Training hypocoagulated users and their families in disease management: a community nursing intervention
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | por eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://doi.org/10.56732/pensarenf.v27i1.276 |
Resumo: | Introduction Brain and cardiovascular diseases require regular and specialized follow-up, including those pathologies that require oral anticoagulants, in order to reduce hospitalizations due to clinical decompensation, maintain the person active, and reduce their degree of dependence. This requires a professional/patient/family partnership in their management. This project was based on Dorothea Orem's Theory of Self-Care Deficit. Objective To train the hypocoagulated users and their families in disease management. Methods The health planning methodology was applied. The situation diagnosis was developed using questionnaires applied to the patient to validate their knowledge about disease management and a second one applied to the family to understand their knowledge about their relative's needs. The non-probability convenience sample was composed of 18 patients and 5 family members in the consultations performed during the internship period. Results The situation diagnosis revealed a deficit of knowledge about disease management: in self-care, therapeutic regimen, and their interaction, as well as a deficit of the family's role in monitoring their family member and perceiving their needs. Health education was used as a strategy to improve the problems identified through the empowerment of users and families. After intervention, there was an increase in knowledge in all the addressed points: self-care (92.85%), therapeutic regime and its interaction (85.71%). As for the family intervention, we found that participants are family members who live with hypocoagulated patients and have already taken over the role of caregiver. Conclusion This project contributed to the knowledge of hypocoagulated patients and family, through the intervention of community nursing, as well as the reflection on how to develop strategies with families, to empower them in the early detection of intervention in the self-care of their family member and in the management of family roles. |
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Training hypocoagulated users and their families in disease management: a community nursing interventionCapacitar o utente hipocoagulado e família na gestão da doença: uma intervenção da Enfermagem ComunitáriaUtentesFamíliaAnticoagulantes OraisEducação para a SaúdeEnfermagem ComunitáriaPatientsFamilyOral AnticoagulantsHealth EducationCommunity NursingIntroduction Brain and cardiovascular diseases require regular and specialized follow-up, including those pathologies that require oral anticoagulants, in order to reduce hospitalizations due to clinical decompensation, maintain the person active, and reduce their degree of dependence. This requires a professional/patient/family partnership in their management. This project was based on Dorothea Orem's Theory of Self-Care Deficit. Objective To train the hypocoagulated users and their families in disease management. Methods The health planning methodology was applied. The situation diagnosis was developed using questionnaires applied to the patient to validate their knowledge about disease management and a second one applied to the family to understand their knowledge about their relative's needs. The non-probability convenience sample was composed of 18 patients and 5 family members in the consultations performed during the internship period. Results The situation diagnosis revealed a deficit of knowledge about disease management: in self-care, therapeutic regimen, and their interaction, as well as a deficit of the family's role in monitoring their family member and perceiving their needs. Health education was used as a strategy to improve the problems identified through the empowerment of users and families. After intervention, there was an increase in knowledge in all the addressed points: self-care (92.85%), therapeutic regime and its interaction (85.71%). As for the family intervention, we found that participants are family members who live with hypocoagulated patients and have already taken over the role of caregiver. Conclusion This project contributed to the knowledge of hypocoagulated patients and family, through the intervention of community nursing, as well as the reflection on how to develop strategies with families, to empower them in the early detection of intervention in the self-care of their family member and in the management of family roles.Introdução As doenças cérebro-cardiovasculares necessitam de um acompanhamento regular e especializado, onde se inclui as patologias que necessitam de anticoagulantes orais, com o intuito de diminuir os internamentos por descompensação clínica, manter a pessoa ativa e diminuir o seu grau de dependência, necessitando de uma parceria profissional/utente/família na sua gestão. O projeto foi sustentado pelo referencial teórico de Dorothea Orem, Teoria do Défice do Autocuidado. Objetivo Capacitar o utente hipocoagulado e família na gestão da doença. Métodos Aplicado a metodologia do planeamento em saúde. O diagnóstico de situação foi desenvolvido com recurso a questionários aplicado ao utente no sentido de validar o seu conhecimento sobre a gestão da doença e um segundo aplicado à família para compreender o seu conhecimento sobre as necessidades do seu familiar. A amostra não probabilística por conveniência, foi constituída por 18 utentes e 5 familiares nas consultas realizadas durante o período de estágio. Resultados O diagnóstico de situação revelou défice de conhecimento sobre a gestão da doença: no autocuidado, regime terapêutico e sua interação, bem como défice do papel da família no acompanhamento do seu familiar e na perceção das suas necessidades. Utilizou-se como estratégia, a educação para a saúde no sentido de melhorar os problemas identificados através da capacitação dos utentes e famílias intervencionadas. Após a intervenção verificou-se um aumento de conhecimentos em todos os pontos abordados: autocuidado (92,85%), regime terapêutico e sua interação (85,71%). Quanto à intervenção familiar verificou-se que os participantes são familiares conviventes com os utentes hipocoagulados e já assumiram o papel de cuidador. Conclusão Este projeto contribuiu para o conhecimento dos utentes hipocoagulados e família, através da intervenção da enfermagem comunitária, bem como a reflexão sobre como desenvolver estratégias com as famílias, no sentido de as capacitar na deteção precoce de intervir no autocuidado do seu familiar e na gestão dos papeis familiares.Escola Superior de Enfermagem de Lisboa - ESEL/ CIDNUR2023-11-30info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfapplication/pdftext/htmltext/htmlhttps://doi.org/10.56732/pensarenf.v27i1.276https://doi.org/10.56732/pensarenf.v27i1.276Pensar Enfermagem ; Vol. 27 No. 1 (2023): Journal of Nursing Pensar Enfermagem; 147-152Pensar Enfermagem ; Vol. 27 N.