Pharmacotherapy and clinical outcomes of hospitalized COVID-19 patients in Chile during the first wave of pandemic / Farmacoterapia y desenlaces clínicos de pacientes de COVID-19 hospitalizados en Chile durante la primera ola de pandemia

BACKGROUND: The largest growth in cases of COVID-19 worldwide during 2020 was in the Americas, and Chile was one of the most affected countries. AIM: To describe, characterize, and evaluate the use of drugs as treatment for COVID-19 in hospitalized patients in Chile during the first wave of the pandemic. METHODS: We performed a multicenter, observational study that included 442 patients with confirmed SARS-CoV-2 infection admitted in Chilean hospitals between March 21 and September 22, 2020. The analysis included demographics, comorbidities, specific drug therapy, and outcomes over a 28-day follow-up period. RESULTS: The median age of patients was 68 years (IQR 55-73), and 38.9% were women. The most common comorbidities were hypertension (57.7%) and diabetes (36.9%). Fifty-seven (12.9%) patients died. Hypertension (HR 2.99; CI 95% 1.43-6.26) and age ≥; 65 (2.14; CI 95% 1.10- 4.17) were the main predictors of mortality. Primary drugs were azithromycin (58.8%) and corticosteroids (51.1%). In this sample, azithromycin was a protective factor regarding mortality (HR 0.53; CI 95% 0.31-0.90), increasing clinical improvement and avoiding progression. CONCLUSIONS: The patterns of use of drugs to treat COVID-19 in Chile during the first wave of the pandemic were very dynamic and followed the international, evidence-based guidelines. The low mortality rate indicates that the clinical management of hospitalized patients was adequate.

ANTECEDENTES: Durante 2020, el mayor incremento de casos de COVID-19 se observó en el continente americano, donde Chile fue uno de los países más afectados. Objetivos: Describir, caracterizar y evaluar el uso de fármacos indicados para tratar el COVID-19 en pacientes hospitalizados en Chile durante la primera ola de pandemia. PACIENTES Y MÉTODOS: Un estudio multicéntrico observacional incorporó a 442 pacientes con infección confirmada por SARS- CoV-2 admitidos en hospitales chilenos entre el 21 de marzo y el 22 de septiembre de 2020. Se analizaron variables demográficas, comorbilidades, terapia farmacológica específica y desenlaces clínicos para un período de seguimiento de 28 días. Resultados: La mediana de la edad fue de 68 años (RIC 55-73), y un 38,9% fueron mujeres. Las comorbilidades más comunes fueron hipertensión (57,7%) y diabetes (36,9%). Cincuenta y siete (12,9%) de los pacientes murieron. Los principales predictores de mortalidad fueron la hipertensión (HR 2,99; IC 95% 1,43-6,26) y la edad ≥ 65 años (2,14; IC 95% 1,10- 4,17). Los fármacos más utilizados fueron azitromicina (58,8%) y corticosteroides (51,1%). En esta muestra, la azitromicina fue un factor de protección respecto a la mortalidad (HR 0,53; IC 95% 0,31-0,90), incrementando igualmente la mejoría y evitando la progresión. CONCLUSIONES: Los patrones de uso de fármacos para tatar COVID-19 en Chile durante la primera ola de pandemia fueron muy dinámicos y siguieron las directrices internacionales basadas en la evidencia. La baja mortalidad sugiere que el manejo de los pacientes hospitalizados fue adecuado.

Pharmacotherapy and clinical outcomes of hospitalized COVID-19 patients in Chile during the first wave of pandemic.

BACKGROUND: The largest growth in cases of COVID-19 worldwide during 2020 was in the Americas, and Chile was one of the most affected countries. AIM: To describe, characterize, and evaluate the use of drugs as treatment for COVID-19 in hospitalized patients in Chile during the first wave of the pandemic. METHODS: We performed a multicenter, observational study that included 442 patients with confirmed SARS-CoV-2 infection admitted in Chilean hospitals between March 21 and September 22, 2020. The analysis included demographics, comorbidities, specific drug therapy, and outcomes over a 28-day follow-up period. RESULTS: The median age of patients was 68 years (IQR 55-73), and 38.9% were women. The most common comorbidities were hypertension (57.7%) and diabetes (36.9%). Fifty-seven (12.9%) patients died. Hypertension (HR 2.99; CI 95% 1.43-6.26) and age ≥ 65 (2.14; CI 95% 1.10- 4.17) were the main predictors of mortality. Primary drugs were azithromycin (58.8%) and corticosteroids (51.1%). In this sample, azithromycin was a protective factor regarding mortality (HR 0.53; CI 95% 0.31-0.90), increasing clinical improvement and avoiding progression. CONCLUSIONS: The patterns of use of drugs to treat COVID-19 in Chile during the first wave of the pandemic were very dynamic and followed the international, evidence-based guidelines. The low mortality rate indicates that the clinical management of hospitalized patients was adequate.

