Antunes Patrícia Fernandes, Marques Paulo Alexandre Oliveira
Centro Hospitalar do Porto, Porto, Portugal.
ESEP (Escola Superior de Enfermagem do Porto), NursID (The Innovation and Development in Nursing), Center for Health Technology and Services Research (CINTESIS-ESEP), Porto, Portugal.
Porto Biomed J. 2017 Nov-Dec;2(6):254-259. doi: 10.1016/j.pbj.2017.05.002. Epub 2017 Jun 16.
This paper identifies a set of constraints experienced by FC in the caregiver role.This paper identifies difficulties experienced by FC.Urgent care nurses should address the FC constraints and difficulties.
This research aims to analyze the transition to the role of family caregiver (FC). The purpose of this study was: to identify factors leading the dependent person of family caregivers to the hospital urgent care (UC); to identify constraints associated with the ability to perform the FC role and difficulties experienced by FC in their ability to perform this role.This was an exploratory, transversal, and descriptive study conducted in two stages with convenience samples. The first stage involved variables related to the dependent person and to the FC, namely to the caretaking process, in the dimensions: cognition, knowledge, perception of support, relationship with the family member, motivation, perception of physical health, perception of self-efficacy, identification of warning signs and management of the therapeutic regimen, underlying the Nursing Outcomes Classification. The study was conducted using a questionnaire delivered to each participant, 43 dependent persons and their FC. The second stage comprised a sample of 6 FC. A semi-structured thematic interview was conducted and submitted to content analysis, using the Transitions Model. Data were analyzed through descriptive and inferential statistics. The difficulties associated with the FC ability to perform were: knowledge, perception of support, motivation, perception of physical health, perception of self-efficacy, coping with the illness, coping with the suffering of the family member and fear.Nurses must take special consideration to admissions of dependent persons cared at home by their FC. This will help to determine if the worsening of the patient's condition is due to the onset of symptoms disease related or is the result of the FC inability to deal with the dependency changes and constant demands.
本文确定了家庭照料者（FC）在照料者角色中所经历的一系列限制因素。本文确定了FC所经历的困难。急诊护理护士应解决FC的限制因素和困难。
本研究旨在分析向家庭照料者（FC）角色的转变。本研究的目的是：确定导致家庭照料者的受抚养人前往医院急诊护理（UC）的因素；确定与FC履行角色的能力相关的限制因素以及FC在履行该角色时所经历的困难。这是一项探索性、横断面和描述性研究，分两个阶段进行，采用便利抽样。第一阶段涉及与受抚养人和FC相关的变量，即照料过程，维度包括：认知、知识、支持感知、与家庭成员的关系、动机、身体健康感知、自我效能感感知、警示信号识别和治疗方案管理，这些是护理结果分类的基础。该研究通过向43名受抚养人及其FC发放问卷进行。第二阶段包括6名FC的样本。进行了半结构化主题访谈，并使用转变模型进行内容分析。数据通过描述性和推断性统计进行分析。与FC履行能力相关的困难包括：知识、支持感知、动机、身体健康感知、自我效能感感知、应对疾病、应对家庭成员的痛苦和恐惧。护士必须特别关注由FC在家照料的受抚养人的入院情况。这将有助于确定患者病情恶化是由于与疾病相关的症状发作，还是由于FC无法应对依赖性变化和持续需求所致。
