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居家护理服务特点及有特殊健康护理需求儿童的护理。

Characterization of Home Care Services and care for children with special health care needs.

机构信息

Universidade do Estado de Santa Catarina, Chapecó, SC, Brazil.

Universidade do Estado de Santa Catarina, Florianópolis, SC, Brazil.

出版信息

Rev Esc Enferm USP. 2022 Jul 18;56:e20220032. doi: 10.1590/1980-220X-REEUSP-2022-0032en. eCollection 2022.

DOI:10.1590/1980-220X-REEUSP-2022-0032en
PMID:35876465
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10081659/
Abstract

OBJECTIVE

To characterize Home Care Services in the state of Santa Catarina, Brazil, and to know the care demands of children with special health care needs.

METHOD

Descriptive, exploratory study with a quantitative approach. Data collection carried out through a questionnaire, via Google Forms, with professionals from seven Home Care Services, from April to July 2020. Data were organized in the software Excel and analyzed through descriptive statistics with frequency and percentage distribution.

RESULTS

Of the seven services participating in the study, in 85.7% the nurse is the teams' coordinator. Opening hours in most services are during the day, on weekdays and weekends, and all of them receive referrals from Primary Health Care teams. Regarding care demands, all children need psychomotor and social rehabilitation, 72.2% use oxygen therapy, 66.6% gastrostomy, 55.5% tracheostomy, and 50% mechanical ventilation.

CONCLUSION

Home care presents complexities due to chronic conditions and the use of technological devices. Thus, home care teams are fundamental in the assistance and training of family members/caregivers for children home care.

摘要

目的

描述巴西圣卡塔琳娜州的家庭护理服务,并了解有特殊医疗需求的儿童的护理需求。

方法

这是一项描述性、探索性的研究,采用定量方法。数据收集通过 Google 表单上的问卷进行,于 2020 年 4 月至 7 月期间对来自 7 家家庭护理服务机构的专业人员进行调查。数据在 Excel 软件中进行组织,并通过频率和百分比分布进行描述性统计分析。

结果

在所研究的 7 家服务机构中,85.7%的服务机构由护士担任团队协调员。大多数服务机构的工作时间是在工作日白天和周末,所有服务机构都接收来自初级卫生保健团队的转介。在护理需求方面,所有儿童都需要进行精神运动和社会康复,72.2%的儿童使用氧气疗法,66.6%的儿童使用胃造口术,55.5%的儿童使用气管造口术,50%的儿童使用机械通气。

结论

家庭护理由于慢性疾病和技术设备的使用而变得复杂。因此,家庭护理团队对于儿童家庭护理中对家庭成员/照顾者的援助和培训至关重要。

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本文引用的文献

1
Singular therapeutic project in mental health: an integrative review.心理健康领域的单一治疗项目:一项综合综述。
Rev Bras Enferm. 2020 Mar 9;73(2):e20180508. doi: 10.1590/0034-7167-2018-0508. eCollection 2020.
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Home care organization with the Better at Home Program.
Rev Gaucha Enferm. 2018;39(1):e2016-2. doi: 10.1590/1983-1447.2018.2016-0002. Epub 2018 May 28.
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Nursing practice in home care: an integrative literature review.居家护理中的护理实践:一项综合文献综述。
Rev Bras Enferm. 2017 Jan-Feb;70(1):210-219. doi: 10.1590/0034-7167-2016-0214.
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Discourses on discharge care for children with special healthcare needs.关于有特殊医疗需求儿童出院护理的论述。
Rev Bras Enferm. 2017 Jan-Feb;70(1):163-171. doi: 10.1590/0034-7167-2016-0248.
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[Translation and adaptation of the Children with Special Health Care Needs Screener to Brazilian Portuguese].《将特殊医疗需求儿童筛查工具翻译成巴西葡萄牙语并进行改编》
Cad Saude Publica. 2016 Jun 20;32(6). doi: 10.1590/0102-311X00130215.