Adaptation by Men to the Nurse Role. "Being Craftsmen in the Construction of their Professional Trajectory" / La adaptación de los hombres al rol de enfermero. "Ser un artesano en la construcción de su trayectoria profesional" / A adaptação do homem ao papel de enfermeiro. "Ser artesão na construção da sua carreira profissional"

Objective. This work sought to describe the adaptation process by men to the nurse role. Methods.Secondary analysis of data from a collective case study that had as participants 12 male nurses working in the city of Medellín, with ages between 28 and 47 years and average time of professional experience of 11 years. Information collection was carried out through in-depth interviews. The analysis was conducted through Roy's Adaptation Model (RAM), reading of the interviews, identification of RAM's components, grouping of fragments, assignment of tags, construction of a matrix and classification. Results. The analysis performed accounts for the coping processes and adaptation by male nurses and the ineffective responses (control of emotions and emotional silencing) when practicing a role considered feminine. Conclusion.In this study, it was possible to establish that, to achieve adaptation within nursing, men use strategies related with changes in bodily appearance, management of physical strength, and management of emotions.

Objetivo. Describir el proceso de adaptación de los hombres al rol enfermero. Métodos. Análisis secundario de los datos de un estudio de casos colectivo que tuvo como participantes a 12 enfermeros que trabajan en la ciudad de Medellín, con edades entre los 28 y los 47 años y un tiempo de experiencia profesional promedio de 11 años. La recolección de la información se realizó mediante entrevistas en profundidad. El análisis se realizó a partir del Modelo de Adaptación de Roy (RAM), lectura de las entrevistas, identificación de los componentes del RAM, agrupación de fragmentos, asignación de etiquetas, construcción de una matriz y clasificación. Resultados. El análisis realizado da cuenta de los procesos de afrontamiento y adaptación de los enfermeros y las respuestas inefectivas (control de emociones y silenciamiento emocional) al ejercer un rol considerado femenino. Conclusión. En este estudio fue posible establecer que, para alcanzar una adaptación dentro de la enfermería, los hombres utilizan estrategias relacionadas con cambios en la apariencia corporal, el manejo de la fuerza física y el manejo de las emociones.

Objetivo. Descrever o processo de adaptação do homem à função de enfermagem. Métodos.Análise secundária de dados de um estudo de caso coletivo que teve como participantes 12 enfermeiros que atuam na cidade de Medellín, com idade entre 28 e 47 anos e tempo de experiência profissional média 11 anos. As informações foram coletadas por meio de entrevistas em profundidade. A análise foi realizada por meio do Modelo de Adaptação de Roy (RAM), leitura das entrevistas, identificação dos componentes do RAM, agrupamento de fragmentos, atribuição de rótulos, construção de matriz e classificação. Resultados. A análise realizada dá conta dos processos de enfrentamento e adaptação das enfermeiras e das respostas ineficazes (controle das emoções e silenciamento emocional) ao exercer um papel considerado feminino. Conclusão.Neste estudo foi possível constatar que, para conseguir uma adaptação dentro da enfermagem, os homens utilizam estratégias relacionadas a mudanças na aparência corporal, manejo da força física e manejo emocional

Adaptation by Men to the Nurse Role. "Being Craftsmen in the Construction of their Professional Trajectory".

OBJECTIVES: This work sought to describe the adaptation process by men to the nurse role. METHODS: Secondary analysis of data from a collective case study that had as participants 12 male nurses working in the city of Medellín, with ages between 28 and 47 years and average time of professional experience of 11 years. Information collection was carried out through in-depth interviews. The analysis was conducted through Roy s Adaptation Model (RAM), reading of the interviews, identification of RAMs components, grouping of fragments, assignment of tags, construction of a matrix and classification. RESULTS: The analysis performed accounts for the coping processes and adaptation by male nurses and the ineffective responses (control of emotions and emotional silencing) when practicing a role considered feminine. CONCLUSIONS: In this study, it was possible to establish that, to achieve adaptation within nursing, men use strategies related with changes in bodily appearance, management of physical strength, and management of emotions.

