Efetividade de um programa de intervenções de enfermagem para conhecimento deficiente do cuidador familiar de pessoas em processo de reabilitação
Autor(a) principal: | |
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Data de Publicação: | 2013 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Repositório Institucional da UFG |
Texto Completo: | http://repositorio.bc.ufg.br/tede/handle/tede/6116 |
Resumo: | Traumatic brain injury (TBI) has been considered the most important cause of disability among young people and the most common cause of neurological morbidity. It is therefore necessary that health professionals, including nurses, develop specific knowledge about the assistance not only to the victims but also to the caregivers in order to help them cope with the adverse consequences arising from this type of trauma. In the rehabilitation context, there is little research on the clinical management of people with TBI in rehabilitation process and even the use of Models or Nursing Theories to approach to this group. This study aimed to examine the effectiveness of a program in nursing interventions for "Knowledge deficit of family caregivers" of people with TBI rehabilitation sequel. It followed the methodology of convergent care research (PCA), a quantitative approach. The study was developed in the hospital sector of the Rehabilitation Center and Readaptation Dr. Henry Santillo (CRER) in the city of Goiânia/GO through August 2012 to January 2013. The study included eight people with TBI, V ranch or superior, who were hospitalized in the period of the study and their caregivers. During data collection a set of instruments and procedures were used. In the evaluation of people with TBI, a protocol interview and physical examination based on the Theory of Orem were used. In the assessment of family caregivers it was applied a structured interview based on the Calgary Assessment Model and Families Intervention, a cognitic assessment using the Mini-Mental State Examination and anxiety assessment by the State-Trait Anxiety Inventory. Based on this initial assessment of patients and their family caregivers, it was developed knowledge evaluation protocols necessary to caregivers with specific focus such as: facilitation of communication, memory training, cognitive stimulation and disease process. The rating scales were inspired by NOC. Then, a program of individual and group intervention was applied to the family caregivers based on NIC (individual and group learning, learning: the health illness process) and in the Learning Theory significant. At the end of the specific intervention program, 72 hours were waited and knowledge post-intervention tests were applied. Sociodemographic data analysis was done by simple descriptive statistics. The diagnoses were identified by consensus of two professionals and checked by a third researcher. To evaluate the results it was used the scores of the NOC indicators (Nursing Outcomes Classifications) and made a comparison of the data obtained before and after 72 hours of interventions through the use of Descartes signals test. The interventions protocol for poor knowledge was effective for training Memory (p = 0.008) and instruction: disease process (p = 0.008). Despite positive clinically results, the program effectiveness of interventions for cognitive stimulation (p = 0.07) and communication improvement (p = 0.12) they could not be statistically proven. Based on these results, it was possible to: highlight the success of intervention program for the diagnosis of insufficient knowledge of the family caregiver training on memory and on the disease process. |
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Bachion, Maria Márciahttp://lattes.cnpq.br/8503907944360635Bachion, Maria MárciaVila, Vanessa da Silva CarvalhoSouza, Márcia Maria deMenezes, Ruth LosadaLopes, Carmen Luci Rodrigueshttp://lattes.cnpq.br/8491932385212164Souza, Juliana Caldas de2016-09-05T13:21:07Z2013-05-10SOUZA, J. C. Efetividade de um programa de intervenções de enfermagem para conhecimento deficiente do cuidador familiar de pessoas em processo de reabilitação. 2013. 184 f. Dissertação (Mestrado em Enfermagem) - Universidade Federal de Goiás, Goiânia, 2013.http://repositorio.bc.ufg.br/tede/handle/tede/6116Traumatic brain injury (TBI) has been considered the most important cause of disability among young people and the most common cause of neurological morbidity. It is therefore necessary that health professionals, including nurses, develop specific knowledge about the assistance not only to the victims but also to the caregivers in order to help them cope with the adverse consequences arising from this type of trauma. In the rehabilitation context, there is little research on the clinical management of people with TBI in rehabilitation process and even the use of Models or Nursing Theories to approach to this group. This study aimed to examine the effectiveness of a program in nursing interventions for "Knowledge deficit of family caregivers" of people with TBI rehabilitation sequel. It