Care path of person with stroke: from onset to rehabilitation

Abstract

Objective: to describe the care path of the person with stroke goes through and to identify the important events in this path. Method: qualitative descriptive exploratory research, using the semi-structured interview technique based on Meleis's Middle-Range Theory. The sample was composed of 13 people who became dependent after a stroke and were admitted to two hospital units in the region of Vale do Ave, Portugal. Data were collected between January and October 2013. Content analysis was used to analyze the data. Results: The data revealed that the person's care path goes from recognition of the symptoms to preparation for hospital discharge. Adapting to the new situation of dependence brings the need for new competencies. Final considerations: The research aims to contribute to the improvement of nursing care regarding care for people with stroke including onset, recovery and rehabilitation, and home care. Descriptors: Stroke; Disabled Persons; Nursing Care; Rehabilitation; Rehabilitation Nursing. RESUMO Objetivo: Descrever o percurso da pessoa com Acidente Vascular Encefálico e identifi car os acontecimentos signifi cativos neste percurso. Método: Abordagem qualitativa e natureza exploratória-descritiva, valeu-se da técnica de entrevista semiestruturada baseada na Teoria de Médio Alcance de Meleis. Participaram 13 pessoas que se tornaram dependentes devido à Acidente Vascular Encefálico e recorreram a duas Unidades da região do Vale do Ave, Portugal. A colheita de dados deu-se durante Janeiro a Outubro de 2013. Para análise dos dados foi utilizada a análise de conteúdo. Resultados: Os dados revelaram que o trajeto da pessoa vai desde o reconhecimento dos sintomas até à preparação da alta hospitalar. A dependência traz a necessidade de adquirir competências para se adaptar à nova situação. Considerações fi nais: Espera-se contribuir para a melhoria dos cuidados de enfermagem no atendimento das pessoas acometidas com Acidente Vascular Encefálico, desde o acometimento, recuperação e reabilitação, até aos cuidados domiciliares. Descritores: Acidente Vascular Cerebral; Pessoas com Defi ciência; Cuidados de Enfermagem; Reabilitação; Enfermagem em Reabilitação. RESUMENObjetivo: Describir el camino que recorre la persona con Accidente Vascular Encefálico e identifi car los acontecimientos signifi cativos de ese camino. Método: se trata de un abordaje cualitativo de naturaleza exploratoria-descriptiva, con técnica de entrevista mixta basada en la Teoría de Mediano Alcance de Meleis. Participaron 13 personas que se volvieron dependientes debido a un Accidente Vascular Encefálico y recurrieron a dos Unidades de la región del Valle del Ave, Portugal. La recolección de datos se realizó durante el período comprendido entre enero y octubre de 2013 mediante el análisis de contenido. Resultados: Los datos rebelaron que el trayecto de la persona comienza con el reconocimiento de los síntomas y se extiende hasta la preparación del alta hospitalaria. La dependencia hace surgir la necesidad de adquirir competencias para ...

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