENObjetivos: Investigar las características sociodemográficas y clínicas y el riesgo de desarrollar úlcera por presión (UPP) en pacientes bajo asistencia en el domicilio en un Distrito de Salud de Ribeirao Preto; también estudiar la incidencia y características de las úlceras, el uso y adecuación de las medidas utilizadas para la prevención. Métodos: estudio descriptivo, transversal, de abordaje cuantitativo. Resultados: fueron evaluados 47 pacientes, con edades entre 21 y 91 años; la mayor frecuencia fue de ancianos (76,6%), blancos (85%) y dependientes de cuidadores (91,5%). Treinta y tres pacientes (70,2%) presentaban riesgo para úlcera por presión, siendo que la incidencia fue 19,1%, habi...
The occurrence of pressure ulcers (PU) in patients seen at health services is a significant issue for the individuals as well as for their families and institutions across the world. Patients with restricted mobility are those at the highest risk. Home care should contribute with humanized care in health promotion and disease prevention, as well as with the process of instructing and following home caregivers in their meeting the needs of patients with chronic conditions subject to complications like pressure ulcers. The objectives of this descriptive quantitative study were to identify the sociodemographic and clinical characteristics of home care patients in a health district, as well as their risk score for PU according to the Braden scale; the prevalence of patients with PU; the characteristics of the wound, and the measures used for prevention and treatment. The population consisted of 47 patients, with 76.7% in the age range of 60 to 80 years, 51% were women, 42.5% were married, and 85% were white. Most patients had incomplete fundamental studies, 48.9% received between 3 and 5 minimum salaries, and 91.5% were dependent on their caregivers. The most common morbidities were circulatory system (63.8%) and nervous system (48.9%) diseases. The mobility of 48.9% of patients was restricted due to the disease itself. The average score on the Braden Scale was 17 (minimum 10 and maximum 23), and the elderly had the lowest scores. Nine patients had PU (19.1% prevalence). The most frequent anatomic location was the femur trochanter region (29.4%) and the calcaneus (23.5%). In terms of PU classification, the higher percentage (35.3%) found was in stage I, and 29.4% in stage IV. As for wound time, 58.8% of PU had appeared four months before. In terms of the wounds' dimension, over 40% were bigger than 8 cm 2. Regarding the characteristics of the wound beds, 11 presented signs of healing, and six presented slough or necrosis. Although 70% of the population were at risk of PU, the majority did not use any basic PU prevention measures. As for treatment, 29.4% stated using ointments with antibiotics, which is unnecessary and contraindicated. Other 35.3% reported using industrialized dressings, and products without any evidence were used on four ulcers, like hipoglós®, peanut oil, and talc. The characteristics of each patient with PU, like age, referred morbidity and score on the Braden Scale make clear that the factors act synergistically toward the development of the wound. In addition, this shows that measures that could reduce the impact from the excessive pressure, like reducing the time in the same position and using an appropriate mattress were not frequently used. The articulation between health care levels is essential for this population in order to make integral and continuous health care possible. Constructing support networks between families, the community, and services could facilitate solving the identified problems.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.