followed the methodology of convergent care research (PCA), a quantitative approach. The study was developed in the hospital sector of the Rehabilitation Center and Readaptation Dr. Henry Santillo (CRER) in the city of Goiânia/GO through August 2012 to January 2013. The study included eight people with TBI, V ranch or superior, who were hospitalized in the period of the study and their caregivers. During data collection a set of instruments and procedures were used. In the evaluation of people with TBI, a protocol interview and physical examination based on the Theory of Orem were used. In the assessment of family caregivers it was applied a structured interview based on the Calgary Assessment Model and Families Intervention, a cognitic assessment using the Mini-Mental State Examination and anxiety assessment by the State-Trait Anxiety Inventory. Based on this initial assessment of patients and their family caregivers, it was developed knowledge evaluation protocols necessary to caregivers with specific focus such as: facilitation of communication, memory training, cognitive stimulation and disease process. The rating scales were inspired by NOC. Then, a program of individual and group intervention was applied to the family caregivers based on NIC (individual and group learning, learning: the health illness process) and in the Learning Theory significant. At the end of the specific intervention program, 72 hours were waited and knowledge post-intervention tests were applied. Sociodemographic data analysis was done by simple descriptive statistics. The diagnoses were identified by consensus of two professionals and checked by a third researcher. To evaluate the results it was used the scores of the NOC indicators (Nursing Outcomes Classifications) and made a comparison of the data obtained before and after 72 hours of interventions through the use of Descartes signals test. The interventions protocol for poor knowledge was effective for training Memory (p = 0.008) and instruction: disease process (p = 0.008). Despite positive clinically results, the program effectiveness of interventions for cognitive stimulation (p = 0.07) and communication improvement (p = 0.12) they could not be statistically proven. Based on these results, it was possible to: highlight the success of intervention program for the diagnosis of insufficient knowledge of the family caregiver training on memory and on the disease process.O trauma cranioencefálico (TCE) tem sido considerado a causa mais importante de incapacidade entre jovens e a mais frequente causa neurológica de morbidade. Assim, é necessário que profissionais da saúde, incluindo a enfermagem, desenvolvam conhecimento específico sobre a assistência não só das vítimas, como também dos cuidadores, a fim de ajudá-los a enfrentar as consequências oriundas desse tipo de trauma. No contexto da reabilitação, são escassas as pesquisas sobre a abordagem clínica de pessoas com TCE em processo de reabilitação e a utilização de Modelos ou Teorias de Enfermagem para abordagem desse grupo. Este estudo teve por objetivo analisar a efetividade de um programa de intervenções de enfermagem para “Déficit de conhecimento do familiar cuidador” de pessoas com sequela de TCE em reabilitação. Seguiu-se a metodologia de pesquisa convergente assistencial (PCA), de abordagem quantitativa. O estudo foi desenvolvido no setor de internação do Centro de Reabilitação e Readaptação Dr. Henrique Santillo (CRER), na cidade de Goiânia/GO, no período de agosto de 2012 a janeiro de 2013. Foram incluídas oito pessoas com TCE, rancho V ou superior, que estiveram internadas no período de realização do estudo e seus respectivos cuidadores. Na coleta de dados utilizaram-se um conjunto de instrumentos e procedimentos: na avaliação das pessoas com TCE foi utilizado um protocolo de entrevista e exame físico baseado na Teoria de Orem. Na avaliação dos cuidadores familiares foi aplicado um roteiro de entrevista fundamentado no Modelo Calgary de Avaliação e Intervenção de Famílias, avaliação cognitiva por meio do Mini-Exame do Estado Mental e avaliação da ansiedade mediante o Inventario da Ansiedade Traço-Estado. Com base nessa avaliação inicial dos pacientes e seus familiares cuidadores, elaboramos protocolos de avaliação de conhecimento necessários aos cuidadores com foco específico como: facilitação da comunicação, treino da memória, estimulação cognitiva e o processo de doença. As escalas de avaliação foram inspiradas na NOC. Foi aplicado um programa de intervenção individual e grupal, aos familiares cuidadores, baseado na NIC (ensino individual e ensino grupal, ensino: processo saúde doença) utilizando a Teoria de Aprendizagem significativa. Ao término do programa de intervenção específico, foram aguardados 72h e aplicados os testes de conhecimento pós-intervenção. A análise dos dados sociodemográficos foi realizada mediante estatística descritiva simples. Os diagnósticos foram identificados por consenso de dois profissionais e checagem por um terceiro pesquisador. Para avaliação dos resultados foram utilizados os