RESUMO
AIMS: Determine efficacy of "KARER" educational intervention on caring ability and burden of caregiving relatives of disabled patients with stroke and cardiovascular diseases. DESIGN: Clinical, randomized, controlled and double blinded trial with a mixed approach. METHODS: Study population will be made up of 96 caregiving relatives of patients of home-hospitalized care programs in the cities of Bogotá and Bucaramanga, (Colombia), between March 2021 and March 2022. Participants will be randomly assigned into two groups, either intervention (n = 48) or control (n = 48). The intervention is interdisciplinary and multi-component: B-Learning modality and clinical simulation. Follow-up of participants will last 8 weeks from intervention period start-out, and measurements will be taken and analysed in masked form. The main results will be the mean score changes of care ability and caregiver burden. DISCUSSION: Caregiving relatives will show better adaptation to their role through effective use of caring abilities as they look after disabled persons with chronic diseases.
Assuntos
Pessoas com Deficiência , Acidente Vascular Cerebral , Humanos , Cuidadores , Projetos de Pesquisa , Sobrecarga do Cuidador , Ensaios Clínicos Controlados Aleatórios como AssuntoRESUMO
The article aims to describe the Mental Health Recovery Model, the Tidal Model in Mental Health Recovery and their relevance to implementation within the practice of Colombian nursing. Some concepts about mental health recovery and the theoretical model proposed by Phil Barker are presented in the text, analysing these with the challenges of the nursing professional to improve mental health care, taking into account the current context of care practice. The principles proposed with the Recovery model help to focus care on the person and not on the symptomatology of the illness, understanding that the person has different dimensions which make it possible for him/her to explore his/her own path to recovery. We can conclude that, through the theory, we can develop interventions and nursing activities that contribute to improving the quality of life of people who have been diagnosed with a mental illness, modifying the traditional healthcare models.
Assuntos
Transtornos Mentais/enfermagem , Recuperação da Saúde Mental , Saúde Mental , Modelos Psicológicos , Enfermagem Psiquiátrica/métodos , Colômbia , Humanos , Transtornos Mentais/psicologia , Transtornos Mentais/reabilitação , Assistência Centrada no Paciente/métodos , Qualidade de Vida , Apoio SocialRESUMO
El objetivo es describir el modelo de recuperación de la salud mental (Recovery), el modelo de la marea en la recuperación de la salud mental (Tidal Model) y su relevancia hacia la implementación dentro de la práctica de la enfermería colombiana. Algunos conceptos sobre la recuperación de la salud mental y el modelo teórico propuesto por Phil Barker se presentan en el texto, y se analizan con los desafíos del profesional de enfermería para mejorar la atención de la salud mental, teniendo en cuenta el contexto actual de la práctica asistencial. Los principios propuestos con el modelo de recuperación ayudan a centrar los cuidados en la persona y no en los síntomas de la enfermedad, entendiendo que la persona tiene diversas dimensiones que le permiten explorar su propio camino hacia la recuperación. Se puede concluir que, a través de la teoría, pueden desarrollarse intervenciones y actividades de enfermería que contribuyan a mejorar la calidad de vida de las personas diagnosticadas de alguna enfermedad mental modificando los modelos tradicionales de atención sanitaria.
The article aims to describe the Mental Health Recovery Model, the Tidal Model in Mental Health Recovery and their relevance to implementation within the practice of Colombian nursing. Some concepts about mental health recovery and the theoretical model proposed by Phil Barker are presented in the text, analysing these with the challenges of the nursing professional to improve mental health care, taking into account the current context of care practice. The principles proposed with the Recovery model help to focus care on the person and not on the symptomatology of the illness, understanding that the person has different dimensions which make it possible for him/her to explore his/her own path to recovery. We can conclude that, through the theory, we can develop interventions and nursing activities that contribute to improving the quality of life of people who have been diagnosed with a mental illness, modifying the traditional healthcare models.
RESUMO
La violencia sexual es un problema histórico que afecta a la humanidad desde tiempos inmemoriales, siendo las mujeres las más afectadas. La atención a esta problemática comprende diferentes disciplinas; en enfermería su abordaje se centra en procedimientos técnicos que se enfatizan en lo físico. El presente estudio busca darle solución a un problema de la práctica de enfermería en salud mental frente a la atención de mujeres víctimas de violencia sexual. Su objetivo fue diseñar una propuesta de intervención en salud mental a víctimas de violencia sexual. El diseño del estudio es cualitativo, descriptivo de tipo análisis documental, para ello se tuvo en cuenta la estructuración de una revisión sistemática que describiera la atención de enfermería en salud mental a víctimas de violencia sexual, además de la revisión de políticas públicas basadas en la atención a víctimas de violencia sexual. Como teorista de enfermería se tomó al enfermero y filósofo Phil Barker y su Teoría de la marea para la recuperación de la salud mental. La propuesta está basada en recomendaciones de modelos, guías, protocolos y lineamientos de violencia sexual, en recomendaciones de la revisión sistemática y en los 10 compromisos de la teoría de la marea, con intervenciones NIC (Clasificación de Intervenciones Enfermeras) propuestas para la realización de actividades de enfermería en la atención a víctimas de violencia sexual. La conclusión de la propuesta está enmarcada en brindar atención humanizada centrada en un trato digno, respetuoso e individualizado, respondiendo a las necesidades de las mujeres víctimas de violencia sexual.
Sexual violence is a historical problem that has affected humanity since time immemorial, with women being the most affected. Attention to this problem comprises different disciplines; in nursing his approach focuses on technical procedures that are emphasized in the physical. The present study seeks to solve a problem of mental health nursing practice in the face of the attention of women victims of sexual violence. Its objective was to design a proposal for intervention in mental health for victims of sexual violence. The design of the study is qualitative, descriptive of documentary type, for it was taken into account the structuring of a systematic review describing the nursing care in mental health to victims of sexual violence, in addition to the review of public policies based on the attention to victims of sexual violence. As nursing theorist was taken the nurse and philosopher Phil Barker and his tidal model for the recovery of mental health. The proposal is based on recommendations of models, guidelines, protocols and guidelines of sexual violence, in recommendations of the systematic review and in the 10 commitments of the theory of the tide, with interventions NIC (Classification of Nursing Interventions) proposed for the realization of nursing activities in the care of victims of sexual violence. The conclusion of the proposal is framed in providing humanized care focused on a dignified, respectful and individualized treatment, responding to the needs of women victims of sexual violence.
