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Advisor(s)
Abstract(s)
Introdução: O processo de transição entre instituições de internamento e o domicílio
acarreta mudanças e adaptações sobretudo do cuidador informal. A integração e a
continuidade dos cuidados devem estar patentes na intervenção dos enfermeiros para com
o cuidador/utente/família. Objetivos: Conhecer as dificuldades vivenciadas pelos cuidadores
informais no cuidar o familiar/utente no domicílio; Identificar as ferramentas utilizadas pelos
mesmos para as ultrapassar; Conhecer os apoios que dispõem para a prestação de
cuidados no domicílio; Conhecer a sua opinião sobre a importância de uma visita
domiciliária antes do doente ir para domicílio e por fim criar um projeto de intervenção
Integrar+
. Métodos: Estudo qualitativo descritivo e exploratório com enfoque
fenomenológico-hermenêutico e com uma amostra de 8 cuidadores. Recorreu-se à
entrevista semiestruturada (ad hoc). Resultados: Os cuidadores informais não se sentiam
preparados para receber o familiar/utente no domicílio, a maioria não tinha a habitação
adaptada. As necessidades mencionadas foram físicas, psicológicas/emocionais,
financeiras, sociais e indisponibilidade. O coping emocional, apoios familiar, social e para os
autocuidados, capacitação dos cuidadores informais e familiar/utente e cuidados de saúde
foram referidas como estratégias. Conclusão: A Enfermagem Comunitária, focada na
comunidade, está habilitada para capacitar os cuidadores informais de competências que
promovam a segurança e a qualidade dos cuidados prestados, englobando-os no plano de
cuidados, detetando e minimizando eventuais dificuldades emergentes da transição do
utente entre instituições. A articulação entre a Equipa de Cuidados Continuados Integrados
e as entidades referenciadoras, é fundamental para que haja uma transição segura dos
cuidados, com ganhos em saúde dos cuidadores informais, utentes e famílias.
Palavras-chave: Cuidador informal; Continuidade de cuidados; Integração dos cuidados,
Enfermagem Comunitária.
Abstract Introduction: The transition process between inpatient institutions and the home entails changes and adaptations, especially for the informal caregiver. The integration and continuity of care must be present in the intervention of nurses in the caregiver / user / family. Objectives: To understand the difficulties experienced by informal caregivers in providing care to the family member/ patient at home; Identify the tools used by them to overcome those difficulties; to understand the support they have for the provision of care at home, understand their perception of the importance of a home visit before the patient goes home and finally create an intervention project designated: Integrar+ . Methods: Qualitative descriptive and exploratory study with a phenomenological-hermeneutic approach, with a sample of 8 caregivers, using a semi-structured interview (ad hoc). Results: It was found that informal caregivers did not feel prepared to receive the family member/patient at home, most did not have their housing prepared. The needs mentioned were: physical, psychological/emotional, financial, social, lack of availability. They mentioned emotional coping, family, social and self-care support, training of informal and family/patient caregivers and health care as strategies. Conclusion: The community Nursing focused on community is able to empower informal caregivers with skills that promote the safety and quality of care provided, including them in the care plan, detecting and minimizing any difficulties emerging from the transition of the patient between institutions. The articulation between the Continuing Integrated Care Team and the referral entities is essential for a safe transition of care, with health gains for informal caregivers, patients and families. Keywords: Informal caregiver; Continuity of care; Integration of care, Community Nursing.
Abstract Introduction: The transition process between inpatient institutions and the home entails changes and adaptations, especially for the informal caregiver. The integration and continuity of care must be present in the intervention of nurses in the caregiver / user / family. Objectives: To understand the difficulties experienced by informal caregivers in providing care to the family member/ patient at home; Identify the tools used by them to overcome those difficulties; to understand the support they have for the provision of care at home, understand their perception of the importance of a home visit before the patient goes home and finally create an intervention project designated: Integrar+ . Methods: Qualitative descriptive and exploratory study with a phenomenological-hermeneutic approach, with a sample of 8 caregivers, using a semi-structured interview (ad hoc). Results: It was found that informal caregivers did not feel prepared to receive the family member/patient at home, most did not have their housing prepared. The needs mentioned were: physical, psychological/emotional, financial, social, lack of availability. They mentioned emotional coping, family, social and self-care support, training of informal and family/patient caregivers and health care as strategies. Conclusion: The community Nursing focused on community is able to empower informal caregivers with skills that promote the safety and quality of care provided, including them in the care plan, detecting and minimizing any difficulties emerging from the transition of the patient between institutions. The articulation between the Continuing Integrated Care Team and the referral entities is essential for a safe transition of care, with health gains for informal caregivers, patients and families. Keywords: Informal caregiver; Continuity of care; Integration of care, Community Nursing.
Description
Keywords
Competência clínica Cuidados domiciliários de saúde Enfermagem de saúde comunitária Equipa de cuidados ao doente Papel do enfermeiro Prestação integrada de cuidados de saúde Prestadores de cuidados Referência e consulta Caregivers Clinical competence Community health nursing Delivery of health care, integrated Home nursing Nurse's role Patient care team Referral and consultation