escores dos indicadores da NOC (Nursing Outcomes Classifications) e realizada a comparação dos dados obtidos antes e após 72 horas das intervenções mediante o uso do teste de Sinais de Descartes. O protocolo de intervenções para o conhecimento deficiente mostrou-se efetivo para treino de Memória (p=0,008) e ensino: processo de Doença (p=0,008). Apesar de resultados positivos clinicamente, a efetividade do programa de intervenções para estimulação cognitiva (p=0,07) e melhora da comunicação (p=0,12) não puderam ser comprovados estatisticamente. Com base nos resultados encontrados, foi possível: evidenciar o êxito do programa de intervenção para os diagnósticos de conhecimento deficiente do familiar cuidador sobre treino de memória e sobre processo de doença.Submitted by Cássia Santos (cassia.bcufg@gmail.com) on 2016-09-05T13:19:55Z No. of bitstreams: 2 Dissertação - Juliana Caldas de Souza - 2013.pdf: 2562448 bytes, checksum: e92ca76b4dd1d37016a63f0786f538e7 (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5)Approved for entry into archive by Luciana Ferreira (lucgeral@gmail.com) on 2016-09-05T13:21:06Z (GMT) No. of bitstreams: 2 Dissertação - Juliana Caldas de Souza - 2013.pdf: 2562448 bytes, checksum: e92ca76b4dd1d37016a63f0786f538e7 (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5)Made available in DSpace on 2016-09-05T13:21:07Z (GMT). No. of bitstreams: 2 Dissertação - Juliana Caldas de Souza - 2013.pdf: 2562448 bytes, checksum: e92ca76b4dd1d37016a63f0786f538e7 (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Previous issue date: 2013-05-10application/pdfporUniversidade Federal de GoiásPrograma de Pós-graduação em Enfermagem (FEN)UFGBrasilFaculdade de Enfermagem - FEN (RG)http://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessEnfermagem em reabilitaçãoTraumatismos encefálicosDiagnóstico de enfermagemAvaliação de enfermagemCuidadores familiaresRehabilitation in nursingBrain injuriesNursing diagnosisNursing assessmentFamily caregiversCIENCIAS DA SAUDE::ENFERMAGEMEfetividade de um programa de intervenções de enfermagem para conhecimento deficiente do cuidador familiar de pessoas em processo de reabilitaçãoEffectiveness of a program in nursing interventions to poor knowledge of family caregivers of people undergoing rehabilitationinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesis45061628303650419816006006002756753233336908714-7702826533010964327reponame:Repositório Institucional da UFGinstname:Universidade Federal de Goiás (UFG)instacron:UFGLICENSElicense.txtlicense.txttext/plain; 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dc.title.por.fl_str_mv |
Efetividade de um programa de intervenções de enfermagem para conhecimento deficiente do cuidador familiar de pessoas em processo de reabilitação |
dc.title.alternative.eng.fl_str_mv |
Effectiveness of a program in nursing interventions to poor knowledge of family caregivers of people undergoing rehabilitation |
title |
Efetividade de um programa de intervenções de enfermagem para conhecimento deficiente do cuidador familiar de pessoas em processo de reabilitação |
spellingShingle |
Efetividade de um programa de intervenções de enfermagem para conhecimento deficiente do cuidador familiar de pessoas em processo de reabilitação Souza, Juliana Caldas de Enfermagem em reabilitação Traumatismos encefálicos Diagnóstico de enfermagem Avaliação de enfermagem Cuidadores familiares Rehabilitation in nursing Brain injuries Nursing diagnosis Nursing assessment Family caregivers CIENCIAS DA SAUDE::ENFERMAGEM |
title_short |
Efetividade de um programa de intervenções de enfermagem para conhecimento deficiente do cuidador familiar de pessoas em processo de reabilitação |
title_full |
Efetividade de um programa de intervenções de enfermagem para conhecimento deficiente do cuidador familiar de pessoas em processo de reabilitação |
title_fullStr |
Efetividade de um programa de intervenções de enfermagem para conhecimento deficiente do cuidador familiar de pessoas em processo de reabilitação |
title_full_unstemmed |
Efetividade de um programa de intervenções de enfermagem para conhecimento deficiente do cuidador familiar de pessoas em processo de reabilitação |
title_sort |
Efetividade de um programa de intervenções de enfermagem para conhecimento deficiente do cuidador familiar de pessoas em processo de reabilitação |
author |
Souza, Juliana Caldas de |
author_facet |
Souza, Juliana Caldas de |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Bachion, Maria Márcia |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/8503907944360635 |
dc.contributor.referee1.fl_str_mv |
Bachion, Maria Márcia |
dc.contributor.referee2.fl_str_mv |
Vila, Vanessa da Silva Carvalho |
dc.contributor.referee3.fl_str_mv |
Souza, Márcia Maria de |
dc.contributor.referee4.fl_str_mv |
Menezes, Ruth Losada |
dc.contributor.referee5.fl_str_mv |
Lopes, Carmen Luci Rodrigues |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/8491932385212164 |
dc.contributor.author.fl_str_mv |
Souza, Juliana Caldas de |
contributor_str_mv |