El rol de los hombres en enfermería, el reconocimiento y las emociones que subyacen en la práctica profesional / The role of men in nursing, recognition and emotions underlying professional practice

Objetivo: comprender el rol de los hombres en enfermería, teniendo en cuenta su reconocimiento y las emociones que subyacen en el ejercicio de su práctica profesional. Metodología: esta tesis fue realizada desde la metodología de estudio de casos colectivo propuesta por Robert E. Stake. Se entrevistaron 12 enfermeros con desempeño en diferentes escenarios laborales empleando entrevistas en profundidad, notas de campo y memorando analíticos para registrar las experiencias emotivas de los participantes. El análisis se realizó por medio de agrupamiento y reducción de los fragmentos de las entrevistas y la construcción de un mapa conceptual. Resultados: los roles de género son producto de una construcción social, y en este sentido, se moldean y cambian con el devenir histórico y cultural, prueba de esto es el ingreso de los hombres a la enfermería. Sin embargo, a nivel social persiste una naturalización de la enfermería como un oficio femenino que se traduce en una imagen estereotipada del papel de los enfermeros que dificulta su reconocimiento. Conclusiones: los hombres desde el momento en que manifiestan su intención de convertirse en enfermeros, inician un proceso de adaptación en diferentes esferas, donde no solo deben negociar sus emociones, sino emprender una lucha permanente por el reconocimiento como un motor para el desarrollo y el cambio en diferentes aspectos de su vida. (Tomado del repositorio institucional)

Objective: to understand the role of men in nursing, taking into account their recognition and the emotions that underlie their professional practice. Methodology: This thesis was conducted using the collective case study methodology proposed by Robert E. Stake. Twelve nurses with performance in different work scenarios were interviewed using in-depth interviews, field notes, and analytical memorandum to record the emotional experiences of the participants. The analysis was carried out by grouping and reducing the fragments of the interviews and constructing a conceptual map. Results: gender roles are the product of a social construction, and in this sense, they are molded and change with historical and cultural evolution, proof of which is the entry of men into nursing. However, at the social level, a naturalization of nursing as a female profession persists, which translates into a stereotyped image of the role of female patients that hinders its recognition. Conclusions: men, from the moment they express their intention to become nurses, begin a process of adaptation in different areas, where they must, in addition to negotiating their emotions, constantly fight for recognition as the engine of change and development in different aspects of their lives. (Tomado del repositorio institucional)

Characterization of the Variables Related to Reports of Death Due to Canine Bites in Scientific Articles during the Years 2013-2017: A Systematic Review.

Canine bites are an important public health problem, with consequences such as physical injuries, psychological trauma, transmission of zoonoses, infections and they can even cause death. To avoid deaths caused by this type of bite, multiple factors related to this issue must be considered. The objective of this review was to search and analyze the indexed scientific literature on canine bites resulting in death, published during the period 2013-2017. A search was carried out in various databases of indexed literature, in Spanish and English. After selecting and excluding items using PRISMA, they were classified according to SIGN guidelines to filter out the level of evidence and potential biases. Thirty-three scientific articles were retrieved and analyzed. In most of these, victims between 50 and 64 years of age (28.6%, 8/28) were registered. Additionally, in most of the articles, only one animal participated (80%, 16/20). The highest number of events occurred in public spaces (58.5%, 7/12). In conclusion, most of the scientific articles that report incidents of dog bites resulting in death, provide details about the victims, their injuries and the treatment received; however, few articles provide background information on the context of the attack and the biting animal.

La educación en tiempo de pandemia COVID 19: ¿realidad o ficción? / Educação em tempos de pandemia COVID 19: fato ou ficção? / Education in a time of pandemic COVID 19: fact or fiction?

De manera sorpresiva el COVID-19 detuvo al mundo, o puntualmente frenó el acelerado ritmo en que confluía la actividad humana, pues los capullos siguen brotando en primavera, las ballenas continúan sus largas migraciones por el océano, la temporada de sequía volvió para quemar la tierra y el planeta continuó su incesante danza de rotación y traslación. Es decir, todos los seres vivos continuaron con normalidad su existencia, excepto los seres humanos, aterrados por una muerte invisible y un enemigo despiadado que hasta este momento parece infranqueable.

