Miriam Celdrán Mañas

Diseño y validación de instrumento de evaluación de la satisfacción con los servicios de atención domiciliaria: SATISFAD

Objetivos: Construir y validar un instrumento que evalue la satisfaccion con los servicios de atencion domiciliaria en version autoadministrada y telefonica. Metodo: Estudio observacional transversal en poblacion con atencion domiciliaria de los distritos sanitarios de Malaga, Costa del Sol, Almeria y Granada. Se diseno un cuestionario por parte de expertos en la tecnica Delphi. Posteriormente, se evaluo la fiabilidad entre las versiones telefonica y autoadministrada y, por ultimo, se comprobo su validez de constructo y la consistencia interna. Resultados: La fiabilidad entre las versiones telefonica y autoadministrada fue alta (coeficiente de correlacion intraclase = 0,876; intervalo de confianza del 95%, 0,726-0,941; p = 0,0001). La consistencia interna tambien fue adecuada (alfa de Cronbach de 0,853 y 0,799 para las distintas versiones, con o sin cuidadora, respectivamente). El analisis factorial explicaba un 66,80 y un 67,81% de la varianza observada para las distintas versiones (con o sin cuidadora). Se aislaron 2 factores que tenian que ver con la relacion interpersonal, el rol de la cuidadora y la toma de decisiones. Conclusiones: La evaluacion de la satisfaccion con los servicios de atencion domiciliaria puede realizarse con dimensiones habitualmente utilizadas en los estudios de satisfaccion, aunque han de ser evaluadas mediante instrumentos disenados al efecto. La accesibilidad, la comunicacion y las relaciones interpersonales adquieren un alto valor explicativo en la satisfaccion de este tipo de poblacion.

Conviviendo con estomas digestivos: estrategias de afrontamiento de la nueva realidad corporal

Objective the objective in this study was to describe the strategies developed by digestive stoma patients to cope with their situation. Method a qualitative and descriptive study was undertaken, involving 21 stoma patients living in the provinces of Málaga and Granada (Spain). The informants were selected in accordance with criteria of appropriateness and diversity, through intentional sampling. The data were collected by means of semistructured interviews. Results the content analysis revealed three categories around which the distinct strategies were developed: Self-care, Adaptation to the bodily change and Self-help. Conclusion the strategies developed are focusing on achieving the effective management of the stoma and are closely linked with the achievement of autonomy. Discovering the strategies applied is fundamental for the nursing professionals to offer high-quality care, centered on people and their process.OBJETIVO: el objetivo del estudio fue describir las estrategias desarrolladas por personas portadoras de estomas digestivos para hacer frente a su situacion. METODO: se realizo un estudio cualitativo de caracter descriptivo con 21 personas ostomizadas residentes en las provincias de Malaga y Granada (Espana). La seleccion de los informantes se hizo siguiendo los criterios de adecuacion y diversidad mediante un muestreo intencional. La recogida de datos se realizo a traves de entrevistas semiestructuradas. RESULTADOS: tras el analisis del contenido se obtuvieron tres categorias en torno a las cuales se desarrollaban las distintas estrategias: Autocuidados, Adaptacion al cambio corporal y Autoayuda. CONCLUSION: las estrategias desarrolladas estan enfocadas a conseguir un manejo efectivo del estoma, quedando vinculadas estrechamente a la consecucion de la autonomia. Conocer cuales son las estrategias puestas en marcha se hace indispensable para ofrecer como profesionales de enfermeria unos cuidados de calidad centrados en las personas y su proceso

Viviendo con un estoma digestivo: la importancia del apoyo familiar

Candela Bonill de las Nieves,1 Cesar Hueso Montoro,2 Miriam Celdran Manas,3 Concepcion Rivas Marin,4 Inmaculada Sanchez Crisol,5 Jose Miguel Morales Asencio6 1Unidad de Neurocirugia. Hospital Universitario Carlos Haya. Malaga, Espana. 2Facultad de Ciencias de la Salud. Universidad de Granada. Granada, Espana. 3Unidad de Cuidados Intensivos. Hospital Torrecardenas. Almeria, Espana. 4Consulta de Estomaterapia. Hospital Universitario Virgen de la Victoria. Malaga, Espana. 5Unidad de Cirugia. Hospital Universitario San Cecilio. Granada, Espana. 6Facultad de Ciencias de la Salud. Universidad de Malaga. Malaga, Espana

Design and validation of a home care satisfaction questionnaire: SATISFAD

OBJECTIVES To design and validate an instrument to assess satisfaction with home care services, in both self-administered and telephone versions. METHODS We performed a cross-sectional observational study of the population using home care services in the health districts of Malaga, Costa del Sol, Almeria and Granada (Spain). A questionnaire was designed by an expert panel using a Deplhi technique. Reliability between the self-administered and telephone versions was analyzed. Finally, internal consistency and construct validity were assessed. RESULTS Reliability between the self-administered and telephone versions was high (intraclass correlation coefficient = 0.876; 95% CI, 0.726-0.941; p = 0.0001). Internal consistency was adequate (Cronbachs alpha: 0.853 and 0.799 for both versions, with or without caregiver, respectively). The factorial analysis explained 66.80% and 67.81% of the observed variance for the two versions (with or without caregiver, respectively). Two factors were isolated and related to interpersonal relationships, the role of the carer, and decision making. CONCLUSION Assessment of satisfaction with home care can be performed with the dimensions routinely used in satisfaction studies, but these should be evaluated with instruments designed ad hoc. Accessibility, communication and interpersonal relationships have a high explanatory value in satisfaction among this population.

Effect of the Act on Promotion of Personal Autonomy and Care for dependent persons on their family caregivers.

BackgroundThe need of home care services is becoming an increasingly common scenario. These cares are mainly provided by the dependents’ relatives specifically, by the women part of the family. This situation might take years, decreasing the physical and psychological health of the caregiver. In Spain, the Act of Promotion of Personal Autonomy and Care for dependent persons, guarantees those dependent persons and their caregivers to have access to social services or to financial grants. The aim of this study is to Know the possible effects of the benefits provided by this Act in regards to the mental health, the quality of life and use of health services by the family caregivers assisting their relatives in situation of dependency.Methods and designA longitudinal descriptive study following-up a cohort of patients and caregivers. The study shall be carried out in Andalusia. It shall include the baseline assessment of the variables in those caregivers free from the exposure factor (reception of assistance pursuant to the Act). Following, once the benefits have been received, this cohort shall be followed-up.The study shall take three years, and the starting date for its development as well as its funding is January 2011.DiscussionThe longitudinal assessment of the rate of change of the variables studied shall allow us to know the implications which might be potentially generated as well as the natural evolution of those.