Bachion, Maria Márcia Bachion, Maria Márcia Vila, Vanessa da Silva Carvalho Souza, Márcia Maria de Menezes, Ruth Losada Lopes, Carmen Luci Rodrigues |
dc.subject.por.fl_str_mv |
Enfermagem em reabilitação Traumatismos encefálicos Diagnóstico de enfermagem Avaliação de enfermagem Cuidadores familiares |
topic |
Enfermagem em reabilitação Traumatismos encefálicos Diagnóstico de enfermagem Avaliação de enfermagem Cuidadores familiares Rehabilitation in nursing Brain injuries Nursing diagnosis Nursing assessment Family caregivers CIENCIAS DA SAUDE::ENFERMAGEM |
dc.subject.eng.fl_str_mv |
Rehabilitation in nursing Brain injuries Nursing diagnosis Nursing assessment Family caregivers |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE::ENFERMAGEM |
description |
Traumatic brain injury (TBI) has been considered the most important cause of disability among young people and the most common cause of neurological morbidity. It is therefore necessary that health professionals, including nurses, develop specific knowledge about the assistance not only to the victims but also to the caregivers in order to help them cope with the adverse consequences arising from this type of trauma. In the rehabilitation context, there is little research on the clinical management of people with TBI in rehabilitation process and even the use of Models or Nursing Theories to approach to this group. This study aimed to examine the effectiveness of a program in nursing interventions for "Knowledge deficit of family caregivers" of people with TBI rehabilitation sequel. It followed the methodology of convergent care research (PCA), a quantitative approach. The study was developed in the hospital sector of the Rehabilitation Center and Readaptation Dr. Henry Santillo (CRER) in the city of Goiânia/GO through August 2012 to January 2013. The study included eight people with TBI, V ranch or superior, who were hospitalized in the period of the study and their caregivers. During data collection a set of instruments and procedures were used. In the evaluation of people with TBI, a protocol interview and physical examination based on the Theory of Orem were used. In the assessment of family caregivers it was applied a structured interview based on the Calgary Assessment Model and Families Intervention, a cognitic assessment using the Mini-Mental State Examination and anxiety assessment by the State-Trait Anxiety Inventory. Based on this initial assessment of patients and their family caregivers, it was developed knowledge evaluation protocols necessary to caregivers with specific focus such as: facilitation of communication, memory training, cognitive stimulation and disease process. The rating scales were inspired by NOC. Then, a program of individual and group intervention was applied to the family caregivers based on NIC (individual and group learning, learning: the health illness process) and in the Learning Theory significant. At the end of the specific intervention program, 72 hours were waited and knowledge post-intervention tests were applied. Sociodemographic data analysis was done by simple descriptive statistics. The diagnoses were identified by consensus of two professionals and checked by a third researcher. To evaluate the results it was used the scores of the NOC indicators (Nursing Outcomes Classifications) and made a comparison of the data obtained before and after 72 hours of interventions through the use of Descartes signals test. The interventions protocol for poor knowledge was effective for training Memory (p = 0.008) and instruction: disease process (p = 0.008). Despite positive clinically results, the program effectiveness of interventions for cognitive stimulation (p = 0.07) and communication improvement (p = 0.12) they could not be statistically proven. Based on these results, it was possible to: highlight the success of intervention program for the diagnosis of insufficient knowledge of the family caregiver training on memory and on the disease process. |
publishDate |
2013 |
dc.date.issued.fl_str_mv |
2013-05-10 |
dc.date.accessioned.fl_str_mv |
2016-09-05T13:21:07Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/masterThesis |
format |
masterThesis |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
SOUZA, J. C. Efetividade de um programa de intervenções de enfermagem para conhecimento deficiente do cuidador familiar de pessoas em processo de reabilitação. 2013. 184 f. Dissertação (Mestrado em Enfermagem) - Universidade Federal de Goiás, Goiânia, 2013. |
dc.identifier.uri.fl_str_mv |
http://repositorio.bc.ufg.br/tede/handle/tede/6116 |
identifier_str_mv |
SOUZA, J. C. Efetividade de um programa de intervenções de enfermagem para conhecimento deficiente do cuidador familiar de pessoas em processo de reabilitação. 2013. 184 f. Dissertação (Mestrado em Enfermagem) - Universidade Federal de Goiás, Goiânia, 2013. |
url |
http://repositorio.bc.ufg.br/tede/handle/tede/6116 |
dc.language.iso.fl_str_mv |
por |
language |
por |
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4506162830365041981 |
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