Fabiana Lopes Joaquim

Impact of home visits on the functional capacity of patients with venous ulcers

OBJECTIVE to assess the impact of protocol home visits on the functional capacity of adult and elderly patients with venous ulcers, before and after guidance received at home. METHOD clinical experimental, randomized, nonblinded and controlled study, developed with 32 patients (case and control groups). Fields of research were the Wound Outpatient Care Unit of the Antônio Pedro University Hospital and households of patients treated in the outpatient unit. Data collection occurred from February to June 2014, by means of an assessment tool of the health care unit, the TINETTI index and a script for directions to be provided to study participants who received home visits. RESULTS participants in the case group showed significant and differentiated improvement post-intervention when compared to the control group, which remained stable. CONCLUSION directions provided in the home context were beneficial to the members of the case group.

Gerontological contributions to the care of elderly people in long-term care facilities

OBJECTIVE To analyze Brazilian scientific productions from the last 11 years which show the contributions of nursing to elderly people in long-term care facilities. METHOD This is an integrative literature review. The search took place in the Virtual Health Library (VHL) in the BDENF and LILACS databases and the SCIELO virtual library, between June and October 2016, using the keyword long-term care facility and the descriptors nursing and geriatrics. RESULTS Eleven studies were selected, published 2005 and 2016, with various methodological approaches that enabled discussion of the proposed objective. CONCLUSION The contributions of nursing to institutionalized elderly people were linked to health promotion measures, as well as simple interventions, such as listening, interacting, offering recreation and helping in psychoaffective relationships. These activities contributed to raising the self-esteem of the individuals.

Vulnerability of caregivers of the elderly with dementia: a cross-sectional descriptive study

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 Meleiss 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 persons 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. Objetivo: Descrever o percurso da pessoa com Acidente Vascular Encefálico e identificar os acontecimentos significativos 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 finais: 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.Objective: to evaluate the sociodemographic and clinical profile of the caregivers and its relation with the overburden from the care of the elderly with dementia. Method: a cross-sectional descriptive study; the sample was non-probabilistic, developed with caregivers of elderly people with dementia. The field of investigation was the Health Care Center of the Elderly and their Caregivers (CASIC), in the city of Niterói, Rio de Janeiro, Brazil. Data collection took place from February to June 2016, with the following instruments: a sociodemographic questionnaire and Zarit scale. Results: fifty percent of the caregivers presented moderate overburden; 38% presented little overburden; and 12% moderate/severe overburden. It was observed that the median of weekly care hours increases as the overburden increases. Caregivers with moderate to severe overburden, in the majority, do not share care. Conclusion: it is clear that the overburden of care places the caregiver in conditions of biological and psychological vulnerability. Objetivo: avaliar o perfil sociodemográfico e clínico dos cuidadores e sua relação com a sobrecarga proveniente do cuidado ao idoso com demência. Método: estudo descritivo transversal, a amostra foi do tipo não probabilística, desenvolvida com os cuidadores de idosos com demência. O campo de investigação foi o Centro de Atenção à Saúde do Idoso e seus Cuidadores (CASIC), Niterói, Rio de Janeiro, Brasil. A coleta de dados ocorreu de fevereiro a junho de 2016, com os seguintes instrumentos: questionário sociodemográfico e escala de Zarit. Resultados: 50% dos cuidadores apresentaram sobrecarga moderada, 38% apresentaram pouca sobrecarga e 12%, sobrecarga moderada/severa. Observou-se que a mediana das horas de cuidados semanais aumenta conforme a sobrecarga aumenta. Cuidadores com sobrecarga de moderada a severa, em caráter majoritário, não dividem o cuidado. Conclusão: Dessa forma, fica claro que a sobrecarga do cuidado coloca o cuidador em condições de vulnerabilidade biológica e psicológica.

Impacto da visita domiciliar na capacidade funcional de pacientes com úlceras venosas

OBJECTIVE to assess the impact of protocol home visits on the functional capacity of adult and elderly patients with venous ulcers, before and after guidance received at home. METHOD clinical experimental, randomized, nonblinded and controlled study, developed with 32 patients (case and control groups). Fields of research were the Wound Outpatient Care Unit of the Antônio Pedro University Hospital and households of patients treated in the outpatient unit. Data collection occurred from February to June 2014, by means of an assessment tool of the health care unit, the TINETTI index and a script for directions to be provided to study participants who received home visits. RESULTS participants in the case group showed significant and differentiated improvement post-intervention when compared to the control group, which remained stable. CONCLUSION directions provided in the home context were beneficial to the members of the case group.

Repercusión de la visita domiciliaria en la capacidad funcional de pacientes con úlceras venosas

OBJECTIVE to assess the impact of protocol home visits on the functional capacity of adult and elderly patients with venous ulcers, before and after guidance received at home. METHOD clinical experimental, randomized, nonblinded and controlled study, developed with 32 patients (case and control groups). Fields of research were the Wound Outpatient Care Unit of the Antônio Pedro University Hospital and households of patients treated in the outpatient unit. Data collection occurred from February to June 2014, by means of an assessment tool of the health care unit, the TINETTI index and a script for directions to be provided to study participants who received home visits. RESULTS participants in the case group showed significant and differentiated improvement post-intervention when compared to the control group, which remained stable. CONCLUSION directions provided in the home context were beneficial to the members of the case group.

Home visits as a functional capacity evaluation strategy: an experimental clinical study

Objetivos: analisar a capacidade funcional no cuidado de ulceras venosas de pacientes por meio de visita domiciliar; comparar a capacidade funcional entre pacientes com ulceras venosas em atendimento exclusivo em ambulatorio de reparo de feridas e os que sao atendidos no ambulatorio e ainda recebem visita domiciliar para continuidade do tratamento. Metodo: estudo clinico experimental, randomizado nao cego e controlado, e quantitativo. Cenario: ambulatorio de reparo de feridas de um hospital de Niteroi, RJ e o domicilio de pacientes. Sujeitos: adultos e idosos portadores de ulceras venosas em tratamento ambulatorial. Para a coleta de dados serao utilizados: Protocolo I B-Adaptado – Avaliacao de clientes com ulceras venosas (registrado PROAP – UFF); Escala de KATZ-EIAVD; Indice de TINETTI e; o instrumento de orientacoes a serem prestadas aos sujeitos da pesquisa que receberem visita domiciliar. Para analise dos dados sera utilizado o teste de Mann-Whitney (wilcoxon rank-sum test) e a estatistica descritiva.