º 1 (2023): Revista Científica Pensar Enfermagem; 147-1521647-55260873-890410.56732/pensarenf.v27i1reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporenghttps://pensarenfermagem.esel.pt/index.php/esel/article/view/276https://pensarenfermagem.esel.pt/index.php/esel/article/view/276/416https://pensarenfermagem.esel.pt/index.php/esel/article/view/276/417https://pensarenfermagem.esel.pt/index.php/esel/article/view/276/418https://pensarenfermagem.esel.pt/index.php/esel/article/view/276/419Copyright (c) 2023 Rute Rego, José Edmundo Xavier Furtado de Sousa, Maria de Fátima Balsinha Pintoinfo:eu-repo/semantics/openAccessRego, RuteXavier Furtado de Sousa, José EdmundoBalsinha Pinto, Maria de Fátima2024-03-16T10:06:24Zoai:pensarenfermagem.esel.pt:article/276Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T00:40:40.167499Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Training hypocoagulated users and their families in disease management: a community nursing intervention Capacitar o utente hipocoagulado e família na gestão da doença: uma intervenção da Enfermagem Comunitária |
title |
Training hypocoagulated users and their families in disease management: a community nursing intervention |
spellingShingle |
Training hypocoagulated users and their families in disease management: a community nursing intervention Rego, Rute Utentes Família Anticoagulantes Orais Educação para a Saúde Enfermagem Comunitária Patients Family Oral Anticoagulants Health Education Community Nursing |
title_short |
Training hypocoagulated users and their families in disease management: a community nursing intervention |
title_full |
Training hypocoagulated users and their families in disease management: a community nursing intervention |
title_fullStr |
Training hypocoagulated users and their families in disease management: a community nursing intervention |
title_full_unstemmed |
Training hypocoagulated users and their families in disease management: a community nursing intervention |
title_sort |
Training hypocoagulated users and their families in disease management: a community nursing intervention |
author |
Rego, Rute |
author_facet |
Rego, Rute Xavier Furtado de Sousa, José Edmundo Balsinha Pinto, Maria de Fátima |
author_role |
author |
author2 |
Xavier Furtado de Sousa, José Edmundo Balsinha Pinto, Maria de Fátima |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Rego, Rute Xavier Furtado de Sousa, José Edmundo Balsinha Pinto, Maria de Fátima |
dc.subject.por.fl_str_mv |
Utentes Família Anticoagulantes Orais Educação para a Saúde Enfermagem Comunitária Patients Family Oral Anticoagulants Health Education Community Nursing |
topic |
Utentes Família Anticoagulantes Orais Educação para a Saúde Enfermagem Comunitária Patients Family Oral Anticoagulants Health Education Community Nursing |
description |
Introduction Brain and cardiovascular diseases require regular and specialized follow-up, including those pathologies that require oral anticoagulants, in order to reduce hospitalizations due to clinical decompensation, maintain the person active, and reduce their degree of dependence. This requires a professional/patient/family partnership in their management. This project was based on Dorothea Orem's Theory of Self-Care Deficit. Objective To train the hypocoagulated users and their families in disease management. Methods The health planning methodology was applied. The situation diagnosis was developed using questionnaires applied to the patient to validate their knowledge about disease management and a second one applied to the family to understand their knowledge about their relative's needs. The non-probability convenience sample was composed of 18 patients and 5 family members in the consultations performed during the internship period. Results The situation diagnosis revealed a deficit of knowledge about disease management: in self-care, therapeutic regimen, and their interaction, as well as a deficit of the family's role in monitoring their family member and perceiving their needs. Health education was used as a strategy to improve the problems identified through the empowerment of users and families. After intervention, there was an increase in knowledge in all the addressed points: self-care (92.85%), therapeutic regime and its interaction (85.71%). As for the family intervention, we found that participants are family members who live with hypocoagulated patients and have already taken over the role of caregiver. Conclusion This project contributed to the knowledge of hypocoagulated patients and family, through the intervention of community nursing, as well as the reflection on how to develop strategies with families, to empower them in the early detection of intervention in the self-care of their family member and in the management of family roles. |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023-11-30 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.56732/pensarenf.v27i1.276 https://doi.org/10.56732/pensarenf.v27i1.276 |
url |
https://doi.org/10.56732/pensarenf.v27i1.276 |
dc.language.iso.fl_str_mv |
por eng |
language |
por eng |
dc.relation.none.fl_str_mv |
https://pensarenfermagem.esel.pt/index.php/esel/article/view/276 https://pensarenfermagem.esel.pt/index.php/esel/article/view/276/416 https://pensarenfermagem.esel.pt/index.php/esel/article/view/276/417 https://pensarenfermagem.esel.pt/index.php/esel/article/view/276/418 https://pensarenfermagem.esel.pt/index.php/esel/article/view/276/419 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2023 Rute Rego, José Edmundo Xavier Furtado de Sousa, Maria de Fátima Balsinha Pinto info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2023 Rute Rego, José Edmundo Xavier Furtado de Sousa, Maria de Fátima Balsinha Pinto |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf application/pdf text/html text/html |
dc.publisher.none.fl_str_mv |
Escola Superior de Enfermagem de Lisboa - ESEL/ CIDNUR |
publisher.none.fl_str_mv |
Escola Superior de Enfermagem de Lisboa - ESEL/ CIDNUR |
dc.source.none.fl_str_mv |
Pensar Enfermagem ; Vol. 27 No. 1 (2023): Journal of Nursing Pensar Enfermagem; 147-152 Pensar Enfermagem ; Vol. 27 N.º 1 (2023): Revista Científica Pensar Enfermagem; 147-152 1647-5526 0873-8904 10.56732/pensarenf.v27i1 reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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