Structural differences in mammal assemblages between savanna ecosystems of the Colombian Llanos

The Colombian Orinoquia region is characterized by a high diversity of mammals, which is associated with complex ecosystems that include large extensions of Neotropical savannas (known locally as Llanos Orientales). Despite accelerated anthropogenic transformations in savanna ecosystems, the knowledge to design effective conservation strategies, such as the distribution of mammal assemblages, is still lacking for this region. In this paper, we evaluate if assemblages of medium and large mammals (i.e., species richness, relative abundance and the contribution of the different trophic guilds) are homogeneous across the Colombian Llanos by comparing three savanna ecosystems: floodplains savannas associated with an Andean river, aeolian floodplains savannas and highland savannas. After a sampling effort of 3,150 camera trap/days, we recorded 16 mammal species from the three savanna ecosystems. We compared the three assemblages and their constituent trophic guilds by ANOSIM and SIMPER non-parametric permutation tests. The three assemblages differed in composition, structure and trophic guilds. The floodplains savannas, associated to an Andean river, present the highest diversity, contrastingly, the high-plain associated with the Guyanese Shield presents the lowest diversity. This pattern could be explained due to the greatest floristic diversity, complex vegetation structure and more fertile soils present in the riparian forests of the floodplains savannas, despite being the most anthropogenically transformed. The carnivores were the most variable category and herbivores were the most abundant. Our results show that the diversity of medium and large mammals is heterogeneously distributed in the Colombian Llanos. Therefore, it is necessary to implement targeted conservation strategies according to the characteristics, local fragility of each ecosystem in the territory and each species response by local conditions.(AU)

Structural differences in mammal assemblages between savanna ecosystems of the Colombian Llanos

The Colombian Orinoquia region is characterized by a high diversity of mammals, which is associated with complex ecosystems that include large extensions of Neotropical savannas (known locally as Llanos Orientales). Despite accelerated anthropogenic transformations in savanna ecosystems, the knowledge to design effective conservation strategies, such as the distribution of mammal assemblages, is still lacking for this region. In this paper, we evaluate if assemblages of medium and large mammals (i.e., species richness, relative abundance and the contribution of the different trophic guilds) are homogeneous across the Colombian Llanos by comparing three savanna ecosystems: floodplains savannas associated with an Andean river, aeolian floodplains savannas and highland savannas. After a sampling effort of 3,150 camera trap/days, we recorded 16 mammal species from the three savanna ecosystems. We compared the three assemblages and their constituent trophic guilds by ANOSIM and SIMPER non-parametric permutation tests. The three assemblages differed in composition, structure and trophic guilds. The floodplains savannas, associated to an Andean river, present the highest diversity, contrastingly, the high-plain associated with the Guyanese Shield presents the lowest diversity. This pattern could be explained due to the greatest floristic diversity, complex vegetation structure and more fertile soils present in the riparian forests of the floodplains savannas, despite being the most anthropogenically transformed. The carnivores were the most variable category and herbivores were the most abundant. Our results show that the diversity of medium and large mammals is heterogeneously distributed in the Colombian Llanos. Therefore, it is necessary to implement targeted conservation strategies according to the characteristics, local fragility of each ecosystem in the territory and each species response by local conditions.

Vivencias de familiares en sala de espera de trabajo de parto / Experiences of Family Members in the Labor Room / Vivências de familiares na sala do parto

Objetivo: describir las vivencias de los familiares en sala de espera de trabajo de parto. Materiales y métodos: estudio cualitativo etnográfico. Se entrevistaron diez participantes y cuatro grupos focales; la saturación se logró cuando los investigadores no encontraron más explicación, interpretación o descripción de la experiencia. Para el análisis, se usó el método de Spradley, se construyeron categorías y dominios, y se realizó análisis taxonómico. Se desarrollaron notas de campo y observación participante. Se utilizó el software Atlas ti. Resultados: los familiares experimentan necesidades de información oportuna y eficiente. El lenguaje verbal y no verbal y el contenido de la información les produjo ansiedad e incertidumbre. Los familiares sienten la necesidad de acompañar a la gestante durante el trabajo de parto para brindarle apoyo. El ambiente en la sala de espera depende de los factores internos del familiar y los factores externos de la sala. La educación en la sala de espera representó una excelente oportunidad para aprovechar el tiempo. Emergieron los dominios: comunicación terapéutica, acompañamiento, ambiente y educación. Conclusión: el significado cultural de esperar es un acontecimiento de la vida altamente significativo, atravesado por cuatro circunstancias: la comunicación, el acompañamiento, el ambiente de la sala y la educación, situaciones que cambiaron la experiencia del nacimiento.

