Características sociodemográficas en cuidadores principales de pacientes operados de cáncer de cerebro / Socio-demographic characteristics in primary caregivers of patients with brain cancer surgery

RESUMEN Introducción: la atención al enfermo es llevada a cabo por una secuencia específica de la familia, por lo que esta es considerada un cuidador principal. Objetivo: describir las características sociodemográficas en cuidadores principales de pacientes operados de cáncer de cerebro. Materiales y métodos : se realizó un estudio descriptivo, retrospectivo, en un universo de 128 cuidadores principales de pacientes operados de cáncer de cerebro en el Hospital Universitario Clínico Quirúrgico Comandante Faustino Pérez Hernández, de Matanzas, entre 2016 y 2018. Criterio de inclusión: cuidadores que residían en la provincia y aceptación del consentimiento informado. Se excluyeron familiares de pacientes que fallecieron durante la investigación. Se aplicaron cuestionarios y entrevistas para caracterizar los resultados. Los mismos se analizaron en frecuencias absolutas, relativas, porcentual, en paquete estadístico de SPSS versión 20.0 en Windows. Resultados : predominó el sexo femenino (79,68 %). El 100 % de los cuidadores principales residían en casa del enfermo. Prevaleció el nivel de escolaridad de técnico medio (35,93 %); 88,28 % de los cuidadores mantenían vínculo laboral, y 41,40 % eran hermanas de los enfermos. Dentro de las necesidades de aprendizaje del cuidador, el déficit de conocimientos sobre la enfermedad constituyó el 73,43 %. Conclusiones: imperó el género femenino en los cuidadores con vínculo laboral, y con mayor incidencia las hermanas. Se evidenció la complejidad del cuidado en el hogar de los pacientes con secuelas, minusvalía progresiva producidas por la enfermedad, y que generalmente la mujer asume con más facilidad (AU).

ABSTRACT Introduction: the care of the patient is carried out by a specific sequence of the family, catalogued as a main caregiver. Objective: to describe the socio-demographic characteristics in main caregivers of patients who underwent a brain cancer surgery. Materials and methods: a retrospective, descriptive study was carried out in a universe of 128 main caregivers of patients who underwent brain cancer surgery in the University Hospital Faustino Perez Hernandez, of Matanzas, from 2016 until 2018. Inclusion criteria: caregivers living in the province of Matanzas and giving the informed consent. The relatives of patients who died during the research were excluded. Interviews were made and questionnaires applied to characterize the results. They were analyzed in absolute, relative, and percentage frequencies in statistical packet Windows SPSS, 20.0. Results: female sex predominated (79.68%). 100% of main caregivers lived in the house of the patient. The technician scholarship predominated (35.93%); 88.28% of the caregivers kept their employment bonds, and 41.40% were patients' sisters. The deficit of knowledge on the disease was 73.43% of the caregiver learning necessities. Conclusions: female genre prevailed in caregivers with employment bonds, with higher incidence of sisters. It was evidenced the complexity of home care of the patients with sequels, progressive disabilities caused by the disease, generally assumed more easily by women (AU).

Implementation of Post-Acute Rehabilitation at Home: A Skilled Nursing Facility-Substitutive Model.

OBJECTIVES: For patients who require frequent and intensive therapy services after hospitalization, rehabilitation is predominantly provided in skilled nursing facilities (SNFs). Delivering post-acute rehabilitation in patients' homes offers a potential alternative. Our aim was to describe and evaluate services and functional outcomes and then identify factors associated with the provision of a 30-day post-acute care (PAC) bundle of rehabilitation, medical, and social services provided via the Rehabilitation at Home (RaH) program. DESIGN: Single-arm retrospective review of patients participating in the RaH program. SETTING: Multidisciplinary home-based delivery of PAC in Manhattan. PARTICIPANTS: Individuals 18 years or older residing in a specified catchment area and qualifying for SNF-based rehabilitation services from October 2015 to September 2017. RESULTS: A total of 237 patients participated in RaH over 264 episodes of care. Participants were predominantly older than 85 years (57%; mean = 84.2; standard deviation [SD] = 10.0 years) and of non-Hispanic white (70%) race and ethnicity. Most were admitted after hospitalization (88.2%) for 117 different diagnostic related groups. Average length of stay in RaH was 14.2 (SD = 6.5) days with patients receiving 1.83 (SD = 2.22) medical provider, 1.67 (SD = 1.58) nursing, and 5.24 (SD = 1.05) physical therapist visits weekly. Most of the patients fully or almost fully met their goals for bed mobility (65%), bed transfer (69%), chair transfer (67%), and ambulation (64%) with the majority achieving moderate or considerable (61%) global functional improvement. Achieving moderate or considerable global improvement was negatively associated with dementia diagnosis (odds ratio [OR] = .23; 95% confidence interval [CI] = .08-.71) and positively associated with higher baseline ambulation (OR = 5.51; 95% CI = 2.22-13.66). At 30 days, 87.3% of participants were living in the community. CONCLUSION: Delivering SNF-level post-acute rehabilitation care in patients' homes for a broad range of diagnoses is feasible and associated with functional improvement. This approach may help older adults maintain living status in the community. J Am Geriatr Soc 68:1584-1593, 2020.

