葡萄牙专业人士在大流行期间对机构化老年人进行人文关怀时所面临的挑战。
Challenges experienced by Portuguese professionals in humanitude care for institutionalized elderly people during the pandemic.
机构信息
Universidade Federal de Santa Catarina, Programa de Pós-Graduação em Enfermagem, Florianópolis, SC, Brazil.
Universidade Federal da Fronteira Sul, Chapecó, SC, Brazil.
出版信息
Rev Esc Enferm USP. 2022 Jan 5;56:e20210426. doi: 10.1590/1980-220X-REEUSP-2021-0426. eCollection 2022.
OBJECTIVE
To understand the challenges experienced by Portuguese workers in humanitude care for institutionalized elderly people during the pandemic.
METHOD
This is a qualitative study, supported by reflections on the Humanitude Care Methodology, carried out with workers from different areas in a nursing home for elderly people in Portugal. Data collection took place between September and October 2020, from individual and online interviews. The categorization proposed by Bardin was adopted as the analysis technique.
RESULTS
Three categories emerged: (1) self-protection and of the other with the subcategories fear of being contaminated and fear of contaminating the elderly; (2) maintenance of affective relationships, broken down into the subcategories absence of family members in the nursing home and personal protective equipment as a barrier to communication and approximation; and (3) confinement of the elderly who attended the Day Center, with the subcategories lack of family support/loneliness and change in the elderly's routine.
CONCLUSION
The main challenges experienced by Portuguese workers are related to the necessary changes in the performance of care practices due to the use of personal protection that was not used before, limitations in affective relationships, and restrictions in interaction spaces.
目的
了解葡萄牙人文关怀工作者在疫情期间为机构内老年人提供护理时所面临的挑战。
方法
这是一项定性研究，以人文关怀方法论为支撑，在葡萄牙一家养老院的不同领域的工作者中开展。数据收集于 2020 年 9 月至 10 月间进行，采用个人和在线访谈的方式。采用 Bardin 提出的分类方法作为分析技术。
结果
出现了三个类别：（1）自我保护和对他人的保护，包括被感染的恐惧和对老年人感染的恐惧两个子类别；（2）保持情感关系，包括养老院中没有家属和个人防护设备作为沟通和接近障碍两个子类别；（3）日托中心老年人的隔离，包括缺乏家庭支持/孤独和老年人日常生活的改变两个子类别。
结论
葡萄牙工作者面临的主要挑战与因使用以前未使用过的个人防护装备而导致的护理实践必要改变、情感关系受限以及互动空间受限有关。
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