Objective: Describe the experiences of family members in the labor room. Materials and Methods: This is a qualitative ethnographic study in which ten participants and four focus groups were interviewed; Saturation was achieved when the researchers found no further explanation, interpretation or description of the experience. Spradley's method was used for the analysis. Categories and domains were constructed and a taxonomic analysis was done. Field notes and participant observation were developed. Atlas ti software was used. Results: Family members want and feel they need timely and efficient information. Verbal and non-verbal language and the content of the information provided can cause them anxiety and uncertainty. Family members want to accompany and support the expectant mother during labor prior to childbirth. The atmosphere in the labor room depends on the internal factors of the family member and the external factors of the room. Education in the waiting room proved to be an excellent opportunity to take advantage of the time. Several domains emerged; namely, therapeutic communication, accompaniment, environment and education. Conclusion: The cultural significance of waiting for birth to occur is a highly meaningful event in life and is marked by four factors: communication, accompaniment, the environment in the room and education. These are situations that changed the birth experience.

Objetivo: descrever as vivências dos familiares na sala de espera de trabalho de parto. Materiais e métodos: estudo qualitativo etnográfico. Foram entrevistados dez participantes e quatro grupos focais. A saturação foi atingida quando os pesquisadores não encontraram mais explicação, interpretação ou descrição da experiência. Para a análise, usou-se o método de Spradley e foram construídos categorias e domínios, além de realizada análise taxonómica. Desenvolveram-se anotações de campo e observação participante. Utilizouse o software Atlas ti. Resultados: os familiares experimentaram necessidades de informação oportuna e eficiente. A linguagem verbal e não verbal, e o conteúdo da informação lhes produziram ansiedade e incerteza. Os familiares sentem a necessidade de acompanhar a gestante durante o trabalho de parto para oferecer-lhe apoio. O ambiente na sala de espera depende dos fatores internos do familiar e dos fatores externos da sala. A educação na sala de espera representou uma excelente oportunidade para aproveitar o tempo. Emergiram os domínios: comunicação terapêutica, acompanhamento, ambiente e educação. Conclusão: o significado cultural de esperar é um acontecimento da vida altamente significativo, permeado por quatro circunstâncias: a comunicação, o acompanhamento, o ambiente da sala e a educação, situações que mudaram a experiência do nascimento.

Frecuencia de infecciones vaginales y lesiones intraepiteliales en las usuariasde los laboratorios clínicos de DinámicaIPS de la ciudad de Medellín (Colombia), 2005-2010: estudio descriptivo / Frequency of vaginal infections and intraepithelial lesions in a female population sample of Dinámica IPS, a clinical laboratory in Medellin, attended between 2005 and 2010

Determinar la frecuencia de infecciones vaginales y lesiones intraepiteliales en los resultados de laboratorio de las usuarias de los laboratorios clínicos de Dinámica IPS de la ciudad de Medellín, atendidas entre el 2005 y el 2010. Materiales y métodos:estudio descriptivo transversal con fuentes secundarias de los resultados de pruebas realizadas a usuarias de Dinámica IPS atendidas en el periodo de estudio, en el que se evaluaron variables como la edad y los resultados de citología vaginal (n= 261 789),Gram (n= 70 447) y directo de flujo vaginal (n= 89 527). Se excluyeron registros con información incompleta. Se realizó análisis estadístico con medianas y proporciones.Resultados: del total de muestras analizadas por citología vaginal (n=261 789), el 1,99% correspondían a lesiones escamosas, de éstas el 0,038% corresponde a muestras positivas de cáncer de cuello uterino confirmada por patólogo; el 8,01% corresponde a lesiones intraepiteliales de alto grado y el 36,13% a lesiones escamosas de bajo grado.En el examen de flujo vaginal por directo se encontraron 14 803 pruebas positivas(16,51%) para vaginitis por hongos, 19 079 (21,31%) para vaginosis bacteriana y 414(0,46%) para vaginitis por Trichomona; en el Gram se observó que el desequilibrio de la flora normal generado por Gardnerella ocupan la mayor frecuencia con 19 186 resultados positivos (27,23%). Conclusiones: los datos encontrados con relación a las frecuencias de lesiones escamosas intraepiteliales y de infecciones vaginales guardan relación con lo reportado en la literatura nacional; sin embargo, para los casos de atipia en células escamosas de significado no determinado se encuentra variación, probablemente por las características mismas de este tipo de atipias...