10as Jornadas y 8º Congreso Internacion la Virtual de Enfermería Familiar y Comunitaria: Córdoba, 3-4 de octubre de 2019 / No disponible

No disponible

Proposta de protocolo para enfermeiros da Estratégia da Saúde da Família para primeira visita domiciliar ao recém-nascido / Proposed protocol for nurses of the Family Health Strategy for the first home visit to the newborn

Os protocolos são acordos estabelecidos em entidades ou em alguns serviços que devem ser seguidos com padronização na execução das práticas pelos profissionais que estão frentes a instituição. Diante da função do protocolo, acredita-se que a proposta da construção do instrumento será proveitosa para os profissionais e para o RN e família, no sentido de nortear a avaliação no momento da visita domiciliar. Uma vez que isso poderá facilitar no acompanhamento desses RN na visita domiciliar, bem como atende a proposta do Ministério da Saúde, para que o RN receba a primeira visita domiciliar na primeira semana de vida a fim de diminuir riscos e complicações para o seu crescimento e desenvolvimento saudáveis

Nursing practice in home care: an integrative literature review. / Atuação do enfermeiro na atenção domiciliar: uma revisão integrativa da literatura.

OBJECTIVE:: analyze scientific production on nursing practice in home care. METHOD:: integrative review employing databases LILACS, BDENF, IBECS, and MEDLINE. Studies in Spanish, English, and Portuguese were included, regardless of publishing date. RESULTS:: after analyzing 48 articles, it was found that nursing practice in home care is complex, employing a multitude of actions by using three technologies: soft; soft-hard especially; and hard. Challenges related to the home-care training process are reported in the literature. Nurses use knowledge from their experience and scientific recommendations in conjunction with their reflections on the practice. CONCLUSION:: home nursing practice is fundamental and widespread. Relational and educational actions stand out as necessary even in technical care, with a predominant need for home-care training.

Atuação do enfermeiro na atenção domiciliar: uma revisão integrativa da literatura / Actuación del enfermero en atención domiciliaria: una revisión integrativa de la literatura / Nursing practice in home care: an integrative literature review

RESUMO Objetivo: analisar a produção científica acerca da atuação do enfermeiro na atenção domiciliar em saúde. Método: realizou-se uma revisão integrativa da literatura por meio de consulta às bases de dados LILACS, BDENF, IBECS e MEDLINE. Foram incluídos estudos em espanhol, inglês e português, não delimitando data de publicação. Resultados: analisados 48 artigos, identificou-se que a atuação do enfermeiro na atenção domiciliar possui complexidade e diversidade de ações com uso de tecnologias leves, leve-duras especialmente, e duras. Destaca-se que desafios relacionados ao processo formativo para a atenção domiciliar estão relatados na literatura. O enfermeiro utiliza conhecimento experiencial e recomendações científicas aliados à reflexão na prática. Conclusão: a atuação do enfermeiro no espaço domiciliar é fundamental e ampla. As ações relacionais e educacionais se destacam, sendo necessárias inclusive nos cuidados técnicos, predominando a necessidade de formação para a atenção domiciliar.

RESUMEN Objetivo: analizar la producción científica sobre la actuación del enfermero en atención domiciliaria de salud. Método: se realizó revisión integrativa de la literatura mediante consulta de las bases de datos LILACS, BDENF, IBECS y MEDLINE. Fueron incluidos estudios en español, inglés y portugués, sin delimitar la fecha de publicación. Resultados: analizados 48 artículos, se identificó que la actuación del enfermero en atención domiciliaria posee complejidad y diversidad de acciones, con uso de tecnologías blandas, blandas-duras (especialmente) y duras. Se destaca que los desafíos relacionados al proceso formativo para atención domiciliaria están narrados en la literatura. El enfermero utiliza conocimiento empírico y recomendaciones científicas, aliados a la reflexión en la práctica. Conclusión: la actuación del enfermero en el ámbito domiciliario es amplia y fundamental. Las acciones relacionales y educativas se destacan, siendo necesarias incluso en los cuidados técnicos, manifestándose la necesidad de formación para atención domiciliaria.

ABSTRACT Objective: analyze scientific production on nursing practice in home care. Method: integrative review employing databases LILACS, BDENF, IBECS, and MEDLINE. Studies in Spanish, English, and Portuguese were included, regardless of publishing date. Results: after analyzing 48 articles, it was found that nursing practice in home care is complex, employing a multitude of actions by using three technologies: soft; soft-hard especially; and hard. Challenges related to the home-care training process are reported in the literature. Nurses use knowledge from their experience and scientific recommendations in conjunction with their reflections on the practice. Conclusion: home nursing practice is fundamental and widespread. Relational and educational actions stand out as necessary even in technical care, with a predominant need for home-care training.

A review of the present state and future policy alternatives for home visit nursing services in Korea.

OBJECTIVES: The aim of this study was to describe the current state of home visit nursing services in the Korean context and to suggest future policy directions. DESIGN: First, the three home visit nursing services that have developed in Korea are compared using the analytic framework provided by Gilbert and Terrell in 2012. The framework is based on four dimensions of social welfare: users, services, source of funds, and service delivery process. Second, we perform a strength, weakness, opportunity, and threat analysis to suggest comprehensive and constructive home visit nursing service policies for the future. RESULTS: Specifically, we advocate the creation of an organization that steers the central government to operate an integrated management organization to distribute services and reduce redundancy for preventing the waste of both medical and state financial resources. This study also recommends the development of educational programs to improve the quality of services and service evaluation criteria for the objective assessment of those services. CONCLUSIONS: These policy guidelines may prove useful both for Korea and for other countries that intend to prepare or revise their home visit nursing service systems.

The effect of telemonitoring at home on quality of life and self-care behaviors of patients with heart failure.

Heart failure (HF) is a costly chronic disease that affects 5.7 million people in the United States. Home healthcare agencies are implementing initiatives to reduce hospitalizations and manage HF patients at home. In this study, telemonitoring improved patients' perception of their quality of life and assisted them to sustain critical self-care behaviors. Patients who were monitored had fewer hospitalizations but telemonitoring was not statistically significant in lowering hospitalizations.