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脑血管意外后老年人的护理过渡——从医院到家庭。

Transition of care for the elderly after cerebrovascular accidents--from hospital to the home.

作者信息

Rodrigues Rosalina Aparecida Partezani, Marques Sueli, Kusumota Luciana, dos Santos Emanuella Barros, Fhon Jack Roberto da Silva, Fabrício-Wehbe Suzele Cristina Coelho

机构信息

Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, Brazil.

出版信息

Rev Lat Am Enfermagem. 2013 Jan-Feb;21 Spec No:216-24. doi: 10.1590/s0104-11692013000700027.

DOI:10.1590/s0104-11692013000700027
PMID:23459910
Abstract

OBJECTIVE

to examine the transition of care in families caring for elderly persons who suffered the first episode of a cerebrovascular accident.

METHODOLOGY

an instrumental ethnographic case study was used. The sample comprised 20 subjects: 10 caregivers and 10 elderly persons aged 65 or over, of both sexes, with diagnoses of first episode of cerebrovascular accident, capable of communicating, and requiring care from a main carer in their family. The data was collected through interviews, observation, existing documentation and field notes. Qualitative analysis techniques were used to codify and classify the data and to formulate significant categories, which generated typologies of care.

RESULTS AND DISCUSSION

The central idea was the Transition of Care and showed the context in three typologies: The care process for the dependent elderly person, Strategies for the care process and Impact and acceptance of the limitations.

CONCLUSION

The data indicates that caring for an elderly person after a cerebrovascular accident is a challenge for the family. The data permitted it possible to elaborate a proposal for a model for the organization of the work, with a view to holistic care delivery in the health services, forming a care network, which constitutes an advance for the area of nursing.

摘要

目的

研究照顾首次发生脑血管意外的老年人的家庭中的护理转变情况。

方法

采用工具性人种志案例研究。样本包括20名受试者:10名照顾者和10名65岁及以上的老年人,男女皆有,诊断为首次发生脑血管意外,能够沟通,且需要家庭主要照顾者的护理。数据通过访谈、观察、现有文档和实地记录收集。使用定性分析技术对数据进行编码和分类,并形成重要类别,从而产生护理类型。

结果与讨论

核心观点是护理转变,并在三种类型中展示了背景:依赖老年人的护理过程、护理过程策略以及对局限性的影响和接受。

结论

数据表明,脑血管意外后照顾老年人对家庭来说是一项挑战。这些数据使得有可能制定一项工作组织模型提案,以期在卫生服务中提供整体护理,形成护理网络,这在护理领域是一个进步。

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BMC Geriatr. 2018 Sep 25;18(1):228. doi: 10.1186/s12877-018-0922-0.
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Nursing home care educational intervention for family caregivers of older adults post stroke (SHARE): study protocol for a randomised trial.中风后老年人家庭照顾者的养老院护理教育干预(SHARE):一项随机试验的研究方案
Trials. 2018 Feb 9;19(1):96. doi: 10.1186/s13063-018-2454-5.
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Needs of family caregivers in home care for older adults.老年人居家护理中家庭照顾者的需求。
Rev Lat Am Enfermagem. 2017 Apr 6;25:e2870. doi: 10.1590/1518-8345.1511.2870.
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Contributions of nursing in elderly care.护理在老年护理中的贡献。
Rev Lat Am Enfermagem. 2014 May-Jun;22(3):353-4. doi: 10.1590/0104-1169.0000.2423.