Asistencia biopsicosocial a través del uso del tic (línea de atención) a cuidadores de pacientes oncológicos / Biopsychosocial assistance through the use of ict (helpline) to caregivers of oncology patients / Assistência biopsicossocial através do uso de tic (helpline) a keepers de oncologia pacientes

Objetivo: Brindar asistencia Biopsicosocial a través del uso del TIC (Línea de Atención) a cuidadores de pacientes oncológicos que asisten a la IPS Oncomedical en la ciudad de Cúcuta. Materiales y Métodos: estudio transversal de tipo cuantitativo. La muestra estuvo conformada por 46 cuidadores de pacientes oncológicos que actualmente reciben tratamiento médico en la IPS Oncomedical. Se aplicó la encuesta de caracterización de los cuidadores familiares de personas con enfermedad oncológica, para medir el soporte social, se empleó el instrumento Inventario de Soporte Social en Enfermedad Crónica (ISSEC) de Hilbert. La encuesta se aplicó antes de iniciar el apoyo a los cuidadores por medio de la línea telefónica y después del apoyo social brindado a cada uno de ellos. Resultados: se encontró que el 60% de los cuidadores se encuentra satisfecho en esta categoría sintiéndose importantes al tener quien se preocupe por ellos en medio de toda la situación que atraviesan, esto es producto de las llamadas semanales hechas a cada uno de ellos donde se ofreció apoyo emocional, consuelo en los momentos difíciles, y escucha activa entre otros. Conclusión: El uso del TIC (Línea de Atención), generó espacios de comunicación donde el cuidador expresa libremente sus sentimientos y preocupaciones facilitando así una adecuada intervención en aspectos como: apoyo emocional, educación sobre el mantenimiento de su propia salud y la de su objeto de cuidado, fortalecimiento de lazos familiares, por parte del personal que brinda el soporte, logrando así mejoría tanto en la salud física como mental de los cuidadores.

Goal: To provide assistance Bio psychosocial through the use of ICT (Hotline) caregivers of cancer patients attending the IPS Oncomedical in Cucuta city. Materials and Methods: Cross-sectional quantitative study. The sample consisted of 46 caregivers of cancer patients currently receiving medical treatment in Oncomedical IPS. Characterization survey of family caregivers of people with cancer disease was applied to measure social support, the Social Support Inventory Report (ISSEC) Hilbert Disease instrument was used. The survey was conducted before beginning the support to caregivers through the phone line and then the social support given to each of them. Results: It was found that 60% of caregivers were satisfied in this category , they themselves feel important people in having someone who cares about them amidst all the situation facing, this is the result of weekly calls made to each of them where offered emotional support, comfort in difficult times, and active listening among others. Conclusions: The use of ICT (Hotline) generated communication spaces where the caregiver freely express their feelings and concerns and providing appropriate intervention in aspects such as emotional support, education about maintaining their own health and that of their subject care, strengthening family ties, by staff providing support, achieving improvement in both physical and mental health of caregivers.

Objetivo: prestar assistência biopsicossocial através do uso de TIC (Hotline) cuidadores de pacientes com câncer que frequentam o IPS Oncomedical na cidade de Cucuta. Materiais e Métodos: estudo quantitativo transversal. A amostra foi composta de 46 cuidadores de pacientes com câncer atualmente recebem tratamento médico em Oncomedical IPS. Pesquisa Caracterização de cuidadores familiares de pessoas com doença de câncer foi aplicado para medir o apoio social, utilizou-se o Inventário de Relatório de Apoio Social (ISSEC) instrumento de Doenças Hilbert. A pesquisa foi realizada antes de iniciar os cuidadores de apoio através da linha de telefone e, em seguida, o apoio social dado a cada um deles. Resultados: Verificou-se que 60% dos cuidadores estavam satisfeitos nesta categoria sentiendose importante ter alguém que se preocupa com eles no meio de toda a situação que enfrentam, este é o resultado de chamadas semanais feitas a cada um deles, onde ofereceram apoio emocional, conforto em tempos difíceis, e escuta ativa, entre outros. Conclusão: A utilização das TIC (Hotline) gerado espaços de comunicação onde o cuidador expressar livremente seus sentimentos e preocupações e fornecendo intervenção adequada em aspectos como apoio emocional, a educação sobre a manutenção de sua própria saúde ea de seu assunto cuidar, fortalecendo os laços familiares, pelo pessoal que presta apoio, alcançar a melhoria na saúde física e mental dos cuidadores.